安徽省临床护士心理反应现状及影响因素分析

Analysis on current status and influencing factors of psychological reactions of clinical nurses in Anhui Province

目的了解临床护士心理反应的现状,并分析其影响因素。方法2022年5—9月,采用便利抽样法选取安徽省5个市6所三级甲等综合性医院的临床护士为调查对象,应用一般资料调查表、突发性公共卫生事件心理问卷、护士突发公共卫生事件应急能力量表、汉化版生命意义感量表和简体中文版感恩问卷进行问卷调查,并对数据进行分析。结果共纳入1262名临床护士,其心理反应得分为(13.97±8.89)分。应急能力、生命意义感、年龄、值夜班岗情况、子女状况以及曾经历心理不适状态与否均是后疫情时代临床护士心理反应的主要影响因素(均P<0.05),可解释总变异量的25.30%。结论临床护士心理反应处于轻度水平,管理者应积极采取策略提升临床护士应急能力,增强护士生命意义感和持续聚焦这两方面素质的引导和培养;同时重点关注中青年、值夜班岗多、养育子女及自我报告曾经历心理不适状态的护士群体,为其提供有效、长期、多元化的心理支持,以更好的提高其心理应对及健康水平。

Objective To understand the current situation of psychological reactions among clinical nurses and analyze its influencing factors.Methods From May to September 2022,a convenience sampling method was used to select clinical nurses from six grade-A tertiary comprehensive hospitals in five cities in Anhui Province as the survey subjects.The general information questionnaire,psychological questionnaires for emergent events of public health,nurse emergency capability scale for emergent events of public health,chinese version of meaning in life questionnaire and the Chinese version of gratitude questionnaire-6 were used to conduct the questionnaire survey,and the data were analyzed.Results A total of 1262 clinical nurses were included,with a psychological reactions score of(13.97±8.89)points.Emergency capability,sense of meaning in life,age,night shift status,whether to raise children and whether they had experienced psychological discomfort were the main influencing factors of the psychological reactions of clinical nurses in the post-epidemic era(all P<0.05),which could explain 25.30%of the total variation.Conclusion The psychological reactions of clinical nurses are at a mild level,and managers should actively take strategies to improve the emergency capability of clinical nurses,enhance the sense of meaning in life of nurses,and continuously focus on guiding and cultivating these two qualities.At the same time,special attention should be paid to the group of nurses who are young and middle-aged nurses,work more night shifts,raise children and self-reported psychological discomfort,so as to provide them with effective,long-term and diversified psychological support system to better improve their psychological coping and health levels.