广东省某三级甲等精神专科医院护士心理弹性及自我同情相关性研究
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摘要
目的了解精神专科医院护士心理弹性及自我同情的现状,分析两者之间的相互关系,为护理管理者制定提高临床护士心理健康举措提供参考依据。方法选择广州市某三级甲等精神专科医院的临床护士381名,采用心理弹性量表、自我同情量表和一般资料调查表进行调查,采用t检验、Pearson相关分析进行统计分析。结果该精神专科医院护士心理弹性得分为60.20±14.89分,显著低于普通人群,两者差异有统计学意义(t=-6.780,P<0.01);其自我同情得分(85.43±10.23分)显著低于国内其他护士人群,两者差异有统计学意义(t=-45.388,P<0.01)。相关关系分析结果显示,心理弹性总分与自我同情呈显著正相关(r=0.470,P<0.01),差异有统计学意义。回归分析显示,自我同情是心理弹性的影响因素,共可解释心理弹性变异的22.0%。结论精神专科医院护士心理弹性及自我同情水平较低,两者呈正相关关系,自我同情是心理弹性的一个重要预测变量,提示临床护理管理者可通过提高护士自我同情水平,达到促进护士心理弹性的发展和身心健康。
Objective To understand the status of resilience and self-compassion of nurses in psychiatric hospitals,analyze the relationship between them,provide sound references for nursing administrators to improve the mental health status of clinical nurses.Methods A total of 381 clinical nurses from Guangzhou Medical University Affiliated Brain Hospital(Guangzhou Huai Ai Hospital)were selected and invested by the self-compassion scale(SCS)and Conner-Davidson resilience scale(CD-RISC)to measure the self compassion and resilience relatively.The data were analyzed by t test and Pearson correlation analysis.Results The resilience score of nurses in the psychiatric hospital was 60.20(SD:14.89),significantly lower than the general population(t=-6.780,P<0.01).The self compassion score of nurses was 85.43(SD:10.23),significantly lower than other specialized nurses(t=-45.388,P<0.01).Correlation analysis showed that the total score of resilience was significantly positively correlated with self-compassion(r=0.470,P<0.01).Regression analysis showed that self-compassion was the influencing factor of resilience,which could explain 22.0% of the variance of resilience.Conclusion Self-compassion is a significant predictor of resilience,which suggests that nurses can promote the development of resilience and mental health of nurses by improving the level of self-compassion.
Objective To understand the status of resilience and self-compassion of nurses in psychiatric hospitals,analyze the relationship between them,provide sound references for nursing administrators to improve the mental health status of clinical nurses.Methods A total of 381 clinical nurses from Guangzhou Medical University Affiliated Brain Hospital(Guangzhou Huai Ai Hospital)were selected and invested by the self-compassion scale(SCS)and Conner-Davidson resilience scale(CD-RISC)to measure the self compassion and resilience relatively.The data were analyzed by t test and Pearson correlation analysis.Results The resilience score of nurses in the psychiatric hospital was 60.20(SD:14.89),significantly lower than the general population(t=-6.780,P<0.01).The self compassion score of nurses was 85.43(SD:10.23),significantly lower than other specialized nurses(t=-45.388,P<0.01).Correlation analysis showed that the total score of resilience was significantly positively correlated with self-compassion(r=0.470,P<0.01).Regression analysis showed that self-compassion was the influencing factor of resilience,which could explain 22.0% of the variance of resilience.Conclusion Self-compassion is a significant predictor of resilience,which suggests that nurses can promote the development of resilience and mental health of nurses by improving the level of self-compassion.
引文
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[15]温育芳,傅素靓,何美青.ICU护士自我同情现状及影响因素分析[J].护理学杂志.2016,(1):75-77.
[16]任雅欣,周英,黄美凌,等.护士心理弹性状况及其影响因素[J].中华行为医学与脑科学杂志,2014,23(3):258-260.
[17]刘风兰,朱艳玲,缪志梅.精神科护士感知自身遭受攻击状况与对患者身体约束态度的相关性研究[J].中国护理管理,2015,15(6):740-743.
[18]刘影.急诊科护士自我同情现状调查及影响因素分析[D].长春:吉林大学,2015:12.
[19]高霞,刘晓丹,王雪莲,等.临床护士自我同情能力现状及影响因素分析[J].中华现代护理杂志,2016,22(2):186-189.
