Mori T, Kageyama T
Department of Mental Health and Nursing, School of Health Sciences and Nursing, Faculty of Medicine, University of Tokyo, Japan.
Sangyo Eiseigaku Zasshi. 1995 Mar;37(2):135-42. doi: 10.1539/sangyoeisei.37.2_135.
Relationships between mental health status of hospital nurses and their working environment were examined by a self-administered questionnaire survey among 471 nurses in three hospitals. Their mental health status was assessed by the General Health Questionnaire (60-item version). Their GHQ score was apparently higher than that among the general population. The score was inversely associated with number of days off in the last month, and was also positively associated with the perceived stressors, particularly "difficult judgement in a job" and "confronting death of a patient". The personal relationships at their work place exerted a buffering effect to the stress associated with "difficult judgement in a job". These results suggested that a mental health promotion strategy for hospital nurses should be planned from the following three aspects: measures concerning their working environment, especially with respect to working time; measures concerning their personal relationships including on-the-job training; measures concerning their personal tolerance, such as psychological support system in a work place.
通过对三家医院的471名护士进行自填式问卷调查，研究了医院护士心理健康状况与其工作环境之间的关系。采用一般健康问卷（60项版本）评估他们的心理健康状况。他们的GHQ得分明显高于普通人群。该得分与上个月的休息日数量呈负相关，也与感知到的压力源呈正相关，特别是“工作中的艰难判断”和“面对患者死亡”。工作场所的人际关系对与“工作中的艰难判断”相关的压力起到了缓冲作用。这些结果表明，应从以下三个方面规划医院护士的心理健康促进策略：与工作环境相关的措施，特别是工作时间方面；与人际关系相关的措施，包括在职培训；与个人耐受性相关的措施，如工作场所的心理支持系统。
