北京积水潭医院急诊科护理人员心理应激现况调查

Psychological stress among nurses in Department of Emergency of Beijing Jishuitan Hospital

目的了解北京积水潭医院急诊科护理人员心理应激情况,为制定针对性心理健康干预措施提供参考。方法选择北京积水潭医院急诊科护理人员为调查对象,通过问卷调查收集人口学信息、职称、工作年限、家庭支持和是否参加过突发公共卫生事件应急处置等资料,采用症状自评量表(SCL-90)评估最近1周心理应激发生情况,分析急诊科护理人员心理应激的影响因素。结果有效调查121人,其中男性6人,占4.96%;女性115人,占95.04%。年龄为(41.49±4.61)岁;工作年限为(12.14±2.61)年。已婚83人,占68.60%。本科学历71人,占58.68%。中级职称60人,占49.59%。心理应激症状得分为(213.43±18.58)分,高于全国常模(124.57±14.31)分(t=12.194,P<0.001)。心理应激阳性38例,阳性率为31.40%。心理应激阳性与年龄≥40岁(χ^(2)=4.826,P=0.028)、无家庭支持(χ^(2)=40.420,P<0.001)、未参加过突发公共卫生事件应急处置(χ^(2)=33.767,P<0.001)有关。结论北京积水潭医院急诊科护理人员心理应激程度较高,年龄、家庭支持和应急处置能力是心理应激的影响因素。

Objective To investigate the psychological stress among nurses in the Department of Emergency,Beijing Ji⁃shuitan Hospital,so as to provide the evidence for formulating targeted psychological health interventions.Methods All nurses from Department of Emergency,Beijing Jishuitan Hospital were enrolled,and participants'demographics,professional title,working duration,family support and participation in public health emergency responses were collect⁃ed using questionnaire surveys.The development of psychological stress during the latest one week was evaluated us⁃ing the Symptom Checklist-90(SCL-90)scale,and factors affecting psychological stress were identified.Results A total of 121 valid questionnaires were recovered,and the participants included 6 men(4.96%)and 115 women(95.04%)and had a mean age of(41.49±4.61)years;and mean service length of(12.14±2.61)years.There were 83 participants that were married(68.60%),71 with a bachelor degree(58.68%),60 with a medium-grade professional title(49.59%).The mean score of psychological stress symptoms was 213.43±18.58,which was significantly higher than national norm(124.57±14.31;t=12.194,P<0.001).The detection of psychological stress was 31.40%among the participants,and the presence of psychological stress correlated with age of 40 years and older(χ^(2)=4.826,P=0.028),no family support(χ^(2)=40.420,P<0.001),and no participation in public health emergency responses(χ^(2)=33.767,P<0.001).Conclusions A high degree of psychological stress is detected among nurses in Department of Emergency of Beijing Jishuitan Hospital,and age,family support and emergency response capability are factors affecting psychologi⁃cal stress.