Chen Mei-Ju, Weng Shiue-Shan
Department of Family Medicine, Taipei City Hospital, Heping Fuyou Branch, No.33, Sec. 2, Zhonghua Rd., Zhongzheng Dist, Taipei City, 10065, Taiwan.
College of healthcare administration and management, National Taipei University of Nursing and Health Science, No. 365, Mingde Rd., Beitou Dist, Taipei City, 11219, Taiwan.
BMC Womens Health. 2017 Nov 7;17(1):101. doi: 10.1186/s12905-017-0460-5.
A considerable number of studies have identified the risk factors attributable to job-related stress among nurses. However, studies investigating psychological symptoms among hospital nurses is still lacking, especially in Taiwan, where the average patient to nurse ratio is among the highest in the world. This study aimed to investigate the potential role of self-rated health status, self-reported diseases, and utilization of occupational health checks in psychological symptoms among Taiwanese nurses.
A cross-sectional design was conducted from September through December 2013. Data were collected through online self-administered questionnaire among 697 registered nurses in seven regional hospitals governed by the Taipei City Government.
Nurses with fair or poor self-rated health, lower education, <30 years of age, and low back pain were more likely to suffer from psychological symptoms. A trend toward significance was also noticed for those aged 30-39. Importantly, low back pain was the most common disease among nurses in self-reported diseases and half of the nurses reported not utilizing the occupational health examination for the last 5 years.
To alleviate or prevent the psychological symptoms, psychosocial support, and awareness program on prevention of occupational injuries should be offered to nurses younger than 39 years old and having lower educational levels. Moreover, underutilization of occupational health examination among nurses deserves more attention.
大量研究已确定了护士工作相关压力的风险因素。然而，针对医院护士心理症状的研究仍然不足，尤其是在台湾，其平均医患比位居世界最高之列。本研究旨在调查自我评定健康状况、自我报告疾病以及职业健康检查的利用情况在台湾护士心理症状中的潜在作用。
于2013年9月至12月采用横断面设计。通过在线自填问卷收集台北市政府管辖的七家区域医院697名注册护士的数据。
自我评定健康状况为中等或较差、教育程度较低、年龄<30岁以及患有腰痛的护士更易出现心理症状。30 - 39岁的护士也呈现出显著趋势。重要的是，腰痛是自我报告疾病中护士最常见的疾病，且一半的护士报告在过去5年未进行职业健康检查。
为减轻或预防心理症状，应向39岁以下且教育程度较低的护士提供心理社会支持以及职业伤害预防意识项目。此外，护士职业健康检查利用不足的问题值得更多关注。
