外科系统护士的心理健康与工作压力：我们应该关注什么。
Mental health and job stress of nurses in surgical system: what should we care.
机构信息
Central Operating Department, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, China.
Hospital-Acquired Infection Control Department, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, China.
出版信息
BMC Psychiatry. 2023 Nov 23;23(1):871. doi: 10.1186/s12888-023-05336-0.
BACKGROUND
Job stress has significant influence on the mental health of health care providers. The mental health and job stress of operating room nurses remain unclear. This study aimed to evaluate the mental health and job stress of nurses in surgical system in China, to provide evidences for clinical nurse management and care.
METHODS
The nurses in the surgical system of our hospital were investigated by questionnaire in December 2022. The general information questionnaire, symptom check list 90 (SCL-90) and nurses' job stressor scale (NJSS) were used for data collection. Pearson correlation and logistic analysis were conducted to evaluate the related influencing factors.
RESULTS
A total of 171 nurses in surgical system were investigated. The mental health level of nurses in operating room was low. The job pressure of the nurses in the operating room was in the middle level. The nursing profession and work, workload and distribution, working environment and resources, patient care, management and interpersonal relationship were all positively correlated with SCL-90 score of nurses in operating room. Logistic regression analysis indicated that age, year of work experience, professional ranks and titles both are the influencing factors of SCL-90 score and of nurses in operating room.
CONCLUSIONS
The mental health of nurses in surgical system is affected by work pressure, ages, working years and professional titles. These factors should be considered in the psychological intervention of nurses in operating room in order to improve the health of clinical nurses.
背景
工作压力对医护人员的心理健康有重要影响。手术室护士的心理健康和工作压力情况尚不清楚。本研究旨在评估中国外科系统护士的心理健康和工作压力，为临床护士管理和护理提供依据。
方法
于 2022 年 12 月采用问卷调查的方式对我院外科系统护士进行调查，使用一般资料问卷、症状自评量表 90（SCL-90）和护士工作压力源量表（NJSS）进行数据收集。采用 Pearson 相关性分析和 logistic 回归分析评估相关影响因素。
结果
共调查外科系统护士 171 名。手术室护士心理健康水平较低，手术室护士工作压力处于中等水平。护理职业及工作、工作量及分配、工作环境及资源、患者护理、管理及人际关系均与手术室护士 SCL-90 得分呈正相关。Logistic 回归分析显示，年龄、工作年限、职称均是手术室护士 SCL-90 得分的影响因素。
结论
外科系统护士的心理健康受工作压力、年龄、工作年限和职称的影响。在对手术室护士进行心理干预时应考虑这些因素，以提高临床护士的健康水平。
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