急诊科护士心理健康状况及干预对策的研究

目的 通过调查急诊科护士在实施行为干预前后的心理健康水平,探讨行为干预对其心理压力的影响。方法 运用症状自评量表（SCL－90）分别在心理行为干预前后对本院42名急诊护士进行测试,并对问卷行统计分析。结果 急诊科护士心理健康水平低于一般人群,其中最突出的问题是：人际关系、躯体化、抑郁和焦虑。行为干预能有效缓解其心理压力。结论 对急诊科护士应进行心理行为干预,内容主要包括合理安排班次、改善工作环境、加强业务培训、增强相互理解、重视自我保护意识。     

急诊科护士心理健康状况调查

目的：了解医院急诊科护士心理健康状况。方法：应用临床症状自评量表（SCL－90），对5所综合性医院的急诊科74名护士和普通病房72名护士进行了问卷调查，并进行对比分析。结果：急诊护士的总均分及阳性项目数与普通病房护士比较， 前者明显高于后者，统计学有明显差异；各因子分中躯体化、焦虑、抑郁、强迫及敌对因子得分，急诊护士均明显高于普通病房护士，其他因子得分无明显差异。结论：与普通病房护士比较，急诊护士显示出较多的心身问题，表现为临床症状自评量表上的总均分高、阳性项目数多、躯体化、焦虑、抑郁、强迫、敌对因子得分较高。导致急诊护士较多的心理问题的原因是多方面的，主要与急诊特定的工作性质、工作环境、工作对象有关。     

对急诊科护士心理健康状况的调查研究

通过便利抽样,调查了国内9所综合医院92名护士的心理健康状况。结果表明：样本的SCL-90总均分和各因子分均显著高于国内常模评分。常见的心理障碍包括焦虑、敌对等。作者对此进行了讨论。本研究的结果可以为急诊科护士心理保健和心理治疗提供一定的信息。     

急诊科护士心理健康状况的调查

目的了解医院急诊科护士的心理健康状况并分析其影响因素。方法 2014年6月,采用症状自评量表(symptom checklist 90,SCL-90)对哈尔滨市10所三级乙等和10所三级甲等医院的160名急诊科护士进行调查。结果女性护士身体不适、人际关系、恐怖等因子的得分高于男性护士(P0.05),未婚护士的焦虑及恐怖因子得分高于已婚护士(P0.05),工作年限10年的护士的强迫和恐怖因子得分高于工作年限10年的护士(P0.05);不同学历护士SCL-90量表的各因子得分各不相同,但差异无统计学意义(P0.05);三级甲等医院急诊科护士的身体不适、强迫因子得分高于三级乙等医院的急诊科护士,差异有统计学意义(P0.05);急诊科护士SCL-90量表各因子得分与常模比较,人际关系、躯体化、强迫、抑郁、焦虑、敌对性、恐怖、精神病性和附加项因子得分的差异有统计学意义(P0.05)。结论急诊科护士存在一定的情绪性心理问题倾,其与他们的情感、性格、工作环境及工作经验等因素有关,医院管理者应重视急诊科护士的心理健康状况,并给予针对性的指导和帮助。     

急诊科护士心理健康状况调查

目的了解医院急诊科护士心理健康状况.方法应用临床症状自评量表(SCL-90),对5所综合性医院的急诊科74名护士和普通病房72名护士进行了问卷调查,并进行对比分析.结果急诊护士的总均分及阳性项目数与普通病房护士比较,前者明显高于后者,统计学有明显差异;各因子分中躯体化、焦虑、抑郁、强迫及敌对因子得分,急诊护士均明显高于普通病房护士,其他因子得分无明显差异.结论与普通病房护士比较,急诊护士显示出较多的心身问题,表现为在临床症状自评量表上的总均分高、阳性项目数多、躯体化、焦虑、抑郁、强迫、敌对因子得分较高.导致急诊护士较多的心理问题的原因是多方面的,主要与急诊特定的工作性质、工作环境、工作对象有关.     

急诊科护士心理健康状况及干预对策的研究

目的通过调查急诊科护士在实施行为干预前后的心理健康水平,探讨行为干预对其心理压力的影响.方法运用症状自评量表(SCL-90)分别在心理行为干预前后对本院42名急诊护士进行测试,并对问卷行统计分析.结果急诊科护士心理健康水平低于一般人群,其中最突出的问题是:人际关系、躯体化、抑郁和焦虑.行为干预能有效缓解其心理压力.结论对急诊科护士应进行心理行为干预.内容主要包括合理安排班次、改善工作环境、加强业务培训、增进相互理解、重视自我保护意识.     

临床护士心理健康状况调查与综合干预

目的:探讨临床护士心理健康状况以分析原因并提出有效干预对策.方法:运用症状自评量表(SCL-90)对120名临床护士的心理健康状况进行调查,探讨影响护士心理健康的因素,并给予针对性综合干预,干预后与干预前、全国常模(n=1 388)比较SCL-90得分情况.结果:干预前本组SCL-90人际敏感、焦虑、敌对、躯体化得分均高于全国常模(P＜0.01);干预后与干预前相比,阳性项目与阳性症状均减少(P＜0.05),且临床护士心理健康水平接近全国常模(P＞0.05).结论:综合干预能有效改善临床护士的心理健康状况.     

