陕西省4所中医院护士专业自我概念、自我表露与自我和谐现状及影响因素分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (22): 3088-3092.

陕西省4所中医院护士专业自我概念、自我表露与自我和谐现状及影响因素分析

高晓曦¹, 刘艳梅², 贺泉珍¹, 孙明珠¹, 程凡¹, 白聪聪¹

1.陕西中医药大学护理学院,陕西咸阳 712046;
2.陕西省中医医院针灸一病区,陕西西安 710003

收稿日期:2024-02-25 修回日期:2024-03-16 发布日期:2026-04-09
通信作者: 刘艳梅,主任护师,E-mail：1305999760@qq.com
作者简介:高晓曦,女,在读硕士研究生,研究方向为临床护理技能训练。

Analysis on status quo and influencing factors of professional self-concept,self-disclosure and self-harmony among nurses in 4 traditional Chinese medicine hospitals in Shaanxi Province

GAO Xiaoxi¹, LIU Yanmei², HE Quanzhen¹, SUN Mingzhu¹, CHENG Fan¹, BAI Congcong¹

1. School of Nursing,Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712046,China;
2 Department of Acupuncture and Moxibustion,Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi'an,Shaanxi 710003,China

Received:2024-02-25 Revised:2024-03-16 Published:2026-04-09
Contact: LIU Yanmei,Chief physician,E-mail:1305999760@qq.com

摘要/Abstract

摘要： 目的调查陕西省4所中医院护士专业自我概念、自我表露与自我和谐现状,并分析其影响因素。方法采用便利抽样法,于2023年3—8月选取陕西省4所中医院（陕西省中医医院、西安市中医医院、延安市中医医院、榆林市中医医院）不同科室的574名护士作为研究对象,选用一般资料调查表、专业自我概念量表（professional self-concept of nurses instrument,PSCNI）、痛苦表露指数量表（distress disclosure index,DDI）和自我和谐量表（self consistency and congruence,SCCS）进行调查,并对数据进行分析。结果 4所中医院护士专业自我概念总得分为（89.88±13.08）分,自我表露总得分为（39.90±6.38）分,自我和谐总得分为（109.40±13.99）分。专业自我概念与自我表露、自我和谐均呈正相关（r=0.453、0.232,均P<0.01）,自我表露与自我和谐呈正相关（r=0.492,P<0.01）。职称、平均月收入、专业自我概念均为陕西省4所中医院护士自我表露的主要影响因素（均P<0.05）。结论陕西省4所中医院护士自我表露处于中等水平,有待进一步提升。建议医院开展言语或团体表露交流活动,倾听护士的内心需求,解决护士的自身问题,拓展护士的发展空间,从而提高中医院护士的自我表露水平。

关键词: 中医院护士, 专业自我概念, 自我表露, 自我和谐

Abstract: Objective To investigate the status quo of professional self-concept,self-disclosure and self-harmony among nurses in 4 traditional Chinese medicine hospitals in Shaanxi Province and analyze the influencing factors. Methods A total of 574 nurses from different departments of 4 hospitals of traditional Chinese medicine in Shaanxi Province（Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi'an Hospital of Traditional Chinese Medicine,Yan'an Hospital of Traditional Chinese Medicine and Yulin Hospital of Traditional Chinese Medicine） were selected as the research objects by convenience sampling method from March to August 2023. General information questionnaire,professional self-concept of nurses instrument（PSCNI）,distress disclosure index（DDI） and self consistency and congruence（SCCS） were used to investigate,and the data were analyzed. Results The total scores of PSCNI,DDI and SCCS were （89.88±13.08）,（39.90±6.38） and （109.40±13.99）points,respectively. PSCNI was positively correlated with DDI and SCCS（r=0.453,0.232,both P<0.01）,and DDI was positively correlated with SCCS（r=0.492,P<0.01）. Professional title,average monthly income and PSCNI were the main influencing factors of self-disclosure of nurses in 4 traditional Chinese medicine hospitals（all P<0.05）. Conclusions The self-disclosure of nurses in 4 traditional Chinese medicine hospitals in Shaanxi Province is in the middle level and needs to be further improved. It is suggested that the hospital should increase verbal or group communication activities,listen to the inner needs of nurses,solve their own problems,and expand the development space of nurses,so as to improve the level of self-disclosure of nurses in hospitals of traditional Chinese medicine.

