轮值夜班护士焦虑状况调查与对策

目的探讨轮值夜班护士的焦虑状况,分析引起焦虑的原因,并制定相应的应对措施,以减少护士的负性情绪,促进护士的身心健康。方法应用焦虑自评量表(SAS)对广东某三甲医院有轮值夜班经历的护士进行随机调查分析。结果轮值夜班护士的焦虑水平明显高于非夜班护士(P<0.01);轮值夜班护理人员的焦虑水平与工作年限呈正相关关系,工作1年以下的轮值夜班护士的焦虑水平明显增高;不同科室护理人员的焦虑水平排列为:ICU>儿科>急诊科>内科>外科>妇产科>手术室,其中内科、外科、妇产科之间无显著性差异(P>0.05);夜班频率越高焦虑评分越高(P<0.01),单人轮值夜班比双人轮值夜班的焦虑水平高(P>0.01)。结论轮值夜班护士的焦虑状况应引起医院管理者的高度注意,制定行之有效的措施,降低轮值夜班护士负性的心理感受,提高其心理适应水平。

Investigation on anxiety status of night-shift nurses and countermeasures

Objective To explore the anxiety of the night-shift nurses and analyze the reasons, then give corresponding nursing in order to reduce the negative emotions of the nurses and promote their physical and mental health. Methods Night-shift nurses in a top three hospital in Guangdong were investigated by self-anxiety scale (SAS). Results The anxiety level of night-shift nurses was higher significantly than that of non-night-shift nurses (P<0.01). In night-shift nurses, there was a positive correlation between the length of working time and the anxiety level. The anxiety level of night-shift nurses with less than one-year experience increased significantly. The anxiety level of nurses in different sections varied as follows: ICU> pediatric department >emergency department > medicine > surgery > gynecologic department> operation room, and there were no significant difference among medicine, surgery and gynecologic department (P>0.05). The higher frequency of night-shift was, the higher anxiety scores nurses had (P<0.01). The anxiety level of single nurse in night-duty was higher than that of two nurses in night-duty (P>0.01). Conclusions Hospital administrators should pay attention to the anxiety level of night-shift nurses and give effective nursing to reduce their negative psychological feelings and improve their mental fitness level.