北京某三级甲等精神专科医院男护士心理健康与应对方式的相关性

目的 探讨精神科男护士的心理健康状况及应对方式的相关性.方法 采用症状自评量表（SCL-90）和简易应对方式问卷（SCSQ）,对某三级甲等精神专科医院100名精神专科男护士进行问卷调查,并分析两者间的相关性.结果 共发放调查问卷100份,收回有效问卷95份,有效回收率为95％.精神科男护士SCL-90总分为（156.06±58.72）分,其中躯体化（1.66±0.71）、抑郁（1.70±0.78）、焦虑（1.56±0.71）、敌对（1.76±0.79）、恐怖（1.54±0.51）因子得分皆高于全国男性常模组（129.96±38.76）,（1.38 ±0.49）,（1.51±0.60）,（1.41±0.44）,（1.48±0.56）,（1.23±0.37）分,两组比较差异有统计学意义（t值分别为4.330,3.865,2.435,2.662,3.514,5.920；P＜0.01）；精神科男护士消极应对维度得分（10.36±3.87）明显低于国内常模（30.26±8.70）分,两者比较差异有统计学意义（t=-50.16,P＜0.01）；护士的消极应对方式与心理健康水平呈正相关（P＜0.05）,而积极应对方式与SCL-90各因子呈负相关（P＜0.05）.结论 三级甲等医院精神科男护士心理健康水平与应对方式密切相关,护理管理部门应重视护士的心理健康状况,引导护士采用积极的应对方式,提高其心理健康水平.

Correlation between the level of mental health and coping style of male nurses in one grade 3 and first-class psychiatric hospital in Beijing

Objective To explore the relation between the level of mental health and the coping style of male nurses in the department of psychiatric.Methods One hundred male nurses in one grade 3 and first-class psychiatric hospital in Beijing were surveyed by symptom checklist-90 （SCL-90） and simplified coping style questionnaire （SCSQ）,and the correlation between the level of mental health and the coping ways was analyzed.Results One hundred questionnaires were issued and 95 questionnaires were responsive with an effective response rate of 95％.The psychiatric male nurses＇ overall scores of SCL-90 was （156.06 ± 58.72）,among them,the somatization was （1.66 ± 0.71）,the depression was （1.70 ± 0.78）,the anxiety was （1.56 ± 0.71）,the hostility was （1.76 ± 0.79）,the phobia factor was （1.54 ± 0.51）,and which were significantly higher than （129.96 ±38.76）,（1.38 ±0.49）,（1.51 ±0.60）,（1.41 ±0.44）,（1.48±0.56）,（1.23 ± 0.37） in the norm group,and the differences were statistically significant （t =4.330,3.865,2.435,2.662,3.514,5.920,respectively; P ＜ 0.01）.The score of negative coping style in the male nurses was （10.36 ± 3.87）,and was lower than （30.26 ± 8.70） in the whole male nurses,and the difference was statistically significant （t =-50.16,P ＜ 0.01）.By correlation analysis,we testified that all factors of SCL-90 had significant positive relationships with negative coping style （P ＜ 0.05） and had negative relationship with positive coping style （P ＜ 0.05）.Conclusions The male nurses＇ coping style was significantly correlated with their mental health status.Nursing management should pay more attention to mental health of nurses,guide the nurse to adopt positive coping style to reduce occupation pressure,and thereby improve the level of mental health.