Chen L X, Ma L, Zhu Y F
The 7th People's Hospital of Shaoxing, Shaoxing People's Hospital, Shaoxing Municipal Hospital, Shaoxing 312000, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2021 Aug 20;39(8):578-582. doi: 10.3760/cma.j.cn121094-20200518-00269.
To investigate the mental health status and influencing factors of geriatric nurses after workplace violence. From February 2019 to January 2020, 102 geriatric nurses who suffered workplace violence in three hospitals in Shaoxing were collected as the observation group and 100 geriatric nurses who did not suffer workplace violence in the same period as the control group. The general data of nurses in the two groups were investigated, the workplace violence was investigated with the hospital workplace violence questionnaire, the mental disorders and mental diseases were investigated with the symptom checklist 90 (SCL-90) , the symptoms of post-traumatic stress disorder were investigated with the symptom checklist of post-traumatic stress disorder (pcl-c) , and the psychological elasticity was investigated with the psychological elasticity scale, Social support was investigated with social support scale (SSRs) . The total average score of symptom checklist 90 (SCL-90) of nurses with workplace violence was (1.49 ± 0.48) . Compared with the control group, the total average score of SCL-90, somatization, obsessive-compulsive symptoms, depression, anxiety and fear factors in the observation group were significantly increased (<0.05) . The total score of post-traumatic stress disorder symptom list (pcl-c) in the observation group was (34.51±9.87) . Compared with the control group, the total average score of pcl-c, re experience, avoidance and vigilance factors in the observation group were significantly increased (<0.05) . The total average score of SCL-90 of nurses with workplace violence was positively correlated with psychological elasticity and social support (<0.05) . Multivariate linear analysis showed that psychological elasticity, tenacity and control, optimism, social support and subjective support were the main factors affecting nurses＇mental health. Geriatric nurses suffering from workplace violence are prone to mental health problems and post-traumatic stress disorder, which should be improved by improving their psychological elasticity and social support.
调查老年护理人员遭受工作场所暴力后的心理健康状况及影响因素。选取2019年2月至2020年1月绍兴市三家医院中遭受工作场所暴力的102名老年护理人员作为观察组，同期未遭受工作场所暴力的100名老年护理人员作为对照组。调查两组护士的一般资料，采用医院工作场所暴力问卷调查工作场所暴力情况，采用症状自评量表90（SCL-90）调查精神障碍和精神疾病，采用创伤后应激障碍症状清单（pcl-c）调查创伤后应激障碍症状，采用心理弹性量表调查心理弹性，采用社会支持量表（SSRs）调查社会支持。遭受工作场所暴力的护士症状自评量表90（SCL-90）总均分（1.49±0.48）。与对照组比较，观察组SCL-90总均分、躯体化、强迫症状、抑郁、焦虑和恐惧因子分均显著升高（<0.05）。观察组创伤后应激障碍症状清单（pcl-c）总分（34.51±9.87）。与对照组比较，观察组pcl-c总均分、再体验、回避和警觉因子分均显著升高（<0.05）。遭受工作场所暴力的护士SCL-90总均分与心理弹性和社会支持呈正相关（<0.05）。多因素线性分析显示，心理弹性、坚韧与控制、乐观、社会支持和主观支持是影响护士心理健康的主要因素。遭受工作场所暴力的老年护理人员易出现心理健康问题和创伤后应激障碍，应通过提高其心理弹性和社会支持来改善。
