乌鲁木齐市6所三甲医院女性护士亚健康现状及影响因素
|
摘要
目的 调查三级甲等医院女性护士亚健康状态发生情况及其影响因素。方法 采用亚健康状况(SHSQ-25)调查问卷对乌鲁木齐市6所三级甲等医院的护士进行问卷调查。结果 本研究共回收有效问卷989份,其中护士亚健康状态检出率为83.8%,平均得分为49.15±15.26;随着职称的增高、工作年限的增长,护士亚健康状态检出率逐渐递增,以主管护师亚健康状态得分最高,为51.16±15.80,检出率为90.70%;以工作年限16～20年的护士亚健康状态检出率最高为90.30%,得分为50.33±14.74,其OR值为1.37(1.01～1.86);每周加班次数以及每个月夜班次数越多护士亚健康状态检出率越高,OR值分别为1.52(1.07～2.15)、1.26(1.05～1.51)。结论 三级甲等医院护士亚健康状态检出率高,年龄越大、职称越高、工作年限越久、夜班及加班次数越频繁,女性护士亚健康状态检出率越高,因此医院管理人员应该有针对性地进行分级、科学、可持续性管理。
[Objective] To study the sub-health status and influencing factors of female nurses in grade-A tertiary hospital.[Methods]The sub-health status questionnaire(SHSQ-25) was used to conduct a questionnaire survey among nurses in six grade-A tertiary hospitals in Urumqi.[Results]A total of 989 valid questionnaires were recovered. The detection rate of sub-health status in nurses was 83.8%,and the average score was 49.15 ±15.26. With the increase of professional title and working years,the detection rate of sub-health status of nurses increased gradually. The sub-health status score of supervisory nurses was the highest,with detection rate of 90.70% and score of 51.16 ±15.80. The nurses with working age of 16-20 years had the highest detection rate of sub-health status,with the score of 50.33±14.74,and the OR value was 1.37(1.01-1.86). The detection rate of sub-health status increased with the frequency of overtime a week and frequency of night shift a month,and the OR value was1.52(1.07-2.15)and 1.26(1.05-1.51)respectively.[Conclusion]The detection rate of sub-health status of female nurses in gradeA tertiary hospitals is high. The older of the age,the higher of the title,the longer of the working life,more frequent of the night shift and overtime work,the higher the detection rate of sub health status of female nurses. Therefore,hospital managers should carry out targeted grading,scientific and sustainable management.
[Objective] To study the sub-health status and influencing factors of female nurses in grade-A tertiary hospital.[Methods]The sub-health status questionnaire(SHSQ-25) was used to conduct a questionnaire survey among nurses in six grade-A tertiary hospitals in Urumqi.[Results]A total of 989 valid questionnaires were recovered. The detection rate of sub-health status in nurses was 83.8%,and the average score was 49.15 ±15.26. With the increase of professional title and working years,the detection rate of sub-health status of nurses increased gradually. The sub-health status score of supervisory nurses was the highest,with detection rate of 90.70% and score of 51.16 ±15.80. The nurses with working age of 16-20 years had the highest detection rate of sub-health status,with the score of 50.33±14.74,and the OR value was 1.37(1.01-1.86). The detection rate of sub-health status increased with the frequency of overtime a week and frequency of night shift a month,and the OR value was1.52(1.07-2.15)and 1.26(1.05-1.51)respectively.[Conclusion]The detection rate of sub-health status of female nurses in gradeA tertiary hospitals is high. The older of the age,the higher of the title,the longer of the working life,more frequent of the night shift and overtime work,the higher the detection rate of sub health status of female nurses. Therefore,hospital managers should carry out targeted grading,scientific and sustainable management.
引文
[1]LI G,XIE F,YAN S,et al.Sub-health:definition,criteria for diagnosis and potential prevalence in the central region of China[J].BMC Public Health,2013,13(6):446.
[2]CHEN J,HU Y.Associations between break eating habits and health promoting lifestyle,sub-optimal health status in Southern China:a population based,Cross-sectional study[J].J Transl Med,2014,12(1):348-357.
[3]张勉之,张大宁.中医学与“亚健康”[J].世界中西医结杂志,2017,12(1):1-3,7.
[4]王秀,何裕民.中国不同性别亚健康人群差异分析[J].中国公共卫生杂志,2012,28(1):15-16.
[5]冯雯.张彤教授中医治疗亚健康学术经验[J].现代中西医结合杂志,2017,26(33):3750-3751.
[6]张冀东,何清湖,孙涛,等.基于中医亚健康医师新职业的中医亚健康学科建设探讨[C].第六次“治未病”及亚健康防治论坛暨2015年中华中医药学会亚健康分会年会论文集,广东:深圳,2015:197-201.
[7]YAN Y,LIU Y,LI M,et al.Development and evaluation of a questionnaire for measuring suboptimal health status in urban Chinese[J].Int J Epidemiol,2009,19(3):333-341.
[8]董晶,许娟,刘佑琴,等.亚健康状态评价指标的拟定及其信度、效度检验[J].中国慢性病预防与控制杂志,2009,17(5):522-524.
