摘要
目的:了解三级公立医院护士的心理健康自评情况及影响因素。方法:基于“全国改善医疗服务行动计划第三方评估”,对136所三级公立医院护士进行心理健康自评调查。结果:护士心理健康状况有待改善;感知压力大、值夜班频率高、近一年曾经历过医患纠纷和来自患方的暴力,是护士心理健康自评的危险因素;睡眠时间充足、同事间配合与信任度高、职业得到社会认同与尊重、本院收入分配制度起到激励作用、本院晋升制度合理,是保护因素。结论:加强人文关怀,构建和谐医患关系,优化收入分配制度和晋升制度,从而改善护士心理健康状况。
Objective To understand the mental health self-assessment and influencing factors of nurses in tertiary public hospitals.Methods Based on the "National Improvement of Medical Service Action Plan Third Party Assessment",a mental health self-assessment survey was conducted among nurses in 136 Ⅲ-level public hospital. Results The mental health status of nurses needed to be improved;the high perceived pressure,the high frequency of night shift,and the doctor-patient disputes and violence from the patients were risk factors for self-evaluation of mental health of nurses. Enough sleep,good coordination with colleagues,trust of colleagues,occupational social recognition and respect,the hospital’s income distribution system played incentive role,and the reasonable hospital’s promotion system was a protective factor. Conclusion Strengthening humanistic care,building a harmonious relationship between doctors and patients,and optimizing income distribution system and promotion system can improve the mental health of nurses.
作者
吴世超
吴依诺
马晶
郭婧
张春瑜
张娟
刘远立
WU Shi-chao;WU Yi-nuo;MA Jing;GUO Jing;ZHANG Chun-yu;ZHANG Juan;LIU Yuan-li(School of Public Health,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)
基金
原国家卫生计生委医政医管局委托项目(2017)
关键词
公立医院
护士
心理健康
自评
public hospital
nurse
mental health
self-evaluation
