临床护士工作应激及焦虑抑郁对血清总皮质醇的影响

目的 探讨临床护士工作应激及焦虑抑郁情绪对其血清总皮质醇的影响.方法 对104名临床护士采用护士工作应激源量表及Zung焦虑、抑郁自评量表进行调查,同时检测其血清总皮质醇.结果 临床护士工作应激源总评分为(529.85±176.87)分,SAS评分(36.84±7.20)分,SDS评分(41.21±7.22)分;血清总...

Influences of clinical nurses'occupational stress,anxiety and depression on serum cortisol levels

Objective To explore the influences of clinical nurses′ occupational stress,anxiety and depression on serum cortisol levels.Methods Totally,104 nurses were surveyed with the Nursing Occupational Stressor Scale,Zung Self-rating Anxiety Scale and Zung Self-rating Depression Scale.At the same time,nurses′ serum cortisol levels were detected.Results The total score of cli-nical nurses′ occupational stressor was 529.85±176.87,SAS and SDS scored 36.84±7.20 and 41.21±7.22 respectively.There were 12 nurses with serum cortisol levels at normal level,and 92 nurses beyond normal.The scores of 12 negative events including over workload and strained nurse-patient relationship,ect.were positively related with nurses′ serum cortisol levels(P<0.05,P<0.01).Besides,the serum cortisol levels were also positively correlated with depression.Nurses′ stressor entered the regression equation of serum cortisol.Conclusion Clinical nurses′ occupational stress,anxiety and depression have an impact on their serum cortisol levels.Nursing managers should pay more attention to nurses′ mental health by taking the following measures such as rational allocation of human resources,raising nurses′ social status,updating nurses′ knowledge level,establishing colleague-support system,and organizing nurses′ psychological training.