【摘要】 目的 调查临床一线护士心身症状的发病率，并探索其影响因素，为缓解护士心身症状提供理论依据。方法 采用问卷调查法，于2022年9月～2022年12月，对江苏省某三级甲等综合医院的519名临床一线护士进行调查，使用一般资料问卷、心身症状量表（PSSS）、护士工作压力源量表（CNWSS）、广泛性焦虑量表（GAD-7）、9条目患者健康问卷（PHQ-9）、护士职业倦怠量表（NBS）、中文版创伤后愤懑量表（PTED-21）。结果 临床一线护士的心身症状得分为38.00(30.00,48.00)分，压力得分为66.55±15.57分，职业倦怠得分为144.18±24.25分，抑郁得分为14.00(10.00,18.00)分，焦虑得分为10.00(7.00,14.00)分，创伤后愤懑得分为37.00(21.00,47.00)分。将单因素分析中有意义的变量、经Pearson、Spearman相关性检验显著的变量纳入多元线性回归方程，最终结果显示，临床一线护士的压力水平、职业倦怠水平、焦虑程度、抑郁程度、创伤后愤懑以及值夜班均是心身症状的影响因素。结论 临床一线护士心身症状检出率高，压力以及各种负性情绪均有可能导致心身症状的发生。护理管理者需加强对护士心身健康的重视，尽早发现，合理干预，科学治疗，以提高护理队伍的心身健康水平。更多还原

【Abstract】 Objective To investigate the prevalence of psychosomatic symptoms among clinical frontline nurses and explore their influencing factors to provide a theoretical basis for alleviating nurses’ psychosomatic symptoms. Methods A questionnaire survey was conducted from September 2022 to December 2022 among 519 registered nurses in a tertiary general hospital in Jiangsu Province, using the general information questionnaire,psychosomatic symptoms scale(PSSS), Chinese nurse work stressors scale(CNWSS), generalized anxiety disorder-7(GAD-7), patient health questionnaire-9(PHQ-9), nursing burnout scale(NBS), and the Chinese version of the post-traumatic embitterment disorder self-rating scale(PTED-21). Results The psychosomatic symptom score of clinical first-line nurses was 38.00(30.00, 48.00), and the stress score was 66.55±15.57, the burnout score was 144.18±24.25, the depression score was 14.00(10.00, 18.00), the anxiety score was 10.00(7.00, 14.00), and the post-trauma resentment score was 37.00(7.00, 14.00), resentment score of 37.00(21.00, 47.00). Variables that were significant in the univariate analysis and those that were significant in the Pearson correlation test were included in the multivariate linear regression equations, and the final results showed that stress level,burnout level, anxiety level, depression level, post-traumatic resentment, and night shifts of clinical nurses were the influences on psychosomatic symptoms. Conclusion The detection rate of psychosomatic symptoms among frontline nurses is high, and stress and various negative emotions may lead to the occurrence of psychosomatic symptoms. Nursing managers need to pay more attention to the psychosomatic health of nurses, identify them as early as possible, intervene reasonably, and treat them scientifically in order to improve the psychosomatic health of the nursing team.更多还原