疗养院文职护士工作压力与心理健康状况调查分析

目的调查了解疗养院文职护士工作压力和心理健康状况。方法采用护士工作压力源量表、Maslach职业倦怠调查普适表（MBI-GS）和症状自评量表（SCL-90）进行调查。结果疗养院文职护士的工作压力和倦怠情况均呈中度水平,主要在护理专业及工作问题、管理及人际关系方面和工作成就感低落方面较突出。SCL-90测评结果显示其目前心理健康状况良好。其工作成就感与护理专业及工作和管理及人际关系呈负相关（P〈0.05）;SCL-90中抑郁因子的得分与工作年限呈正相关（P〈0.05）,躯体化、焦虑、睡眠及饮食与护理专业及工作呈正相关（P〈0.05）,躯体化与工作成就感呈负相关（P〈0.05）,焦虑与情绪衰竭呈正相关（P〈0.05）。结论影响疗养院文职护士的工作倦怠和心理健康问题的主要原因是护理工作性质,还与工作年限、工作环境等因素有直接关系。个人应从自我管理方面努力调整心理状态,多方面寻求工作成就感和突破;护理管理者应充分注重以人为本的管理,积极引导和组织,提升文职护士的工作积极性。

Survey analysis of working pressure and mental health among civilian nurses at sanatorium

Objective To investigate the work pressure and mental health state among civilian nurses at sanatorium.Methods NJSI,MBI-GS and SCL-90 were adopted to conduct the survey.Results The working pressure and job burnout of the civilian nurses were moderate,which were shown particularly in nursing problems,management and interpersonal relationship and low sense of achievement.SCL-90 results showed good mental health state.The sense of achievement was negatively related to nursing problems,management and interpersonal relationship（P〈0.05）.The score of depression factors in SCL-90 was positively related to working years（P〈0.05）,somatization,anxiety,sleeping and diet positively related to nursing major and nursing work（P〈0.05）,somatization negatively to sense of achievement（P〈0.05）,anxiety positively to emotion exhaustion（P〈0.05）.Conclusion The main factor that influences job burnout and mental health of civilian nurses at sanatorium is nursing job nature,while working years and working environment also play a role.Personally they have to adjust their psychological state in terms of self-management,and try to seek for sense of achievement and breakthrough.The nursing managers should pay special attention to people-oriented management,positively lead and organize the nurses so as to increase their working enthusiasm.