安徽省临床护士心理反应现状及影响因素分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (17): 2371-2376.

安徽省临床护士心理反应现状及影响因素分析

陈霞^1a, 赵方方^1b, 汪澄^1b, 陈静^1a, 张慧^1a,2, 全伊萍^1a,2

1.中国科学技术大学附属第一医院a护理部,b康复医学科,安徽合肥 230001;
2.安徽中医药大学护理学院,安徽合肥 230022

收稿日期:2023-12-15 修回日期:2024-01-08 发布日期:2026-03-17
作者简介:陈霞,女,主任护师,主要从事护理管理工作。
基金资助:
安徽省哲学社会科学规划项目（AHSKY2021D77）

Analysis on current status and influencing factors of psychological reactions of clinical nurses in Anhui Province

CHEN Xia^1a, ZHAO Fangfang^1b, WANG Cheng^1b, CHEN Jing^1a, ZHANG Hui^1a,2, QUAN Yiping^1a,2

1. a Department of Nursing,b Department of Rehabilitation Medicine,The First Affiliated Hospital of University of Science and Technology of China,Hefei,Anhui 230001,China;
2. College of Nursing,Anhui University of Chinese Medicine,Hefei,Anhui 230022,China

Received:2023-12-15 Revised:2024-01-08 Published:2026-03-17

摘要/Abstract

摘要： 目的了解临床护士心理反应的现状,并分析其影响因素。方法 2022年5—9月,采用便利抽样法选取安徽省5个市6所三级甲等综合性医院的临床护士为调查对象,应用一般资料调查表、突发性公共卫生事件心理问卷、护士突发公共卫生事件应急能力量表、汉化版生命意义感量表和简体中文版感恩问卷进行问卷调查,并对数据进行分析。结果共纳入1 262名临床护士,其心理反应得分为（13.97±8.89）分。应急能力、生命意义感、年龄、值夜班岗情况、子女状况以及曾经历心理不适状态与否均是后疫情时代临床护士心理反应的主要影响因素（均P<0.05）,可解释总变异量的25.30%。结论临床护士心理反应处于轻度水平,管理者应积极采取策略提升临床护士应急能力,增强护士生命意义感和持续聚焦这两方面素质的引导和培养;同时重点关注中青年、值夜班岗多、养育子女及自我报告曾经历心理不适状态的护士群体,为其提供有效、长期、多元化的心理支持,以更好的提高其心理应对及健康水平。

关键词: 临床护士, 心理健康, 应急能力, 生命意义感

Abstract: Objective To understand the current situation of psychological reactions among clinical nurses and analyze its influencing factors. Methods From May to September 2022,a convenience sampling method was used to select clinical nurses from six grade-A tertiary comprehensive hospitals in five cities in Anhui Province as the survey subjects. The general information questionnaire,psychological questionnaires for emergent events of public health,nurse emergency capability scale for emergent events of public health,chinese version of meaning in life questionnaire and the Chinese version of gratitude questionnaire-6 were used to conduct the questionnaire survey,and the data were analyzed. Results A total of 1 262 clinical nurses were included,with a psychological reactions score of （13.97±8.89）points. Emergency capability,sense of meaning in life,age,night shift status,whether to raise children and whether they had experienced psychological discomfort were the main influencing factors of the psychological reactions of clinical nurses in the post-epidemic era（all P<0.05）,which could explain 25.30% of the total variation. Conclusion The psychological reactions of clinical nurses are at a mild level,and managers should actively take strategies to improve the emergency capability of clinical nurses,enhance the sense of meaning in life of nurses,and continuously focus on guiding and cultivating these two qualities. At the same time,special attention should be paid to the group of nurses who are young and middle-aged nurses,work more night shifts,raise children and self-reported psychological discomfort,so as to provide them with effective,long-term and diversified psychological support system to better improve their psychological coping and health levels.

Key words: Clinical nurses, Mental health, Emergency capacity, Meaning in life

中图分类号:

R395.6

陈霞, 赵方方, 汪澄, 陈静, 张慧, 全伊萍. 安徽省临床护士心理反应现状及影响因素分析. [J]职业与健康, 2024, 40(17): 2371-2376.

CHEN Xia, ZHAO Fangfang, WANG Cheng, CHEN Jing, ZHANG Hui, QUAN Yiping. Analysis on current status and influencing factors of psychological reactions of clinical nurses in Anhui Province. [J]OCCUPATION AND HEALTH, 2024, 40(17): 2371-2376.

参考文献

[1] HUANG C,WANG Y,LI X,et al.Clinical features of patients infected with 2019 novel coronavirus in Wuhan,China[J].Lancet,2020,395(10223):497-506.
[2] RILEY R D,ENSOR J,SNELL K I,et al.Calculating the sample size required for developing a clinical prediction model[J].BMJ,2020,368:m441.
[3] 高延,许明璋,杨玉凤,等.非典期间大学生应对方式及相关因素研究[J].中国医学伦理学,2004,17(2):60-63.
[4] 王冬叶,张万里,项少梅,等.温州市社区护士突发公共卫生事件应急能力调查分析[J].护理学杂志,2016,31(4):82-84.
[5] STEGER M F,FRAZIER P,OISHI S,et al.The meaning in life questionnaire:Assessing the presence of and search for meaning in life[J]. J Couns Psychol,2006,53(1):80-93.
[6] 刘思斯,甘怡群.生命意义感量表中文版在大学生群体中的信效度[J].中国心理卫生杂志,2010,24(6):478-482.
[7] MCCULLOUGH M E,EMMONS R A,TSANG J A.The grateful disposition:A conceptual and empirical topography[J].J Pers Soc Psychol,2002,82(1):112-127.
[8] 杨芳. 冠脉支架植入患者健康促进的感恩模型研究[D].上海:第二军医大学,2013.
[9] 宋邱惠,侯秀睿,程燕林.科研生活后勤保障与科研人员绩效行为关系[J].科学学研究,2022,40(12):2205-2215.
[10] FENG H L,QI X X,XIA C L,et al.Association between night shift and sleep quality and health among Chinese nurses:A cross-sectional study[J].J Nurs Manage,2021,29(7):2123-2131.
[11] FENG D,SU S,WANG L,et al.The protective role of self-esteem,perceived social support and job satisfaction against psychological distress among Chinese nurses[J].J Nurs Manage,2018,26(4):366-372.
[12] 云天奇,聂文博,王立生.护士突发公共卫生事件应急能力现状及干预策略的研究进展[J].现代临床护理,2020,19(11):68-74.
[13] 李红,古满平,杨旭红.综合医院护士重大传染病疫情应急能力及影响因素调查分析[J].护理学杂志,2021,36(4):58-61.
[14] ZHANG D,LIAO H,JIA Y,et al.Effect of virtual reality simulation training on the response capability of public health emergency reserve nurses in China:A quasiexperimental study[J].BMJ Open,2021,11(9):e048611.
[15] GLAW X,KABLE A,HAZELTON M,et al.Meaning in life and meaning of life in mental health care:An integrative literature review[J].Issues Ment Health,2017,38(3):243-252.