护理职业风险对护士心理弹性的影响研究 |
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引用本文: | 刘芮寒,陈德凤,陈文英,张晓毅,熊利娟,欧琴,杨志会,陈望舒,邹丝玥.护理职业风险对护士心理弹性的影响研究[J].职业卫生与应急救援,2020,38(2):146-151. |
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作者姓名: | 刘芮寒 陈德凤 陈文英 张晓毅 熊利娟 欧琴 杨志会 陈望舒 邹丝玥 |
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作者单位: | 成都中医药大学附属医院, 四川 成都 610075 |
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摘 要: | 目的 了解某三甲医院护士心理弹性水平,探寻护理职业风险对护士心理弹性的影响。 方法 对该医院425名护士,用一般情况调查表调查护士人口学特征,用护理职业风险评估问卷评估各科室的护理职业风险,用心理弹性量表调查护士弹性心理水平;并对结果进行单因素分析、相关分析及多元线性回归分析。 结果 最终有406人完成研究,回收有效率为95.53%。不同科室护理职业风险得分各有不同,ICU得分最高,为(404.67 ±120.23)分,特需门诊得分最低,为(172.43±113.31)分;护理职业风险得分最高的前三项职业危害分别为静脉曲张、倒班危害以及人力资源不足。临床护士心理弹性平均得分(82.98 ±10.05)分,工作能力维度得分最高,社会支持维度得分最低。不同人口学特征护理人员在某些心理弹性维度得分差异有统计学意义(P < 0.05),护理职业风险得分与护士心理弹性得分及各维度得分均呈负相关关系(r=-0.376~-0.101,P < 0.05);线性回归结果显示:以未婚组为对照,已婚对心理弹性具有正向作用(β=0.090,P < 0.05);人体工效学、心理社会和组织因素危害对心理弹性具有负向作用(β=-0.032,P < 0.05)。 结论 护士的护理职业风险较高,其心理弹性水平较一般医护人员差。护理职业风险与心理弹性负相关,故应重视护士职业风险管控,鼓励护士获得更多的家庭或社会支持,提高心理弹性水平。
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关 键 词: | 护士 心理弹性 职业风险 护理 心理健康 相关分析 |
收稿时间: | 2019-09-15 |
Psychological resilience and nursing occupational risk among nurses |
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Abstract: | Objective To know the level of psychological resilience of nurses in a hospital and its relationships with nursing occupational risk. Methods Totally 425 nurses in an upper first-class hospital were recruited. The information of demographic characteristics, the nursing occupational risk of each occupational hazard and the psychological resilience were surveyed with general questionnaire, the nursing occupational risk assessment questionnaire and the resilience scale. The results were analyzed with single factor analysis, correlation analysis and multiple linear regression analysis. Results Finally 406 nurses (95.53%) completed this study. The nurses in ICU had the highest score (404.67 ±120.23) in nursing occupational risk assessment, while the nurses in VIP wards had the lowest (172.43 ±113.3). The first three occupational hazards were varicose veins, shift-work hazards and inadequate human resources. The resilience score of these nurses was (82.98 ±10.05), and their score of work ability was the highest while that of the social support was the lowest. There was variation of both total scores and scores of some dimensions among nurses with different demographic characteristics (P < 0.05). There was a negative correlation among nursing occupational risk score, the resilience score and the scores of all dimensions (r=-0.376——0.101, P < 0.05). Regression results showed that the married (vs. the single) had a positive effect on mental resilience (β=0.090, P < 0.05), while ergonomic, psychosocial and organizational factors had negative effects on mental resilience (β=-0.032, P < 0.05). Conclusion The nursing occupational risk was higher and the nurses had worse resilience than the general medical staff. Nursing occupational risk was negatively related to resilience, so we should pay attention to the management and control of nurses' occupational risk, encourage nurses to get more family or social support, and improve the level of resilience. |
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