护理人员心理健康、社会支持、积极心理健康品质三者关系研究

发布时间：2018-08-14 18:52

【摘要】：目的本研究通过调查辽宁省锦州市三甲医院护理人员心理健康现状、社会支持水平现状及积极心理健康品质现状,探讨护理人员心理健康、社会支持、积极心理健康品质三者之间的关系,找出护理人员心理健康的影响因素,为提高护理人员心理健康水平提供理论参考。方法采用便利抽样方法,于2015年6月~2016年12月,选取辽宁省锦州市三所三甲医院护理人员进行问卷调查。通过使用护理人员一般调查表、心理健康评估量表、领悟社会支持量表、心理弹性量表、自我效能调查表以及简易应对方式调查表对三甲医院护理人员一般资料、心理健康水平、心理弹性水平、社会支持水平、自我效能水平及应对方式情况进行问卷调查。人口学特征在护理人员心理健康、社会支持、心理弹性、自我效能以及应对方式方面差异应用单因素方差分析;护理人员心理弹性、自我效能、应对方式、社会支持与心理健康之间关系应用Pearson相关分析;护理人员心理健康的影响因素分析使用多元逐步回归分析。结果1、护理人员年龄范围为(20~55)岁,平均年龄(35.5±6.0)岁;在婚护理人员420例,非在婚护理人员300例。2、锦州市三甲医院护理人员心理健康平均得分为(15.2±7.9)分;护理人员社会支持平均得分为(66.6±10.3)分;护理人员心理弹性平均得分为(60.1±17.1)分;护理人员自我效能平均得分为(47.7±12.3)分;护理人员积极应对平均得分为(34.2±10.5)分;护理人员消极应对方式平均得分为(18.2±10.5)分。3、护理人员的年龄、学历能够影响护理人员的心理健康水平,其他人口学特征对于护理人员心理健康影响无统计学意义(P0.05)。护理人员心理健康水平与护理人员自我效能水平、心理弹性水平、社会支持水平、积极应对方式等呈正向相关关系,与护理人员消极应对方式呈负向相关关系。年龄、学历、社会支持、积极心理健康品质是心理健康水平的影响因素。4、在控制变量年龄、学历情况,积极心理健康品质对心理健康的预测作用由0.023升至0.375;在社会支持时,积极心理健康品质对心理健康总分的预测作用由0.375升至0.678。结论1、锦州市三甲医院护理人员心理健康水平处于中等水平,但是低于正常人群心理健康水平。2、护理人员的年龄、学历能够影响护理人员的心理健康水平,其他人口学特征对于护理人员心理健康影响无统计学意义。3、护理人员心理健康水平与护理人员自我效能水平、心理弹性水平、社会支持水平、积极应对方式等呈正向相关关系,与护理人员消极应对方式呈负向相关关系。同时护理人员社会支持、积极心理健康品质可以影响护理人员心理健康水平。4、社会支持、积极心理健康品质可以解释心理健康变异的67.8%。
[Abstract]:Objective to investigate the mental health status, social support level and positive mental health quality of nurses in the third Class A Hospital of Jinzhou City, Liaoning Province, and to explore the psychological health and social support of nurses. To find out the influencing factors of mental health of nurses and to provide theoretical reference for improving the level of mental health of nursing staff. Methods from June 2015 to December 2016, the nursing staff of three third Class A hospitals in Jinzhou City, Liaoning Province, were investigated by convenient sampling method. The general data of nurses in the third Class A Hospital were analyzed by using the general questionnaire of nursing staff, mental health assessment scale, perceived social support scale, psychological elasticity scale, self-efficacy questionnaire and simple coping style questionnaire. Mental health, resilience, social support, self-efficacy and coping style were investigated. Demographic characteristics of nurses in mental health, social support, psychological resilience, self-efficacy and coping style differences in the use of one-way variance analysis of variance, nursing staff resilience, self-efficacy, coping style, The relationship between social support and mental health was analyzed by Pearson and the influencing factors of mental health of nursing staff were analyzed by multiple stepwise regression analysis. Results 1, the age range of nursing staff was (20 ~ 55) years old, the average age was (35.5 卤6.0) years, the average score of mental health was (15.2 卤7.9) in 420 married nurses and 300 non-marital nurses. The average score of social support was (66.6 卤10.3), the average score of psychological elasticity was (60.1 卤17.1), the average score of self-efficacy was (47.7 卤12.3), the average score of positive coping was (34.2 卤10.5). The average score of negative coping style of nursing staff was (18.2 卤10.5) score .The age and educational background of nursing staff could affect the mental health level of nursing staff, while other demographic characteristics had no statistical significance on the mental health of nursing staff (P0.05). The level of mental health of nursing staff was positively correlated with the level of self-efficacy, psychological elasticity, social support and positive coping style, and negatively correlated with the negative coping style of nursing staff. Age, education, social support and positive mental health quality are the influencing factors of mental health level. The predictive effect of age, educational background and positive mental health quality on mental health is increased from 0.023 to 0.375 in social support. The predictive effect of positive mental health quality on the total score of mental health increased from 0.375 to 0.678. Conclusion 1. The mental health level of nurses in the third Class A Hospital of Jinzhou City is in the middle level, but lower than that of the normal population. The age and educational background of the nursing staff can affect the mental health level of the nurses. Other demographic characteristics had no significant effect on the mental health of nursing staff. There was a positive correlation between the mental health level of nursing staff and nursing staff self-efficacy level, resilience level, social support level, positive coping style and so on. There was a negative correlation between negative coping style and nursing staff. At the same time, the social support of nursing staff, positive mental health quality can affect the mental health level of nursing staff. 4. Social support, positive mental health quality can explain the variation of mental health 67.8%.
【学位授予单位】：锦州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

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