摘要
目的对二、三级精神科专科医院护士压力源进行调查，并对护士工作压力源进行比较分析，以便为缓解精神科护士工作压力提供依据。方法采用方便抽样的方法，对二、三级精神专科医院各115名护士进行基本情况与护士工作压力源量表的问卷调查。结果三级精神病专科医院护士的压力源体现在护理专业及工作方面（20．37±3．77）分、工作量及时间分配（17．72±29．29）分、工作环境及资源方面问题（7．84±2．38）分、患者护理方面（28．79±7．21）分、管理及人际关系（18．13±5．96）分及压力源总分（92．86±32．19）分，得分均高于二级医院（16．90±3．74），（11．99±3．40），（7．26±2．26），（26．10±4．03），（16．40±4．22），（78．65±14．61）分，二、三级医院比较，差异有统计学意义（t分别为-7．000，-2．084，-1．907，-3．501，-2．542，-4．310；P〈0．05）；二级精神科专科医院压力源排序前3位为工资及其他福利待遇低（3．10±0．86）分、担心工作中出现差错事故（2．83-t-O．81）分、经常倒班（2．76±1．05）分，三级医院为无用的书面工作太多（6．17±2．03）分、工资及其他福利待遇低（3．64±0．61）分、经常倒班（3．37±0．84）分；二、三级医院前10位压力源均来自护理专业及工作方面问题、工作量及时间分配问题、患者护理方面问题。结论三级医院护士压力高于二级医院，护士工作压力源相近，管理者应加强专业培训，根据医院状况合理安排护理工作时间，对临床护理人员进行心理援助。
Objective To investigate and analyze the sources of work stress of nurses in and to provide guiding for reducing the work stress. Methods A total of 115 psychiatric nurses in grade Ⅱ and grade Ⅲpsychiatric hospitals were picked using convenience sampling method and surveyed basic information with Chinese Nurse Job Stressors Questionnaire. Results Sources of work stress of nurses in grade Ill psychiatric hospital were scored （20.37±3.77） in nursing profession and work, （ 17.72±29.29） in workload and time allocation, （7.84±2.38） in working environment and resources, （28.79 ＋ 7.21 ） in patients care, and （18.13±5.96） in management and interpersonal relationships. The total score of sources of work stress was （92.86 ±32.19 ）. All the scores were significantly higher than those of grade 11 hospital [ （ 16.90±3.74 ）, （11.99±3.40） ,（7.26±2.26） ,（26.10±4.03）, （16.40±4.22）, （78.65±14.61） ;t = -7.000, -2.084, - 1. 907, -3. 501, -2. 542, -4.310 ,respectively;P 〈0.05）. Low salaries and other welfare（3.10±0.86）, concerns for working accidents （ 2.83±0.81 ）, and high frequency of work shifts （2.76 ~ 1.05 ） were ranked to be first three sources of work stress of nurses in grade 11 psychiatric hospital. On the other hand, redundant paperwork（6.17±2.03 ）, low salaries and other welfare （3.64±0.61 ）, and high frequency of work shifts （ 3.37 ~ 0.84 ） were the first three sources of work stress of nurses in grade Ⅲ psychiatric hospital. Nursing profession and work, workload and time allocation, and patients care were among the top 10 sources of work stress of nurses in both grade Ⅱ and grade m psychiatric hospitals. Conclusions Nurses in grade III and grade Ⅱ psychiatric hospital have similar sources of work stress. However, nurses in grade Ⅲ psychiatric hospital showed higher stress than those in grade Ⅱ hospital. Managers should strengthen professional training, reasonably arrange working time for nursing according to the sit
出处
《中华现代护理杂志》
2012年第18期2143-2146,共4页
Chinese Journal of Modern Nursing
关键词
护士
压力源
精神病医院
Nurses
Source of work stress
Psychiatric hospital
