Ye Qiqi, Zhong Kefu, Yuan Li, Huang Qihua, Hu Xiangdan
The Second Clinical College, Guangzhou University of Chinese Medicine, Dade Road 111, Guangzhou, China.
Guangdong Second Provincial Traditional Chinese Medicine Hospital, Guangzhou, China.
BMC Womens Health. 2025 Mar 14;25(1):116. doi: 10.1186/s12905-025-03620-7.
The long-term occupational stress experienced by nurses and midwives in obstetrics and gynecology department not only impacts their mental well-being, but also poses a threat to nursing safety and sleep quality of nursing staff. Personality traits and stress coping strategies are believed to play a crucial and distinctive role in regulating stress. It is of great importance to discover effective methods for managing the occupational stress faced by nurses and midwives in obstetrics and gynecology. The study aims to identify the characteristic of stress load, personality and coping style among obstetrics and gynecology nurses and midwives, explore variations in stress levels based on their individual personality traits, and compare different levels of event load and individual vulnerability across various personality domains.
A cross-section study was conducted from February 2023 to March 2023, and a stratified sampling method was used to select 424 obstetric and gynecological nurses. The survey was conducted using the General Information Questionnaire, the Chinese Big Five Personality Questionnaire, the Trait Coping Style Questionnaire, and the Chinese version of the Stress Overload Scale.
High stress of stress risk, conscientiousness and positive coping were the main characteristics of obstetrics and gynecology nurses and midwives. The stress-load was at a medium level, with an average score of (65.30 ± 17.27) points. There were statistically significant differences in stress-load among nurses with different marital status, hospital level, family occupational support and work motivation (p < 0.05). There was a significant positive correlation among neuroticism, negative coping, and event load. (p < 0.01). While conscientiousness, agreeableness, openness, extroversion and positive coping showed positive correlations (p < 0.05).
Based on our findings and the existing literature, we have so suggestions to relieve the stress-load of obstetrics and gynecology nurses and midwives: (1) improve social support and family support; (2) increase the application of intelligent technology appropriately; (3) improve midwifery models; (4) provide positive psychology training; (5) take advantage of the positive interaction between individual and situations.
Nursing and midwife managers should strengthen care for nurses and midwives with significant neurotic personality, adopt flexible or magnetic management, improve midwifery models and elevate the dominant role of midwives in childbirth processes. Importantly, they should enhance group or individual psychological intervention to encourage a positive attitude towards stressors and foster the development of positive personalities.
妇产科护士和助产士长期经历的职业压力不仅会影响他们的心理健康，还会对护理安全和护理人员的睡眠质量构成威胁。人格特质和压力应对策略被认为在调节压力方面起着至关重要且独特的作用。探索有效方法来管理妇产科护士和助产士面临的职业压力非常重要。本研究旨在确定妇产科护士和助产士的压力负荷、人格和应对方式的特征，基于他们的个人人格特质探索压力水平的差异，并比较不同人格领域的事件负荷和个体易感性的不同水平。
于2023年2月至2023年3月进行了一项横断面研究，采用分层抽样方法选取424名妇产科护士。使用一般信息问卷、中国大五人格问卷、特质应对方式问卷和中文版压力超负荷量表进行调查。
压力风险高、尽责性和积极应对是妇产科护士和助产士的主要特征。压力负荷处于中等水平，平均得分为（65.30±17.27）分。不同婚姻状况、医院级别、家庭职业支持和工作动机的护士在压力负荷方面存在统计学显著差异（p<0.05）。神经质、消极应对和事件负荷之间存在显著正相关（p<0.01）。而尽责性、宜人性、开放性、外向性和积极应对呈正相关（p<0.05）。
基于我们的研究结果和现有文献，我们对减轻妇产科护士和助产士的压力负荷有以下建议：（1）改善社会支持和家庭支持；（2）适当增加智能技术的应用；（3）改进助产模式；（4）提供积极心理学培训；（5）利用个体与情境之间的积极互动。
护理和助产管理人员应加强对具有显著神经质人格的护士和助产士的关怀，采用灵活或有吸引力的管理方式，改进助产模式，提升助产士在分娩过程中的主导作用。重要的是，他们应加强团体或个体心理干预，鼓励对压力源持积极态度，促进积极人格的发展。
