【摘要】 目的 调查哈尔滨市三甲医院护士压力知觉与心理弹性状况，分析三甲医院护士压力知觉与心理弹性的相关性。方法 2023年12月～2024年2月，采用随机抽样的方法，通过线上发放问卷，调查哈尔滨市5所三甲医院的护士，调查内容包括：一般人口学情况调查表、压力知觉量表(Chinese Perceived Stress Scale, CPSS)、心理弹性量表。观察指标包括：压力知觉量表得分、心理弹性量表得分、不同人口学特征的心理弹性差异。采用单因素分析比较不同人口学特征对心理弹性的影响；通过Pearson相关性分析比较压力知觉与心理弹性各维度的相关性；通过线性回归分析比较压力知觉各维度对心理弹性的影响及影响程度。结果 (1)护士CPSS总得分为(29.440±9.193),其中紧张维度得分最高，失控维度得分最低；(2)护士心理弹性量表总得分为(49.313±21.590),其中得分最高的是坚韧维度，得分最低的是乐观维度；(3)护士不同性别、技术职称、聘用方式在心理弹性总分方面具有统计学差异(P<0.05);(4)护士压力知觉与护士心理弹性各维度均存在负相关性，差异具有统计学意义(P<0.05)。结论 护理人员心理弹性水平偏低，护理人员应提升自我心理弹性调节能力，此外医疗机构要营造良好医疗氛围，适时进行干预，降低护理人员压力，提高其心理弹性水平，构建和谐护患关系。更多还原

【Abstract】 Objective To investigate the perception of stress and psychological resilience of nurses in tertiary grade A hospitals in Harbin City, and analyze the correlation between stress perception and psychological resilience among nurses in tertiary grade A hospitals. Methods From December 2023 to February 2024, nurses from five tertiary grade A hospitals in Harbin were surveyed through online questionnaires using the method of random sampling. The survey content included a general demographic questionnaire, the Chinese Perceived Stress Scale(CPSS), and the Resilience Scale.The observation indicators included CPSS scores, Resilience Scale scores, and differences in psychological resilience across different demographic characteristics. Single factor analyses were conducted to compare the impacts of different demographic characteristics on psychological resilience. The correlations between stress perception and various dimensions of psychological resilience were examined through Pearson correlation analyses.The impacts and degrees of influence of various dimensions of stress perception on psychological resilience were investigated through linear regression analyses. Results(1)The total score of the nurses’ CPSS was(29.440±9.193). Among them, the score of the tension dimension was the highest, and the score of the loss-of-control dimension was the lowest.(2)The total score of the nurses’ Resilience Scale was(49.313±21.590). Among them, the score of the tenacity dimension was the highest, and the score of the optimism dimension was the lowest.(3)There was a statistically significant difference in the total score of psychological resilience among nurses of different genders, technical titles, and employment methods(P<0.05).(4)There was a negative correlation between nurses’ perceived stress and each dimension of their psychological resilience, and the difference was statistically significant(P<0.05). Conclusion Nursing staff have a low level of psychological resilience, and they should improve their ability to regulate their own psychological resilience. In addition, medical institutions should create a good medical atmosphere, intervene in a timely manner, reduce the pressure on nursing staff, improve their psychological resilience, and help to build a harmonious nurse-patient relationship.更多还原