[9]韩翠珍.护士亚健康状态影响因素分析[J].中华现代护理杂志,2008,14(26):2746-2749.
[10]庄小萍,路潜,崔丽娟.北京市部分三级甲等医院护士亚健康状况及工作压力源的相关性研究[J].护理管理杂志,2010,10(4):247-248,262.
[11]张清华,刘小华.不同科室临床护士身心健康状况的调查研究[J].护理管理杂志,2007,7(6):18-20.
[12]张丽.三级甲等医院精神科护士亚健康状态及相关因素的调查[J].中华现代护理杂志,2014,20(9):1046-1050.
[13]周雯,徐瑞妤,李艳,等.调查研究亚健康状态人群中心理亚健康类型的特征分析[J].广东医学,2011,32(10):1326-1330.
[14]杨文红,吴丽荣,滕国兴,等.三级综合医院护理人员亚健康状况的调查[J].护理研究,2013,27(24):2582-2583.
[15]罗红,张博,裴艳玲,等.长春市三级甲等综合医院护理人员亚健康现状调查及影响因素分析[J].中华现代护理杂志,2015,21(24):2853-2857.
[16]乜红臻.护士亚健康状况与工作压力及应对方式的相关性研究[D].天津:天津医科大学,2011.
[17]唐勇,李春秀,田继书,等.高级职称护理人员职业高原现状及其对工作满意度、工作绩效的影响研究[J].护理管理杂志,2014,14(3):153-155.
[18]徐剑鸥,罗彩凤,路正南,等.奥地利老年照护人文关怀现状及对我国人文护理发展的启示[J].护理管理杂志,2018,18(5):320-323.
[19]谢颖彬,林爱丽,许晓霞.手术科室护士亚健康状况调查分析[J].国际护理学杂志,2011,30(11):1731-1733.
[20]曹癸兰,梁静,陶宝明,等.武汉地区三甲医院护理人员亚健康状况调查[J].中华现代护理杂志,2012,18(31):3753-3756.
[2]CHEN J,HU Y.Associations between break eating habits and health promoting lifestyle,sub-optimal health status in Southern China:a population based,Cross-sectional study[J].J Transl Med,2014,12(1):348-357.
[3]张勉之,张大宁.中医学与“亚健康”[J].世界中西医结杂志,2017,12(1):1-3,7.
[4]王秀,何裕民.中国不同性别亚健康人群差异分析[J].中国公共卫生杂志,2012,28(1):15-16.
[5]冯雯.张彤教授中医治疗亚健康学术经验[J].现代中西医结合杂志,2017,26(33):3750-3751.
[6]张冀东,何清湖,孙涛,等.基于中医亚健康医师新职业的中医亚健康学科建设探讨[C].第六次“治未病”及亚健康防治论坛暨2015年中华中医药学会亚健康分会年会论文集,广东:深圳,2015:197-201.
[7]YAN Y,LIU Y,LI M,et al.Development and evaluation of a questionnaire for measuring suboptimal health status in urban Chinese[J].Int J Epidemiol,2009,19(3):333-341.
[8]董晶,许娟,刘佑琴,等.亚健康状态评价指标的拟定及其信度、效度检验[J].中国慢性病预防与控制杂志,2009,17(5):522-524.
[9]韩翠珍.护士亚健康状态影响因素分析[J].中华现代护理杂志,2008,14(26):2746-2749.
[10]庄小萍,路潜,崔丽娟.北京市部分三级甲等医院护士亚健康状况及工作压力源的相关性研究[J].护理管理杂志,2010,10(4):247-248,262.
[11]张清华,刘小华.不同科室临床护士身心健康状况的调查研究[J].护理管理杂志,2007,7(6):18-20.
[12]张丽.三级甲等医院精神科护士亚健康状态及相关因素的调查[J].中华现代护理杂志,2014,20(9):1046-1050.
[13]周雯,徐瑞妤,李艳,等.调查研究亚健康状态人群中心理亚健康类型的特征分析[J].广东医学,2011,32(10):1326-1330.
[14]杨文红,吴丽荣,滕国兴,等.三级综合医院护理人员亚健康状况的调查[J].护理研究,2013,27(24):2582-2583.
[15]罗红,张博,裴艳玲,等.长春市三级甲等综合医院护理人员亚健康现状调查及影响因素分析[J].中华现代护理杂志,2015,21(24):2853-2857.
[16]乜红臻.护士亚健康状况与工作压力及应对方式的相关性研究[D].天津:天津医科大学,2011.
[17]唐勇,李春秀,田继书,等.高级职称护理人员职业高原现状及其对工作满意度、工作绩效的影响研究[J].护理管理杂志,2014,14(3):153-155.
[18]徐剑鸥,罗彩凤,路正南,等.奥地利老年照护人文关怀现状及对我国人文护理发展的启示[J].护理管理杂志,2018,18(5):320-323.
[19]谢颖彬,林爱丽,许晓霞.手术科室护士亚健康状况调查分析[J].国际护理学杂志,2011,30(11):1731-1733.
[20]曹癸兰,梁静,陶宝明,等.武汉地区三甲医院护理人员亚健康状况调查[J].中华现代护理杂志,2012,18(31):3753-3756.