[20]肖霞,董彩梅,樊玉花,等.护士自我同情现状调查及影响因素分析[J].全科护理,2016,14(22):2273-2275.
[21]周英,李亚洁,林建葵,等.护士对精神病患者歧视状况调查[J].中国护理管理.2012,(8):84-88.
[22]Kemper KJ,Mo X,Khayat R.Are mindfulness and self-compassion associated with sleep and resilience in health professionals?[J].J Altern Complement Med,2015,21(8):496-503.
[23]周浩.大学生对消极生活事件的应对:自我同情的作用[D].北京:中国人民大学,2011:5.
[24]胡小兵.大学生自我同情、应对方式与主观幸福感的关系[D].郑州:河南大学,2013:2.
[2]曹香,金全香,苏静予.精神科护士职业压力和情绪状态的调查研究[J].中国卫生标准管理,2016,7(16):7-9.
[3]冯志远,夏梅,谢焱,等.南宁市精神科护士工作压力、心理资本和工作倦怠的关系[J].环境与职业医学,2016(11):1069-1075.
[4]席居哲,曾也恬,左志宏.中国心理弹性思想探源[J].中国临床心理学杂志,2015,23(3):555-559.
[5]季加翠.精神专科医院护士心理弹性状况及其影响因素研究[J].精神医学杂志,2015(5):358-360.
[6]李华芳,厉萍.精神科护士心理弹性与职业倦怠的相关性分析[J].护理研究,2015(9):1063-1066.
[7]Neff K.Self-Compassion:an alternative conceptualization of a healthy attitude toward oneself[J].Self Identity,2003,2(2):85-101.
[8]Smith JL.Self-Compassion andresilience in senior living residents[J].Seniors Hous Care J,2015,23(1):16-31.
[9]Boonlue T,Briggs P,Sillence E.Self-Compassion,psychological resilience and social media use in Thai Students[A].BCS Human Computer Interaction Conference[C].London:BCS,2016.
[10]Glaittli SA.Therapist self-compassion,mindfulness and trauma as predictors of therapist resilience[D].Salt Lake City:Westminster College,2015:14.
[11]于肖楠,张建新.自我韧性量表与Connor-Davidson韧性量表的应用比较[J].心理科学,2007(5):1169-1171.
[12]陈健,燕良轼,周丽华.中文版自悯量表的信效度研究[J].中国临床心理学杂志.2011,(6):734-736.
[13]Castilho P,Pinto-Gouveia J,Duarte J.Evaluating the multifactor structure of the long and short versions of the self-compassion scale in a clinical sample[J].J Clin Psychol,2015,71(9):856-870.
[14]李莉,曾丹.大型综合医院临床护士工作满意度调查[J].中国社会医学杂志,2014,31(5):348-350.
[15]温育芳,傅素靓,何美青.ICU护士自我同情现状及影响因素分析[J].护理学杂志.2016,(1):75-77.
[16]任雅欣,周英,黄美凌,等.护士心理弹性状况及其影响因素[J].中华行为医学与脑科学杂志,2014,23(3):258-260.
[17]刘风兰,朱艳玲,缪志梅.精神科护士感知自身遭受攻击状况与对患者身体约束态度的相关性研究[J].中国护理管理,2015,15(6):740-743.
[18]刘影.急诊科护士自我同情现状调查及影响因素分析[D].长春:吉林大学,2015:12.
[19]高霞,刘晓丹,王雪莲,等.临床护士自我同情能力现状及影响因素分析[J].中华现代护理杂志,2016,22(2):186-189.
[20]肖霞,董彩梅,樊玉花,等.护士自我同情现状调查及影响因素分析[J].全科护理,2016,14(22):2273-2275.
[21]周英,李亚洁,林建葵,等.护士对精神病患者歧视状况调查[J].中国护理管理.2012,(8):84-88.
[22]Kemper KJ,Mo X,Khayat R.Are mindfulness and self-compassion associated with sleep and resilience in health professionals?[J].J Altern Complement Med,2015,21(8):496-503.
[23]周浩.大学生对消极生活事件的应对:自我同情的作用[D].北京:中国人民大学,2011:5.
[24]胡小兵.大学生自我同情、应对方式与主观幸福感的关系[D].郑州:河南大学,2013:2.