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急危重症护士心理困扰现状及影响因素研究

The level and factors associated with psychological distress among emergency and critical care nurses

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【作者】 李明玉张波李晓娟陈琼妮李乐之

【Author】 LI Mingyu;ZHANG Bo;LI Xiaojuan;CHEN Qiongni;LI Lezhi;Xiangya Nursing School,Central South University;Clinical Nursing Teaching and Research Section,the Second Xiangya Hospital,Central South University;

【通讯作者】 李乐之;

【机构】 中南大学湘雅护理学院中南大学湘雅二医院临床护理学教研室

【摘要】 目的调查急危重症护士心理困扰的现状,分析心理弹性和情绪调节策略对心理困扰的影响。方法选取长沙市3所三级甲等医院的216名急危重症护士作为研究对象,采用一般资料问卷、心理困扰量表、心理弹性量表和情绪调节问卷进行问卷调查。结果急危重症护士的心理困扰总分为(21.15±6.01)分;心理困扰与心理弹性各维度(坚韧、自强和乐观)均呈负相关(r=-0.366~-0.482,P<0.01),与情绪调节策略的认知重评维度呈负相关(r=-0.305,P<0.05),而与情绪调节的表达抑制维度不相关(r=0.021,P>0.05);在控制一般资料的影响后,心理弹性的自强维度和情绪调节策略的认知重评维度对急危重症护士心理困扰有显著影响(P<0.05)。结论急危重症护士的心理困扰问题严重,护理管理者可针对急危重症护士开展心理弹性和情绪调节相关培训,侧重于提升自强和认知重评能力,从而有效改善急危重症护士的心理状况。

【Abstract】 Objective To investigate the status of psychological distress of emergency and critical care nurses,and to analyze the influence of mental resilience and emotional regulation on psychological distress.Methods A total of 216 emergency and critical care nurses recruited from 3 3 Alevel hospitals in Changsha were evaluated using the general information questionnaire,the Kessler Psychological Distress Scale,Conner-Davidson Resilience Scale,and the Emotion Regulation Questionnaire.Results The total score of psychological distress was(21.15±6.01).Psychological distress was negatively correlated with the dimensions of mental resilience(toughness,self-improvement and optimism)(r=-0.366~-0.482,P<0.01),negatively correlated with the cognitive re-evaluation dimension of the mood-regulating strategy(r=-0.305,P<0.05),but not correlated with expression inhibition dimension of the mood-regulating strategy(r=0.021,P>0.05).Conclusion The status of psychological distress is serious in emergency and critical care nurses.Nursing managers can carry out training on psychological resilience and emotional adjustment for emergency and critical care nurses,focusing on improving self-improvement and cognitive re-evaluation ability,so as to effectively improve their psychological condition.

【基金】 湖南省2017年度第五批科技发展计划(2017TP1004)
  • 【文献出处】 护理管理杂志 ,Journal of Nursing Administration , 编辑部邮箱 ,2021年07期
  • 【分类号】R192.6
  • 【被引频次】4
  • 【下载频次】444
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