论文部分内容阅读
目的调查温州地区不同等级医院急诊科护士焦虑抑郁的心理状况，以利于制定更完善的干预措施。方法随机抽取温州地区三级医院3家、二级医院4家、一级医院6家，对急诊科护士进行症状自评量表（SCL-90）评分，将与焦虑相关的10项评分，与抑郁相关的13项评分进行统计和分析。结果参与调查护士172人，其中急诊科护士136人，专科护士36人；急诊科护士中三级医院61人，二级医院43人，一级医院32人。不同等级医院急诊科护士对比中，一级医院护士焦虑评分高于二级医院和三级医院，差异有显著性(P0.05)；一级医院急诊科护士抑郁评分高于二级医院，差异有显著性(P0.05)；三级医院急诊科护士抑郁评分高于二级医院，差异有显著性(P<0.05)。三级医院急诊科护士的焦虑评分高于三级医院专科护士，差异有显著性(P<0.01)；三级医院急诊科护士的抑郁评分高于专科护士，差异有显著性(P<0.05)。结论温州地区急诊科护士面临的心理健康问题比专科护士严重，不同等级医院急诊科护士的焦虑抑郁问题，以一级医院最为明显，其次为三级医院。管理部门应当拟定相应的干预措施和关怀政策，以利于其更好的服务患者。“,”Objective To investigate the anxiety and depression of emergency nurses from hospitals at different levels in Wenzhou in order to facilitate better intervention.Methods In total of 3 tertiary hospitals, 4 secondary hospitals and 6 primary hospitals in Wenzhou were randomly selected. Emergency nurses from these hospitals were investigated with symptom checklist (SCL-90), and 10 items of anxiety and 13 items of depression in SCL-90 were analyzed. Results In total of 172 nurses were recruited, 136 were emergency nurses and 36 were specialty nurses; among the emergency nurses, 61 were from tertiary hospitals, 43 from secondary hospitals, and 32 from primary hospitals. Among the emergency nurses from hospitals at different levels, nurses from primary hospitals had higher scores of anxiety than nurses from secondary and tertiary hospitals, and the differences were statistically significant (p0.05). Emergency nurses from primary hospitals had higher depression scores than emergency nurses from secondary hospitals, and the differences were statistically significant (p0.05). Emergency nurses from tertiary hospitals had higher depression scores than emergency nurses from secondary hospitals, and the differences were statistically significant (p<0.01). In tertiary hospitals, emergency nurses had higher anxiety scores than specialty nurses with statistically significant difference (p<0.01), and emergency nurses had higher depression scores than specialty nurses with statistically significant difference (p<0.05).Conclusion In Wenzhou, emergency nurses face severer psychological challenges than specialty nurses. Nurses from primary hospitals have the severest problems of anxiety and depression among nurses from hospitals at different levels, followed with nurses from tertiary hospitals. Therefore, administration departments should make corresponding intervention and care policy in order to provide better services.