Loukzadeh Ziba, Mazloom Bafrooi Nahid
Industrial Diseases Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Student Counseling Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
J Caring Sci. 2013 Nov 30;2(4):313-9. doi: 10.5681/jcs.2013.037. eCollection 2013 Dec.
Nursing jobs are among the occupations experiencing high levels of stress. Level of psychological well-being and coping style with stressful situations among nurses has large impact on their job performance. Limited information exists about the relationship between coping styles and psychological well-being among nurses, so the present study examined the way of coping and the level of psychological well-being as well as their relationships among nurses.
In this correlational study, 100 nurses from Shahid Sadoughi University of Medical Sciences were selected by multi-stage random sampling in 2012. Lazarus and Folkman's coping styles and Ryff's psychological well-being Questionnaires were completed by self-report method. Collected data were entered software SPSS ver. 13 and then analyzed using Pearson correlation test.
The results showed EFCSwere more used but PFCSstyle was less used with a little difference by mean (SD) of 87.91 (10.76) vs. 73.12 (12.15). Between EFCSand some psychological well-being dimensions such as purpose in life (P=0.01, r= -0.28) and personal development (P=0.03, r=-0.024), a significant negative association and between PFCSstyle and purpose in life, a significant positive relationship was found (P=0.006, r=0.31).
Considering that PFCSstyle is more effective in solving problems and job stress, as well as, the increased use of EFCSis associated with adverse health consequences, improvement of nurses' coping strategies to cope better with stressful events by skill training and promotion of nurses' psychological well-being level is recommended.
护理工作属于压力水平较高的职业。护士的心理健康水平以及应对压力情境的方式对其工作表现有很大影响。关于护士应对方式与心理健康之间的关系，现有信息有限，因此本研究考察了护士的应对方式、心理健康水平及其相互关系。
在这项相关性研究中，2012年通过多阶段随机抽样从沙希德·萨杜基医科大学选取了100名护士。采用自填式方法完成了拉扎勒斯和福克曼的应对方式问卷以及赖夫的心理健康问卷。收集的数据录入SPSS 13.0软件，然后使用皮尔逊相关检验进行分析。
结果显示，更多使用的是积极应对方式（EFCS），而较少使用消极应对方式（PFCS），平均得分（标准差）略有差异，分别为87.91（10.76）和73.12（12.15）。在积极应对方式与一些心理健康维度之间，如生活目的（P = 0.01，r = -0.28）和个人发展（P = 0.03，r = -0.24），发现存在显著负相关；在消极应对方式与生活目的之间，发现存在显著正相关（P = 0.006，r = 0.31）。
鉴于消极应对方式在解决问题和工作压力方面更有效，而且积极应对方式的增加使用与不良健康后果相关，建议通过技能培训改善护士的应对策略，以便更好地应对压力事件，并提高护士的心理健康水平。
