重庆地区三甲医院护士焦虑情绪现状及影响因素研究

Study on the status quo and influencing factors of anxiety among nurses in grade A tertiary hospitals in Chongqing

目的了解重庆地区三级甲等(三甲)医院护士的心理焦虑状况现状和影响因素,为护士预防焦虑、提高护理质量提供依据。方法采用便利抽样的方法,于2020年9月至2021年3月对重庆地区三甲医院进行网络问卷调查。采用焦虑自评量表(SAS)进行心理焦虑状况评价,采用该院自行设计的焦虑原因调查表对样本人员心理焦虑状况的影响因素进行调查,采用单因素检验和多因素逻辑回归分析重庆地区护士心理焦虑的危险因素。结果共纳入有效问卷901份。焦虑发生率为23.97%(216/901),其中轻、中、重度焦虑发生率分别为18.31%、4.43%、1.22%。经多因素分析,收入水平、担任行政职务、自觉压力、加班程度、睡眠质量是重庆地区三甲医院护士焦虑发生的独立危险因素(P<0.05),并且收入水平的影响呈非线性,焦虑来源以医院相关考试和工作为主。结论重庆地区三甲医院护士焦虑发生率相对较高,应根据其影响因素采取恰当的干预方式降低护士焦虑的发生率。

Objective To investigate the status quo and influencing factors of psychological anxiety among nurses in grade A tertiary hospitals in Chongqing,and to provide evidence for preventing anxiety and improving the quality of nursing care.Methods From September 2020 to March 2021,the convenience sampling method was used to conduct a online survey on grade A tertiary hospitals in Chongqing.The self-rating anxiety scale(SAS)was used to evaluate the psychological anxiety status.The self-designed anxiety cause questionnaire was used to investigate the influencing factors of the psychological anxiety status of the sample personnel.The risk factors of psychological anxiety of nurses in Chongqing were analyzed by single factor test and multivariate logistic regression.Results A total of 901 valid questionnaires were included.Overall,the incidence of anxiety was 23.97%(216/901),of which the incidence of mild,moderate and severe anxiety was 18.31%,4.43%and 1.22%,respectively.Multivariate analysis showed that income level,administrative position,self-conscious pressure,overtime,and sleep quality were the independent risk factors for anxiety of nursing staff in Chongqing(P<0.05),and the impact of income level was nonlinear,and the anxiety sources were mainly related to hospital examinations and work.Conclusion The investigation shows that the incidence of anxiety is relatively high in Chongqing,and appropriate intervention methods should be adopted to reduce the incidence of anxiety according to its influencing factors.