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目的:对骨科护士的心理健康状况进行评估,分析心理压力源,并制定有效的减压措施。方法:采用问卷调查法,骨科25名护士接受症状自评量表、中国护士职业压力源量表和应对方式问卷测量。结果:在症状自评量表中,骨科护士SCL-90中的躯体化、焦虑、强迫症、抑郁及饮食睡眠等因子得分均高于常模的分值(P<0.01);从本组职业压力源量表中得出,护士的主要压力来源依次为骨科护士所存在的问题、工作量及时间的分配、护士专业问题、特殊的工作环境、患者护理方面的问题、人际关系的问题;本组护士采取的应对方式大多数为混合型,其次为不成熟型、成熟型,比例依次为54%、31%和15%。结论:骨科护士的心理健康状况存在一定的问题,心理压力源来自多方面,偏向采取混合型应对方式。护理管理者需要根据护士的工作压力源提出有效的减压措施,为患者提供更好的服务质量。
OBJECTIVE: To evaluate the mental health status of orthopedic nurses, analyze psychological stressors and make effective decompression measures. Methods: By questionnaire survey, 25 nurses in Orthopedics received symptoms self-rating scale, occupational stressor scale and coping style questionnaire of nurses in China. Results: In SCL-90, scores of somatization, anxiety, obsessive compulsive disorder, depression and diet and sleep in orthopedic nurses were all higher than those in norm (P <0.01) According to the stressor scale, the main sources of stress on nurses are the existing problems of orthopedic nurses, workload and time allocation, nurse professional problems, special work environment, patient care problems and interpersonal problems. Most of the coping strategies adopted by nurses were mixed, followed by immature and mature ones, with 54%, 31% and 15% in turn. Conclusion: The mental health status of orthopedic nurses has some problems. The sources of psychological stress come from many aspects, and the biased nurses tend to adopt the mixed coping style. Nursing managers need to put forward effective decompression measures according to the working pressure source of nurses to provide patients with better service quality.