急诊科护士心理健康状况的调查

目的调查急诊科护士的心理健康状况,探寻影响其心理健康状况的重要因素,并提出干预措施。方法 运用症状自评量表（SCL-90）对某市3所三级甲等医院的80名急诊科护士的心理健康状况进行调查评分,并将评分结果与国内常模相比较。结果本组护士SCL-90总分及躯体化、强迫症状、抑郁、焦虑、敌对、精神病性、恐怖及附加因子得分与国内常模比较,差异均有统计学意义（均P〈0.05）;中专护士SCL-90中的强迫症状、抑郁、焦虑、敌对、人际关系敏感、精神病性、恐怖、偏执和附加因子得分与大专及以上学历护士比较,差异有统计学意义（P〈0.05）;除躯体化、精神病性及附加因子外,不同职称护士SCL-90其他7个因子的得分经比较,差异有统计学意义（P〈0.05）。结论急诊科护士心理健康状况不佳,学历、职称是影响其心理健康状况的重要因素,应给予相应的心理支持及干预。     

从发表文献分析我国急诊科护士的心理健康状况

对2000—2005年发表的有关急诊科护士心理健康的文献进行分析，探讨我国急诊科护士心理健康存在的问题，归纳急诊科护士的心理健康问题的解决对策，为进一步提高急诊科护士的心理健康水平提供参考。     

对急诊科护士心理健康状况的调查研究

通过便利抽样,调查了国内9所综合医院92名护士的心理健康状况。结果表明样本的SCL-90总均分和各因子分均显著高于国内常模评分。常见的心理障碍包括焦虑、敌对等。作者对此进行了讨论。本研究的结果可以为急诊科护士心理保健和心理治疗提供一定的信息。     

急诊护士心理健康状况与职称和文化程度的相关性分析

[目的]探讨急诊护士心理健康状况与职称、文化程度的关系。[方法]运用症状自评量表(SCL -90 )对74名急诊护士进行调查,并于国内常模比较。[结果] 74例急诊护士在躯体化、强迫、抑郁、焦虑、偏执和人际关系敏感及SCL -90阳性项目数得分显著高于常模(P <0 .0 1) ;初级、中级护士抑郁、焦虑因子得分,高于高级职称护士(P <0 .0 1,P <0 .0 5 ) ,而高级、中级护士强迫因子得分显著高于初级护士,差异有统计学意义(P <0 .0 1) ;中专护士人际关系敏感、抑郁、焦虑等因子得分比大专及以上护士明显增高,差异有统计学意义(P <0 .0 1,P <0 .0 5 )。[结论]急诊护士心理健康状况较差,文化程度、职称对其心理健康状况有一定影响,应给予相应的心理支持及干预。     

团体心理训练对提高急诊科护士心理健康水平的实证研究

目的探讨团体心理训练对提高急诊科护士心理健康水平的作用。方法运用团体心理训练方案对急诊科护士开展5个单元为期12周的训练。结果急诊科护士的心理健康状况较差;经过团体心理训练后,症状自评量表得分在躯体化、强迫症状、人际关系敏感、抑郁、焦虑、恐怖维度及总均分均降低(P0.05)。结论团体心理训练能够有效缓解急诊科护士的心理压力,改善其心理健康状况。     

综合培训对妇产科护士心理卫生的影响

目的 探讨专业技术和职业心理综合培训对妇产科护士身心健康状况的影响.方法 对53名妇产科护士进行专业技术与职业心理综合培训,根据压力源问卷调查的结果设计内容,于综合培训前及半年后均采用症状自评量表（SCL-90）及心理卫生量表对护士进行评分.结果 妇产科护士工作压力主要来源于工作风险、护患关系、工作繁重及业务能力不足.经过综合培训,SCL-90总均分、阳性项目数与强迫症状、人际关系敏感、抑郁、焦虑、精神病性因子7项评分比培训前显著降低（P＜0.01或P＜0.05）.心理卫生量表总分及心理满足、信心充足3项评分比培训前显著升高P＜0.01）.结论 有针对性的专业技术与职业心理综合培训有助于舒缓妇产科护士的身心压力,提高身心健康水平.     

团体心理训练干预对急诊护士心理健康与自我和谐状况的效果研究

目的评价团体心理训练干预对急诊护士心理健康和自我和谐状况的效果。方法成立心理训练团体,制订4个阶段10次训练计划,并按训练内容实施团体心理训练。结果急诊护士躯体化、人际关系敏感、抑郁、焦虑、敌对、偏执、精神病性及其他维度得分和自我和谐各维度及总分与训练前差异均具有统计学意义(P0.01或P0.05)。结论团体心理训练可提高急诊护士心理健康和自我和谐水平。     

Profiling police presentations of mental health consumers to an emergency department

