护士工作压力、心理一致感与心理健康

目的:探讨护士心理一致感、工作压力与心理健康的关系。方法:采用心理一致感量表,护士工作压力源量表及SCL-90量表,对唐山市三级医院的270名护士进行问卷调查。结果:1SCL-90总分≥70分的人数有138例,阳性率占总人数的51.11%。排名前3位的阳性因子为:强迫症状、躯体化和敌对;2护士的心理一致感总分处于较低水平;3心理一致感与心理健康呈显著负相关(r=-0.224,P0.01);工作压力与心理健康呈显著正相关(r=0.172,P0.01);心理一致感与工作压力呈显著负相关(r=-0.148,P0.01),且护士心理一致感在工作压力和心理健康之间具有中介作用(P0.05)。结论:心理一致感与工作压力显著影响护士群体的心理健康水平。

The Relationships among Job Stress,Sense of Coherence and Mental Health of Nurses

Objective:To explore the relationships among sense of coherence ,job stressors and mental health of nurses .Methods:A total of 270 nurses were investigated by the Sense of Cohenence -13 Scale ,Chinese Nurse Job Stressors Questionnaire and SCL -90 .Results:①There were 138 nurses whose SCL -90 total score was 70 point or more ,which accounted for 51 1.1% .The top three positive factors were obsessive-compulsive ,somatization and hos‐tility .② Nurses’ sense of coherence was low .③ Sense of Coherence was negatively correlated with mental health (r= ‐0 2.24 ,P<0 0.1)and job stress(r=‐0 1.48 ,P<0 0.1) .Moreover ,job stress was positively correlated to mental health(r=0 1.72 ,P< 0 .01) .Furthermore ,the sense of coherence played intermediary roles between job stress and mental health of nurses (P<0 0.5) .Conclusion:Nurses’ senses of coherence and job stress can influence their mental health .