摘要
目的调查四川省三级甲等医院临床护士负性情绪发生现状,并分析其影响因素。方法采用便利抽样法,于2023年2—5月选取四川省多所三级甲等医院的1393名临床护理人员作为研究对象。采用一般资料调查表、激惹、抑郁和焦虑自评量表、匹茨堡睡眠质量指数量表进行调查,采用多重线性回归分析临床护士产生负性情绪的影响因素。结果1393名临床护士中745人(53.5%)存在抑郁症状,617人(44.3%)存在焦虑症状;458人(32.9%)存在内向性激惹症状,459人(33.0%)存在外向性激惹症状。多重线性回归分析显示,工作年限、与科室医护间关系状况、家庭关系状况、睡眠质量进入回归方程(P<0.01),可解释护士负性情绪总变异的32.1%。结论临床护士焦虑、抑郁以及激惹的发生率较高,工作年限长、与科室医护间关系状况差、家庭关系状况差、睡眠质量差是产生负性情绪的主要影响因素。管理者应制定有效的激励措施,为护士营造温馨和谐的工作氛围,多途径倡导健康的生活方式,针对存在负性情绪者开展心理调适教育,减少护士负性情绪的产生,提高临床护士的心理健康水平,从而提高护理质量。
Objective To investigate the current situation of negative emotions among clinical nurses in grade-A tertiary hospitals in Sichuan Province and analyze its influencing factors.Methods From February to May 2023,a convenience sampling method was used to select 1393 clinical nursing staff from multiple grade-A tertiary hospitals in Sichuan Province as the research subjects.We conducted a survey using a general information questionnaire,irritability depression and anxiety scale(IDA)and Pittsburgh sleep quality index(PSQI).Multiple linear regression was used to analyze the influencing factors of negative emotions among clinical nurses.Results Out of 1393 clinical nurses,745(53.5%)had symptoms of depression,617(44.3%)had symptoms of anxiety,458(32.9%)had symptoms of internal irritation,and 459(33.0%)had symptoms of extroverted irritation.Multiple linear regression analysis showed that working years,relationship with medical staff in the department,family relationship and sleep quality entered the regression equation(all P<0.01),which could explain 32.1%of the total variation in negative emotions among nurses.Conclusion The incidence of anxiety,depression and irritability among clinical nurses is relatively higher.Long working years,poor relationships with medical staff in the department,poor family relationships,and poor sleep quality are the main influencing factors for negative emotions.Managers should develop effective incentive measures to create a warm and harmonious working atmosphere for nurses,promote healthy lifestyles through multiple channels,provide psychological adjustment education for those with negative emotions,reduce the occurrence of negative emotions among nurses,improve the psychological health level of clinical nurses,and thus enhance the quality of nursing care.
作者
陈梦玲
刘波
黄厚强
何容芳
郑思琳
黄敏
CHEN Mengling;LIU Bo;HUANG Houqiang;HE Rongfang;ZHEN Silin;HUANG Min(School of Nursing,Southwest Medical University,Luzhou,Sichuan 646000,China;Nursing Department,The Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China;Psychosomatic Medicine,The Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China;Department of Respiratory and Critical Care Medicine,The Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China)
出处
《职业与健康》
CAS
2024年第17期2357-2361,共5页
Occupation and Health
基金
2022年自贡市哲学社会科学重点研究基地健康人文研究中心项目(JKRWZC22-07)。
关键词
护士
负性情绪
焦虑
抑郁
激惹
影响因素
Nurse
Negative emotions
Anxiety
Depression
Irritation
Influencing factors
