摘要
目的探讨军队三甲医院护士职业压力及应对方式与心理健康的关系。方法采用护士一般情况调查表、工作压力源量表、应对方式量表、症状自评量表(SCL-90)对某部队医院的628名护士进行测查。按照SCL-90测查结果将被试分为心理筛查阳性组和心理健康筛查阴性组,比较其压力源和应对方式的不同。进一步采用多因素logistic分析法筛选相关因素。结果①心理健康筛查阳性组的职业压力的总分及各因子分均明显高于心理健康筛查阴性组;除解决问题和求助两种积极应对方式外,心理健康筛查阳性组的其他应对方式分明显高于心理健康筛查阴性组;②多元逐步回归分析结果表明,心理健康保护因素为护龄(OR=0.87,95%CI 0.77～0.99)、解决问题(OR=0.10,95%CI 0.03～0.37)、求助(OR=0.04,95%CI 0.35～0.13);危险因素为合理化(OR=5.59,95%CI1.43～21.91)、自责(OR=7.55,95%CI2.95～19.35)、幻想(OR=3.14,95%CI1.10～8.95)。结论过高的职业压力及消极的应对方式是影响军队三甲医院护士心理健康的重要因素,而积极应对方式、护龄可能是心理健康的保护性因素。
Objective To study the correlation between mental health of nurses in a tertiary general hospital of the CAPF and occupation stress,cope strategies.Methods Symptom Checklist 90（SCL-90）,nurse occupational stress scale and coping style scale were used for screening 628 nurses.According to the diagnosis criterion of SCL-90,the positive or the negative psychological screening results were used for describing the psychological status of the nurses and finding the different of occupational stress and coping style in positive or the negative group.Multiple logistic regression analysis with forward conditional method were adopted to explore the important risk factors of the psychological screening.Results ①The total score and the score of each factor of occupational stress were significantly higher in the positive group than in the negative group（P0.01）.The score of each factor of coping,with an exception of active coping such as the solution difficulty and asking help,were significantly higher in the positive group than in the negative group.②The working age（OR=0.87,95% CI 0.77~0.99） and active coping style including solution difficulty（OR=0.10,95% CI 0.03~0.37）and asking help（OR=0.04,95% CI 0.35~0.13）were protective factors.Risk factors included rationalization（OR=5.59,95% CI 1.43~21.91）,self-abuse（OR=7.55,95% CI 2.95~19.35）,mirage（OR=3.14,95% CI 1.10~8.95）.Conclusion For the nurses worked in a tertiary general hospital of the CAPF,high occupational stress and passive coping style can be the important factors influencing their mental health,while active coping style and work age can be the protective factors
出处
《中国健康心理学杂志》
2013年第6期849-851,共3页
China Journal of Health Psychology
关键词
武警部队
护士
心理健康
职业压力
应对方式
Chinese People＇s Armed Police Forces（CAPF）
Nurses
Mental health
Occupational stress
Coping style