Key words: Nurses in tradition Chinese medicine hospital, Professional self-concep, Self-disclosure, Self-harmony

中图分类号:

R395.6

高晓曦, 刘艳梅, 贺泉珍, 孙明珠, 程凡, 白聪聪. 陕西省4所中医院护士专业自我概念、自我表露与自我和谐现状及影响因素分析. [J]职业与健康, 2024, 40(22): 3088-3092.

GAO Xiaoxi, LIU Yanmei, HE Quanzhen, SUN Mingzhu, CHENG Fan, BAI Congcong. Analysis on status quo and influencing factors of professional self-concept,self-disclosure and self-harmony among nurses in 4 traditional Chinese medicine hospitals in Shaanxi Province. [J]OCCUPATION AND HEALTH, 2024, 40(22): 3088-3092.

参考文献

[1] 金宗兰,陈萍萍,汪艳,等.叙事医学方式教学对护理学专业学生的专业自我概念和职业价值观的影响[J].中华医学教育杂志,2019,39(6):425-429.
[2] 杨明风. 规范化培训护士专业自我概念、道德勇气与共情疲劳的关系研究[D].济南:山东大学,2021.
[3] 张悦,戴艺,田莹,等.多民族高原地区低年资护士专业自我概念现状及影响因素分析[J].护理学报,2022,29(20):50-54.
[4] 张璟,王维利.医患沟通新视角:论自我表露的临床应用[J].医学与哲学,2013,34(4A):46-49.
[5] ROGERS C R.Some observations on the organization of personality[J].Am Psychol,1947,2(9):358-368.
[6] 乐国安,崔芳.当代大学新生自我概念特点研究[J].心理科学,1996, 19(4):240-242.
[7] 孙振球,徐勇勇.医学统计学[M].北京:人民卫生出版社,2016:573-575.
[8] ARTHUR D.Measurement of the professional self-concept of nurses:Developing a measurement instrument[J].Nurse Educ Today,1995,15(5):328-335.
[9] 李新民. 大学生成人依恋、自我表露与抑郁状态的关系研究[D].石家庄:河北师范大学,2009.
[10] 王登峰. 自我和谐量表的编制[J].中国临床心理学杂志,1994,2(1):19-22.
[11] 丁杏,邓淑霞,甘琳,等.临床护士职业尊重感在专业自我概念与职业应对自我效能间的中介作用[J].护士进修杂志,2023,38(17):1548-1553.
[12] 郑静,管玉香,张瑛,等.安徽省873名中医院护士长变革型领导力影响因素分析[J].护理学报,2023,30(7):16-19.
[13] 何卫芳,尹光文,王丽,等.自我表露在尖锐湿疣患者恐惧疾病进展和心理弹性的中介效应分析[J].中国皮肤性病学杂志,2023,37(10):1171-1174,1194.
[14] 刘增慧. 临床护士自我和谐与工作投入的相关性分析[J].中华现代护理杂志,2014,20(24):3118-3120.
[15] 蔡壮,邵静,许冬梅,等.精神专科医院男护士工作投入与反刍思维、自我和谐的相关性研究[J].中国卫生质量管理,2023,30(6):19-24.
[16] 何燕娴,余飞,徐琳,等.广东省20家综合医院不同性别护士职业获益感、心理资本和留职意愿的相关性研究[J].职业卫生与应急救援,2021,39(5):485-490.
[17] CROSBY R.Self-concept development[J].J Sch Health,1982,52(7):432-436.
[18] 同赟洁,刘艳梅,吕梅芬,等.陕西省某三级甲等医院临床护士体面劳动感现状及影响因素分析[J].职业与健康,2022,38(15):2054-2057,2061.
[19] ASHMORE R,BANKS D.Self-disclosure in adult and mental health nursing students[J].Br J Nurs,2002,11(3):172-177.
[20] 徐霞,伍莉,陈春燕,等.知觉压力现状及影响因素分析[J].职业与健康,2022,38(13):1773-1777.
[21] 和青森,曹珊,周雨洁.职业韧性在临床护士职场友谊与工作绩效间的中介作用[J].护理学杂志,2023,38(19):48-51.