三甲医院临床护士情绪智力与焦虑、抑郁的调查研究
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摘要
目的:
     调查临床护士情绪智力及焦虑、抑郁现状;分析情绪智力及焦虑、抑郁的影响因素;了解情绪智力与焦虑、抑郁之间的关系。为管理者采取措施改善护理人员心理健康状况提供参考依据。方法:
     1对象和方法:采用分层整群抽样法,于2012年4月~2012年10月,抽取郑州市三所三甲医院的550名临床护士作为研究对象,进行问卷调查。
     2调查工具:问卷包括一般资料问卷、情绪智商量表(EIS)、焦虑自评量表(SAS)和抑郁三自评量表(SDS)。
     3统计学方法:采用SPSS17.0统计软件进行数据分析,统计方法包括:均数±标准差(x±s)、独立样本t检验、单因素方差分析、Pearson相关分析及Logistic回归分析。
     结果:
     1三甲医院临床护士情绪智力均分为(3.90±0.38)分,四个维度均分由高到低依次为:自我情绪管理(4.13±0.49)分>情绪利用(3.97±0.45)分>他人情绪管理(3.90±0.45)分>情绪知觉(3.74±0.44)分。情绪智力在不同年龄、护龄、婚姻状况、职称、职务、健康状况、人事关系方面差异具有统计学意义(P<0.05);在独生与否、不同出生来源、不同第一学历、不同最后学历方面差异不显著。
     2临床护士SAS评分、SDS评分均高于常模(P<0.01)。26.14%存在焦虑情绪,32.58%存在抑郁情绪,18.94%两种情绪同时存在。SAS评分在不同年龄、护龄、健康状况、职务、是否独生方面差异具有统计学意义(P<0.05),在不同婚姻状况、出生来源、职称、第一学历、最后学历、人事关系方面差异不显著;SDS评分在不同健康状况、职称、职务、是否独生方面差异具有统计学意义(P<0.05),在不同年龄、护龄、婚姻状况、出生来源、第一学历、最后学历、人事关系方面差异不显著。
     3临床护士情绪智力四个维度均与SAS评分、SDS评分呈负相关(P<0.01);SAS评分与SDS评分呈正相关(r=0.698,P<0.01)。
     4Logistic回归分析,影响临床护士焦虑情绪的因素包括职称、健康状况和情绪知觉;影响抑郁情绪的因素包括是否独生、健康状况、情绪知觉和他人情绪管理。结论:
     1临床护士情绪智力处于中上水平,其中得分最高的为自我情绪管理,最低的为情绪知觉。
     2临床护士的年龄、护龄、婚姻状况、职称、职务、健康状况及人事关系对其情绪智力有影响。
     3临床护士的情绪智力与焦虑、抑郁呈负相关,即情绪智力得分越高,其焦虑、抑郁水平越低;临床护士焦虑与抑郁呈正相关,即焦虑水平越高,抑郁水平相对较高。
     4单因素方差分析和回归分析得出,’临床护士焦虑情绪受职称、健康状况和情绪知觉的影响;抑郁情绪受是否独生、健康状况、情绪知觉和他人情绪管理的影响。
Objective:
     Investigating into emotional intelligence and the present situation of anxiety and depression of clinical nurses; analyzing influencing factors of emotional intelligence and anxiety and depression; understanding the relationship between emotional intelligence and anxiety, depression. The research can provide a reference basis for managers to take measures to improve metal health of the nursing staff.
     Methods:
     1Research objects and methods:this study uses stratified cluster sampling method and selects550clinical nurses in three tertiary hospitals in Zhengzhou as objects, carrying on the questionnaire survey on April1,2012~October30,2012.
     2Survey Instrument:the questionnaires include general information questionnaire, Emotional Quotient Scale, Self-rating Anxiety Scale and Self-rating Depression Scale.
     3The statistical method:Data is analyzed by SPSS17.0statistical software. Statistical methods include mean±standard deviation (x±s), independent sample t test, one-way ANOVA, Pearson correlation analysis and Logistic regression analysis.
     Result:
     1Three tertiary hospitals clinical nurses'emotional intelligence average scores is (3.90±0.38) points, dividing four dimensions from high to low sequence in the order: self-management (4.13±0.49) points> use of emotional(3.97±0.45)>emotional management of others (3.90±0.45) points> emotional perception (3.74±0.44) points. Difference of Emotional Intelligence in different ages, nursing age, marital status, position, occupation, state of health, human relations, is statistically significant (P<0.05);the factors including single or not, different birth sources, different from the first degree, different last academic difference have little influence on Emotional Intelligence.
     2Three tertiary hospitals clinical nurse SAS scores and SDS scores are higher than the norm (P<0.01).26.14%of them have anxiety, and32.58%have depression, and18.94%have two emotions at the same time. SAS score in different age, nursing age, health status, position, whether the only difference is statistically significant (P<0.05). The one in different marital status, birth, title, source of differences in the first degree, the degree, the personnel relationship had no statistical significance; SDS score in different health status, title, position, whether the only difference is statistically significant (P<0.05), in the different age, nursing age, marital status, birth sources, differences in the first degree and finally degree, no statistical significance in human relations.
     3Clinical nurses in the four dimensions of emotional intelligence which were rated with SAS and SDS score is negatively correlated (P<0.01); SAS scores and SDS scores are positively correlated (r=0.698, P<0.01).
     4Logistic regression analysis, the influencing factors on clinical nurses'anxiety include titles, health status, mood and perception; the influencing factors on depression include whether one-child, health, emotional perception and emotion management of others.
     Conclusion:
     1The clinical nurses'emotional intelligence is in the upper level, of which the one gaining the highest score is emotional management, and the lowest one is emotion perception.
     2Age, nursing age, marital status, job title, position, health and human relations of clinical nurses have influence on their emotional intelligence.
     3Clinical nurses' emotional intelligence is negatively related to anxiety and depression. The higher clinical nurses have emotional intelligence scores, and the relatively lower level of anxiety and depression they have. Clinical nurse anxiety is associated with depression, namely that clinical nurse anxiety level is higher, and the relatively high level of depression.
     4Single-factor analysis of variance and regression analysis conclude that clinical nurses' anxiety is influenced by title, affect health status and emotional perception; the depression is effected by whether the only child, health status, emotional perception and emotional management.
引文
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