临床心理科夜班护士压力及其影响因素

Stress of night nurses in clinical psychology department and its influencing factors

目的:剖析临床心理科夜班护士压力的来源、影响因素及面对压力的应对方式。方法:选取河北省唐山市3家精神专科医院临床心理科夜班护士72名和一家综合医院夜班护士76名,使用自行设计的一般资料调查表、中国护士工作压力源量表和简易应对方式量表进行问卷调查。结果:调查组压力评分显著高于对照组(t=5.18,P<0.001),调查组压力源主要是工作倒班(3.03±0.60)、担心出差错(2.78±0.64)、工作强度(3.21±0.51)等。年龄(t=12.86,P<0.001)、学历(t=6.38,P<0.001)、婚姻(t=5.45,P<0.001)、人事关系(t=2.89,P<0.05)是压力的影响因素。积极应对方式得分调查组显著高于对照组(1.87±0.34VS1.63±0.62,P<0.05),消极应对方式得分调查组显著低于对照组(0.85±0.33VS1.06±0.47,P<0.05)。积极应对方式与压力呈负相关(r=-0.48,P<0.001),消极应对方式与压力呈正相关(r=0.63,P<0.001)。结论:临床心理科夜班护士的压力水平高于综合医院夜班护士。临床心理科夜班护士压力主要源于工作倒班、担心出差错、工作强度,且受年龄、学历、婚姻、人事关系因素的影响,护士在应对压力时更倾向于采取积极的应对方式。积极应对方式有利于缓解相关压力。

Objective:To analyze the sources,influencing factors,and coping styles of night nurses'stress in the clinical psychology department.Methods:A total of 72 night nurses in clinical psychology department of three psychiatric hospitals and 76 night nurses in general hospitals in Tangshan,Hebei province were selected to conduct a questionnaire survey using self-designed general data questionnaire,Chinese Nurses Work Stressors Scale and Simplified coping style Scale.Results:The stress score of the investigation group was significantly higher than that of the control group(t=5.18,P<0.001).The main stress sources of the investigation group were shift work(3.03±0.60),worry about making mistakes(2.78±0.64),work intensity(3.21±0.51)and so on.Age(t=12.86,P<0.001),educational background(t=6.38,P<0.001),marital status(t=5.45,P<0.001)and personnel relationship(t=2.89,P<0.05)were the influencing factors of stress.The score of positive coping style was significantly higher than that in the control group(1.87±0.34 vs 1.63±0.62,P<0.05)and the score of negative coping style was significantly lower than that in the control group(0.85±0.33 vs 1.06±0.47,P<0.05).Positive coping style was negatively correlated with stress(r=-0.48,P<0.001),while negative coping style was positively correlated with stress(r=0.63,P<0.001).Conclusion:The stress level of night nurses in clinical psychology department is higher than that of night nurses in general hospitals.The stress of nurses in clinical psychology department mainly comes from work shift,worry about making mistakes and work intensity,and is influenced by age,education background,marital status and personnel relationship.Nurses are more inclined to adopt positive coping style when dealing with stress.A positive coping style can help relieve related stress.