涉外医院护士心理健康状况及其应对方式相关性研究

目的:调查涉外医院护士心理健康状况及其应对方式,为提高其心理健康水平提供科学依据。方法:通过目的抽样法,使用简易应对方式问卷和症状自评量表对北京市涉外医院、诊所及三甲医院国际医疗部工作的82名护士进行问卷调查。结果:涉外医院护士较一般人群有更多的心理问题,表现在涉外医院护士的躯体化(P<0.01)、强迫症状(P<0.05)、焦虑(P<0.01)等方面;而涉外医院护士在人际关系敏感、恐怖因子得分上低于综合医院护士得分(P<0.01),说明其在人际关系敏感、恐怖两方面的心理健康状况好于综合医院护士。涉外医院护士的心理健康状况与其年龄、文化程度、技术职称、从事护理工作和从事涉外护理工作的时间及外语水平等因素均无相关性(P>0.05)。涉外医院护士多采用积极应对方式。但是消极应对方式评分与涉外医院护士的强迫症状因子分之间具有低度正相关性(r=0.246,P=0.027),其他因子分与应对方式无相关性(P>0.05)。结论:涉外医院护士心理健康状况不容忽视,护理管理者应鼓励其减少或避免使用消极应对方式,多使用积极应对方式以促进心理健康。

Psychological health and coping style among nurses in foreign-related hospitals

Objective： To explore the relationship between psychological health and coping style among nurses in foreign-related hospital in Beijing. Methods： Purposive sampling method was used to recruit 82 nurses from foreign-related hospitals and foreign outpatient clinics of Third-Grade Class A hospitals in Beijing. Simplified Coping Style Questionnaire and SCL-90 were used to measure coping style and psychological health of nurses. Results： Nurses in foreign-related hospitals had more psychological problems than general population in terms of somatization （P〈0.01）, obsessive-Compulsive （P〈0.05） and anxiety （P〈0.01） but they had less psychological symptoms on interpersonal sensitivity and phobia than nurses in general hospitals （P〈0.01）. Psychological health of nurses in foreign- related hospital had no significant relationship with their age, education background, professional title, years worked in nursing and foreign nursing area, and English level （P〉0.05）. Nurses in foreign-related hospitals applied more positive coping style than negative coping style and only negative coping style was mildly positively correlated to obsessive-Compulsive （r=0.246, P=0.027）. Conclusions： Nursing administrators in foreign hospitals should pay more attention to psychological health of nurses.The nurses should be encouraged to utilize less negative coping style and more positive coping style to improve their psychological health.