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目的分析护理人员接受心理干预后的职业压力和心理健康变化。方法选取2015年2月至2015年10月医院在岗护理人员80例进行研究,依据数字随机表法将80例护理人员分别为观察组和对照组,每组各40例;对照组给予常规宣教式护理,观察组给予心理干预。比较两组护理人员的职业压力及心理健康情况评分及护理人员的护理质量。结果干预后观察组的情绪枯竭、去人格化倾向及SCL-90评分显著低于干预前及对照组的水平,个人成就感的评分显著高于干预前及对照组的水平,差异均含有统计学意义(P<0.05)。干预后对照组的情绪枯竭、去人格化倾向以及个人成就感和SCL-90评分与干预前相比,差异无统计学意义(P>0.05)。干预后观察组的护理文书书写质量评分、护理差错评分以及医患认可评分均分别显著高于干预前及对照组的水平,差异均含有统计学意义(均P<0.05)。干预后对照组的护理文书书写质量评分、护理差错评分以及医患认可评分均分别显著高于干预前,差异均含有统计学意义(均P<0.05)。根据Pearson法分析相关性可知,随着护理人员职业压力的增加,其心理健康也表现出更差的趋势,因此,护理人员的职业压力与其心理健康呈负相关联系(r=-0.734,P=0.001)。结论为护理人员实施心理护理有利于较好地改善其职业压力和心理健康,并可提升护理质量,效果明显,值得进行推广。
Objective To analyze the changes of occupational stress and mental health of nurses after receiving psychological intervention. Methods From February 2015 to October 2015, 80 on-the-job nursing staff in the hospital were selected for study. According to the digital random table method, 80 nursing staff were divided into observation group and control group, 40 cases in each group. The control group was given routine teaching Nursing, observation group to give psychological intervention. Occupational stress and mental health scores and nursing quality of nursing staff in two groups were compared. Results After the intervention, emotional exhaustion, depersonalization tendency and SCL-90 score in the observation group were significantly lower than those in the pre-intervention and control groups, and scores of personal accomplishment were significantly higher in the observation group than those in the intervention group and the control group (P <0.05). There was no significant difference in emotion exhaustion, depersonalization tendency, personal accomplishment and SCL-90 score in the control group after intervention (P> 0.05). After the intervention, the scores of nursing documentations, care errors scores and medical and patient recognition scores in the observation group were significantly higher than those before intervention and in the control group, respectively (all P <0.05). After intervention, the scores of nursing document writing quality, nursing error score and doctor-patient approval score in the control group were significantly higher than those before intervention, respectively (all P <0.05). According to Pearson’s analysis of correlation, we can see that with the increase of occupational pressure of nursing staff, their mental health also showed a worse trend. Therefore, occupational stress of nursing staff was negatively correlated with their mental health (r = -0.734, P = 0.001). Conclusions The implementation of psychological nursing for nursing staff is good for improving their occupational stress and mental health, and improving the quality of nursing. The effect is obvious and worthy of promotion.