Public mental health systems have been called on to better meet the needs of consumers presenting to health services with the police, yet few studies have examined police presentations among mental health consumers in large public mental health systems. This study was designed to determine the frequency profile and characteristics of consumers of mental health services brought in by police to an emergency department (ED) in Sydney, Australia. Using data from the emergency department information system and obtaining the psychiatric assessment from the medical record, we have examined trends and characteristics in mental health presentations brought in by the police to a general ED between 2003 and 2005. The sample consisted of 542 consumers with a mental health problem brought in by the police to the ED of a 350-bed community hospital. The characteristics of this group were compared with those of all mental health related ED presentations for the same period using logistic regression. Results indicated that police presentations are likely to be young males who are unemployed, have past and present alcohol and other drugs use, present after hours, and are admitted to hospital as a result of their presentation. These consumers are likely to have a presenting problem of a psychotic disorder, less likely to have a presenting problem of depression and/or anxiety, and given a triage code of three or higher. The study results highlight the importance of the availability of 24-hour access to mental health care to ensure a quick care delivery response. Police presentations to EDs with mental health issues are an indicator of significant impact on health services, especially with the current overcrowding of EDs and the associated long waiting times. Systems need to be developed that facilitate collaboration between EDs, hospital security, police services, mental health, and ambulance services.     

心理干预对康复期精神分裂症患者心理健康状况的影响

目的探讨心理干预对康复期精神分裂症患者心理健康状况的影响。方法对52例康复期精神分裂症患者在常规药物治疗和护理的基础上进行心理干预,观察6w。心理干预前及干预6w末采用症状自评量表评定患者的心理健康状况,并与国内成人常模进行对比分析。结果康复期精神分裂症患者心理干预前症状自评量表各因子分均显著高于国内成人常模（P〈0．01）;心理干预6w末除偏执因子分无显著变化外,其他各因子分均较心理干预前有显著性下降（P〈0.01～0．05）,与国内成人常模比较,除恐怖因子分有显著性差异（P〈0．05）外,其他各因子分均无显著性差异（P〉0．05）。结论心理干预能显著改善精神分裂症患者的心理健康状况,提高其人际交往能力和生活质量。     

The work and values of mental health nurses observed

While there is agreement among stakeholders that change is required in mental healthcare, yet the precise nature of this change and how it should be brought about are relatively under-explored. Research has looked at developments taking place in primary mental health services, but relatively little has examined the work of community mental health nurses (CMHNs), especially those working at the interface between primary and secondary care. This study used a 39-item questionnaire to explore how CMHNs perceive their role and the degree to which they are able to carry it out. The findings suggests that while CMHNs are enthusiastic about their work and are keen to see mental health services develop in primary care, many are concerned about how they are perceived by other health personnel, deficiencies in their therapeutic skills and the level of support they currently receive. The study concludes by suggesting areas that managers, commissioners and educators should target to enable CMHNs to continue to play their part in a service that relies heavily upon them.     

急诊护士遭受工作场所暴力后心理状况调查分析

目的探讨急诊护士遭受工作场所暴力后的心理健康状况。方法应用症状自评量表（symptom checklist-90,SCL-90）对3所综合医院60名遭受过工作场所暴力后的急诊护士进行问卷调查,并将SCL-90各因子得分与国内常模进行比较。结果遭受工作场所暴力后,急诊护士在躯体化、强迫症状、抑郁、焦虑、敌对、恐怖、精神病性等方面的因子分及总分、总均分均高于常模,均P〈O．01或P〈0．0．5,差异具有统计学意义。结论遭受工作场所暴力后,急诊护士心理健康状况明显差于一般人群,应给予受暴者人文关怀,并采取措施预防和干预工作场所暴力和心理伤害的发生。     

Managing increased demand for mental health services in a public hospital emergency department: a trial of 'Hospital-in-the-Home' for mental health consumers

Increasing demand from mental health consumers for crisis assessment and intervention in public Emergency Departments (ED) has placed considerable strain on the resources of the ED and long delays awaiting admission are experienced. At Flinders Medical Centre in South Australia, the Psychiatry Department trialled a 'hospital-in-the-home' service to relieve the pressure on the ED and enhance inpatient capacity. The trial has been successful in diverting mental health consumers directly to intensive home-based services from the ED and freeing up beds in the inpatient unit. Evaluation showed that both consumers and their carers were highly satisfied with the hospital-at-home service.     

The care of mental health patients in the emergency department: one rural hospital's approach

Background: The need for mental health services in the Emergency Department (ED) has been steadily increasing, with long waits being reported for patients needing mental health services. In the present setting, patients waited an average of 2–3 h to see a mental health professional. Objective: The objective of this intervention was to greatly decrease the wait times for ED patients with mental health needs. Discussion: Four mental health professionals were trained to complete crisis assessments for patients in the ED, and an Access Center (AC) was added to the ED. The AC is staffed 24 h a day, 7 days a week. The purpose of the AC was to meet the mental health needs of ED patients as quickly as possible. Conclusion: Patients with mental health needs now receive services in a timely manner (< 30 min) despite the fact that the number of patients needing mental health services is steadily increasing. The addition of an Access Center to the ED has resulted in the provision of mental health services within time limits acceptable to both the patients and the medical staff.