妊娠及哺乳期临床护理人员心理状况与应对方式调查
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摘要
目的了解临床护理人员在妊娠期及哺乳期所面临的生活及工作压力,为护理管理者减轻护士压力提供依据并提供人文关怀的方向。方法于2017年11-12月应用心理一致感量表、焦虑量表及简易应对方式量表对3家三甲医院的122名临床护理人员进行问卷调查。结果参与调查的护士心理一致感总分56.46±12.30,焦虑程度粗分为37.64±8.57,焦虑发生频率达到33.6%。应对方式积极应对维度的实际得分33.26±6.89,消极应对维度实际得分17.80±4.08。结论护理管理者应关注处于妊娠及哺乳期的临床护理人员心理状态,可采取有效干预方式,调动护理人员的积极心理状态,提升其心理健康水平。
Objective To investigate the pressure from life and work in the nurses in pregnancy or lactation, and to provide reference for nursing managers in relieving nurses' pressure and providing humanistic care. Methods From November to December 2017, a questionnaire survey was conducted among122 nurses in three Class-A tertiary hospitals using the Psychological Consensus Scale, Anxiety Scale and Simple Coping Style Scale. Results The total score of sense of coherence was 56.46±12.30 in the nurses. The rude score of anxiety was 37.64±8.57, and the incidence of anxiety was 33.6%. The score of positive coping was 33.26±6.89, and the score of negative coping was 17.80±4.08. Conclusion Nursing managers should pay attention to the psychological state of nurses in pregnancy and lactation and take effective interventions to mobilize their positive mental state, so as to improve their mental health.
Objective To investigate the pressure from life and work in the nurses in pregnancy or lactation, and to provide reference for nursing managers in relieving nurses' pressure and providing humanistic care. Methods From November to December 2017, a questionnaire survey was conducted among122 nurses in three Class-A tertiary hospitals using the Psychological Consensus Scale, Anxiety Scale and Simple Coping Style Scale. Results The total score of sense of coherence was 56.46±12.30 in the nurses. The rude score of anxiety was 37.64±8.57, and the incidence of anxiety was 33.6%. The score of positive coping was 33.26±6.89, and the score of negative coping was 17.80±4.08. Conclusion Nursing managers should pay attention to the psychological state of nurses in pregnancy and lactation and take effective interventions to mobilize their positive mental state, so as to improve their mental health.
引文
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2 Grevenstein D,Bluemke M,Kroeninger-Jungaberle H.Incremental validity of sense of coherence,neuroticism,extraversion,and general self-efficacy:longitudinal prediction of substance use frequency and mental health[J].Health and Quality of Life Outcomes,2016,14(1):9.
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5刘贤臣,唐茂芹,彭秀桂,等.焦虑自评量表SAS的因子分析[J].中国神经精神疾病杂志,1995,21(6):359-360.
6解亚宁.简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志,1998,6(2):53-54.
7王端卫,张敬悬.简易应对方式问卷的因子分析[J].山东大学学报(医学版),2014,52(3):96-100.
8刘兰芬,赵贵芳,张志华.产妇产前的心理状态及相关因素分析[J].中华妇产科杂志,1998,7(7):409.
9 Altshuler LL,Hendrick V,Cohen LS.Course of mood and anxiety disorders during pregnancy and the postpartum period[J].Journal of Clinical Psychiatry,1998,59 Suppl 2(Suppl.2):29.
10 Buist A.Mental health in pregnancy:the sleeping giant[J].Australasian Psychiatry,2015,10(3):203-206.
11张先翠,康建会,奚卫珍,等.临床护士心理一致感、应对方式对工作满意度的影响[J].中国实用护理杂志,2017,33(14):1098-1101.
12江晓红,郭丽,孙黎惠,等.心理一致感对护士工作满意度的影响[J].全科护理,2016,14(10):1052-1054.
13石荣光,李冬梅,夏季芳,等.护士工作压力、心理一致感与心理健康[J].中国健康心理学杂志,2016,24(4):510-513.
14吴玉美.妊娠期妇女心理一致感与焦虑、应对方式的相关性研究[D].南昌:南昌大学医学院,2014.
2 Grevenstein D,Bluemke M,Kroeninger-Jungaberle H.Incremental validity of sense of coherence,neuroticism,extraversion,and general self-efficacy:longitudinal prediction of substance use frequency and mental health[J].Health and Quality of Life Outcomes,2016,14(1):9.
3 Antonovsky A.The Structure and Properties of the Sense of Coherence Scale[J].Social Science&Medicine,1993,36(6):725.
4包蕾萍,刘俊升.心理一致感量表(SOC-13)中文版的修订[J].中国临床心理学杂志,2005,13(4):399-401.
5刘贤臣,唐茂芹,彭秀桂,等.焦虑自评量表SAS的因子分析[J].中国神经精神疾病杂志,1995,21(6):359-360.
6解亚宁.简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志,1998,6(2):53-54.
7王端卫,张敬悬.简易应对方式问卷的因子分析[J].山东大学学报(医学版),2014,52(3):96-100.
8刘兰芬,赵贵芳,张志华.产妇产前的心理状态及相关因素分析[J].中华妇产科杂志,1998,7(7):409.
9 Altshuler LL,Hendrick V,Cohen LS.Course of mood and anxiety disorders during pregnancy and the postpartum period[J].Journal of Clinical Psychiatry,1998,59 Suppl 2(Suppl.2):29.
10 Buist A.Mental health in pregnancy:the sleeping giant[J].Australasian Psychiatry,2015,10(3):203-206.
11张先翠,康建会,奚卫珍,等.临床护士心理一致感、应对方式对工作满意度的影响[J].中国实用护理杂志,2017,33(14):1098-1101.
12江晓红,郭丽,孙黎惠,等.心理一致感对护士工作满意度的影响[J].全科护理,2016,14(10):1052-1054.
13石荣光,李冬梅,夏季芳,等.护士工作压力、心理一致感与心理健康[J].中国健康心理学杂志,2016,24(4):510-513.
14吴玉美.妊娠期妇女心理一致感与焦虑、应对方式的相关性研究[D].南昌:南昌大学医学院,2014.