广州市心脏外科重症监护室护理人员心理弹性状况及影响因素分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (21): 2976-2979.

广州市心脏外科重症监护室护理人员心理弹性状况及影响因素分析

唐芳, 陈银华, 赖冬梅

中山大学孙逸仙纪念医院心血管外科ICU一区,广东广州 510120

收稿日期:2023-03-16 修回日期:2023-04-17 出版日期:2023-11-01 发布日期:2026-03-26
作者简介:唐芳,女,主管护师,主要从事心脏外科重症患者的临床护理工作。
基金资助:
广东省自然科学基金项目（2214050010257）

Research on psychological resilience and influencing factors of nursing staff in cardiac surgery intensive care unit in Guangzhou City

TANG Fang, CHEN Yinhua, LAI Dongmei

ICU Zone 1,Department of Cardiovascular Surgery,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou Guangdong 510120,China

Received:2023-03-16 Revised:2023-04-17 Online:2023-11-01 Published:2026-03-26

摘要/Abstract

摘要： 目的探讨医院心脏外科重症监护室（intensive care units,ICU）护士心理弹性状况及影响因素。方法 2022年2—4月,选取中山大学孙逸仙纪念医院心脏外科ICU 40名护理人员作为研究对象,用心理弹性量表（connor-davidson resili ence scale,CD-RISC）进行专项调查,并采用t检验、Spearman相关分析和logistic回归分析其影响因素。结果心脏外科ICU护理人员心理弹性总分为（56.82±9.33）分,低于我国护士心理弹性总分（87.28±13.28）分,2组心理弹性总分比较,差异有统计学意义（P<0.05）。相关分析结果表明,心理弹性及3个维度的评分和ICU护理人员的文化水平、工作时间和夜班状况呈正相关,差异均有统计学意义（均P<0.05）。文化水平、工作时间、职称、夜班、用工性质和职场紧张感几个变量不同的护理人员,心理弹性得分比较差异均有统计学意义（均P<0.05）。多元logistic回归分析表明,文化水平、工作时间、夜班及用工性质是影响护理人员心理弹性的独立危险因素[OR（95%CI）=1.933（1.209~3.022）,1.633（1.101~2.659）、2.052（1.551~3.123）和2.177（1.583~3.296）]。结论心脏外科ICU护理人员的心理弹性水平相对较低,影响因素较为复杂,管理者应根据相应的因素加以干预从而改善心脏外科ICU护理人员的心理状况。

关键词: 心脏外科, 重症监护室, 护理人员, 心理弹性, 影响因素

Abstract: Objective To investigate the psychological resilience and related influencing factors of nurses in the intensive care unit（ICU） of hospital cardiac surgery. Methods Totally 40 nurses from the ICU of cardiac surgery in Sun Yat-sen Memorial Hospital of Sun Yat-sen University were selected as the research subjects from February to April 2022. The Connor-Davidson resilience scale（CD-RISC） was used to conduct a special survey,and t test Spearman correlation analysis and logistic regression were used to analyze its influencing factors. Results The total score of psychological resilience of ICU nursing staff in cardiac surgery was （56.82±9.33）points,which is lower than the total score of psychological resilience of in-service nurses in China[（87.28±13.28）points]. There was a statistically significant difference in the total score of psychological resilience between the two groups（P<0.05）. The results of correlation analysis showed that the scores of psychological resilience and the scores of three dimensions were positively correlated to the educational level,working hours and night shift status of ICU nurses（all P<0.05）. There were statistically significant differences in the psychological resilience scores among nurses with different educational level,working hours,professional title,night shift,employment nature and workplace tension（all P<0.05）. The multivariate logistic regression analysis showed that educational level,working hours,night shift and employment nature were independent-risk factors affecting the psychological resilience of nursing staff[OR（95%CI）=1.933（1.209-3.022）,1.633（1.101-2.659）,2.052（1.551-3.123）,2.177（1.583-3.296）]. Conclusion The psychological resilience level of ICU nurses in cardiac surgery is relatively low,and the influencing factors are complex,so the managers should intervene based on corresponding factors to improve the psychological status of ICU nurses in cardiac surgery.

Key words: Cardiac surgery, ICU, Nursing staff, Psychological resilience, Influencing factors

中图分类号:

R395.6

唐芳, 陈银华, 赖冬梅. 广州市心脏外科重症监护室护理人员心理弹性状况及影响因素分析. [J]职业与健康, 2023, 39(21): 2976-2979.

TANG Fang, CHEN Yinhua, LAI Dongmei. Research on psychological resilience and influencing factors of nursing staff in cardiac surgery intensive care unit in Guangzhou City. [J]OCCUPATION AND HEALTH, 2023, 39(21): 2976-2979.

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