Zhou Min-Juan, Yao Li-Qi, Xie Li-Ping, Wang Jian-Xin
The First Hospital Psychological Department of Jiaxing Medical College, Jiaxing, Zhejiang Province 314000, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2004 Dec;22(6):435-8.
To study the mental health status and its affecting factors in nurses of general hospitals.
Four hundred and seventy nurses in general hospitals were investigated with SCL-90, Self-Rating Life Events and coping style questionnaires.
The scores of SCL-90 factors, such as anxiety, obsessive-compulsion, phobia, somatization, were higher than the norm (P < 0.05). 22% of the nurses had two factors higher than 2, and 5.3% ever had suicidal idea. The total score of SCL-90 and some factorial scores in < 40 years age group were higher than in older age groups (P < 0.01), and in III grade hospital nurses were also higher than in II grade hospital nurses (P < 0.01). The scores of negative life events, negative coping style and work load from abnormal psychology group were higher than normal group, while positive coping score was lower than normal group (P < 0.05, P < 0.01). Stepwise regression analysis showed that, negative life events, coping style, hospital grade had predictive value for total score of SCL-90 and anxiety, depression etc factorial scores (P < 0.01). Age had negative predictive value for anxiety, hostility and phobia (P < 0.05). The total score from work events had predictive value for obsession and hostility, and positive events from work had predictive value for anxiety and the total score of SCL-90 (P < 0.01). The total interpersonal relationship events and negative interpersonal relationship events had predictive value for hostility and interpersonal sensitivity.
General hospital nurses especially in ages < 40 group had higher incidences of mental health problems. The main influencing factors are negative life events, coping style, work load, interpersonal relationship, age and hospital grade.
研究综合医院护士的心理健康状况及其影响因素。
采用症状自评量表（SCL-90）、生活事件自评量表及应对方式问卷对470名综合医院护士进行调查。
SCL-90各因子如焦虑、强迫、恐惧、躯体化等得分高于常模（P<0.05）。22%的护士有2个因子分高于2分，5.3%曾有自杀观念。<40岁年龄组SCL-90总分及部分因子分高于年长组（P<0.01），三级医院护士高于二级医院护士（P<0.01）。心理异常组负性生活事件、消极应对方式及工作量得分高于正常组，而积极应对得分低于正常组（P<0.05，P<0.01）。逐步回归分析显示，负性生活事件、应对方式、医院等级对SCL-90总分及焦虑、抑郁等因子分有预测作用（P<0.01）。年龄对焦虑、敌对和恐惧有负向预测作用（P<0.05）。工作事件总分对强迫和敌对有预测作用，工作中的积极事件对焦虑和SCL-90总分有预测作用（P<0.01）。人际事件总分及负性人际事件对敌对和人际敏感有预测作用。
综合医院护士尤其是<40岁组心理健康问题发生率较高。主要影响因素为负性生活事件、应对方式、工作量、人际关系、年龄及医院等级。
