天津市某医院医护人员压力知觉水平及干预策略分析

Analysis on perceived stress level and intervention strategies among medical staff in a hospital of Tianjin

目的 了解天津市某医院医护人员的压力知觉水平现状,分析不同组别医护人员的压力知觉差异,为缓解医护人员压力知觉提供参考依据。方法 采用问卷调查的方式,2021年8—10月以天津市某医院603名医务人员(包括医生和护士)为调查对象,使用中文版压力知觉量表(Chinese perceived stress scale,CPSS)对医护人员压力知觉进行调查,并对数据进行分析。结果 603名医护人员压力知觉得分为(23.13±8.66)分,其中42.79%的医护人员自觉压力过大。不同岗位间压力过大的比例比较,差异有统计学意义(χ^(2)=6.153,P<0.05)。参加轮值夜班的人群自觉压力过大的比例明显高于不值夜班的人群(χ^(2)=10.498,P<0.05)。结论 天津市某医院应重点关注护士和参与轮值夜班的医护人员的压力知觉水平。建议采取轮岗等措施降低外界压力源,同时建立发泄屋、安排心理疏导服务或讲座,提高医务人员对压力的承受能力和适应能力。

Objective To study the perceived stress level among medical staff in a hospital of Tianjin,analyze the difference of perceived stress among different groups of medical staff,and provide reference for relieving the perceived stress of medical staff.Methods A questionnaire survey was conducted. 603 medical workers(including doctors and nurses) in a hospital of Tianjin were investigated from August to October 2021. The Chinese perceived stress scale(CPSS) was used to evaluate the perceived stress of medical staff,and the data were analyzed. Results The score of perceived stress among 603 medical workers was(23.13±8.66)points,and 42.79% of medical workers felt stressed out. There was statistically significant difference in the proportion of higher stress among different positions(χ^(2)=6.153,P<0.05). The proportion of higher stress among medical workers with night shifts was significantly higher than that among medical workers without night shifts (χ^(2)=10.498,P<0.05). Conclusion The attention should be paid to the perceived stress level of nurses and medical workers with night shifts in Tianjin. It is suggested that measures such as post rotation should be taken to reduce external stressors,venting rooms should be established and psychological counseling services or lectures should be arranged to improve the medical staff’s ability to bear and adapt to pressure.