精神科护士对工作场所未来暴力的恐惧与心身症状的关系

Correlation of fear of future workplace violence and psychosomatic symptoms in psychiatric nurses

目的:探讨精神科护士恐惧未来工作场所暴力与心身症状的关系。方法:采用分层整群抽样选取742例护士,采用一般资料问卷、恐惧未来工作场所暴力量表、广泛性焦虑量表、病人健康问卷中的抑郁模块、亚健康状态躯体症状自评量表分别评估精神科护士一般情况、恐惧未来工作场所暴力情况、焦虑症状、抑郁症状与亚健康躯体症状。使用Pearson卡方检验和独立样本t检验比较恐惧未来工作场所暴力阳性组与阴性组的基线特征;倾向性评分匹配后,进行二元logistic回归,探讨恐惧未来暴力与心身症状间关系。结果:对工作场所未来暴力的恐惧阳性率为27%,612例进行匹配(阳性组:186例;阴性组:426例)。FFVW得分阳性与精神科护士GAD-7得分阳性(OR=1.03,95%CI:1.01~1.05)、PHQ-9得分阳性(OR=1.04,95%CI:1.02~1.06)、SC-SS-Q得分阳性正向关联(OR=1.04,95%CI:1.02~1.05)。结论:恐惧未来工作场所暴力与精神科护士发生心身症状的风险增高有关。

Objective:To explore the relationship between psychiatric nurses′fear of future workplace violence and psychosomatic symptoms.Methods:A total of 742 nurses were selected using the stratified cluster sampling method.The self-compiled general information questionnaire,Fear of Future Workplace Violence Scale,Generalized Anxiety Disorder-7,9-item Depression Module of the Patient Health Questionnaire,and Self-Rating Scale for Sub-health State Physical Symptoms were used to assess general condition,fear of future workplace violence,anxiety symptoms,depressive symptoms and sub-healthy somatic symptoms of psychiatric nurses.Pearson′s chi-square test and Independent-sample T test were used to compare the baseline characteristics of the positive and negative groups for fear of future workplace violence.After propensity scores matching,a binary logistic regression was performed to explore the relationship between thefear of future workplace violence and psychosomatic outcomes.Results:The positive rate of fear of future violence in the workplace was 27%.There were 612 cases matched(186 cases in positive group,426 cases in negative group).The Positive FFVW scores were positively associated with positive GAD-7 scores(OR=1.03,95%CI:1.01-1.05),positive PHQ-9 scores(OR=1.04,95%CI:1.02-1.06)and positive SC-SS-Q scores(OR=1.04,95%CI:1.02-1.05).Conclusion:Fear of future workplace violence is associated with an increased risk of psychosomatic symptoms in psychiatric nurses.