Psychological resilience of ICU nurses in three grade general hospital and its influencing factors
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摘要: 目的 探讨三级综合医院重症监护室(ICU)护士的心理弹性状况及其相关影响因素,为ICU护士心理干预提供依据。 方法 2017年1-3月应用Connor-Davidson心理弹性量表对海南省三级综合医院的1 082名ICU护士进行心理弹性调查,并采用多元Logistic回归分析其影响因素。 结果 ICU护士心理弹性平均得分为(57.61±14.16)分,明显低于国内常模(65.4±13.9)分,差异有统计学意义(P<0.01);相关分析显示,心理弹性及其3个维度评分与ICU护士的学历、工作年限和夜班状况均呈正相关(均P<0.05);不同性别、学历、职称、工作年限、夜班状况、用工性质、职场暴力经历、职场紧张感的ICU护士心理弹性得分比较差异均有统计学意义(均P<0.05);多元Logistic回归分析结果显示,学历、工作年限、夜班状况是影响ICU护士心理弹性的主要因素[OR(95%CI)=1.928(1.214~3.013),1.627(1.085~2.683),2.064(1.542~3.117)];ROC曲线评价Logistic回归模型效果,其AUC(95%CI)为0.924(0.875~0.996)。 结论 ICU护士心理弹性水平较低,影响其心理弹性的因素较多,护理管理者应根据相应的影响因素进行干预,以改善ICU护士的心理状况。Abstract: Objective To explore the psychological resilience of nurses in intensive care unit (ICU) in three grade general hospital and its related influencing factors, so as to provide evidence for psychological intervention of ICU nurses. Methods Connor-Davidson psychological scale was used to investigate the psychological elasticity of 1 082 ICU nurses in three general hospitals in Hainan Province from January, 2017 to March, 2017, and the influencing factors were analyzed by multiple Logistic regression. Results The average score of resilience of ICU nurses (57.61±14.16) was significantly lower than that of the national norm (65.4±13.9), and the difference was statistically significant (P<0.01). Correlation analysis showed that resilience and its 3 dimension scores were positively related to ICU nurses' educational background, working years and night shift (P<0.05). There were significant differences in psychological resilience scores of ICU nurses between different gender, educational background, professional title, working years, night shift status, employment characteristics, workplace violence experience, and workplace tension (P<0.05). Multivariate Logistic regression showed that educational background, working years and night shift were the main factors influencing the resilience of ICU nurses[OR=1.928, 95%CI:1.214-3.013; OR=1.627, 95%CI:1.085-2.683; OR=2.064, 95%CI:1.542-3.117]. ROC curve was used to evaluate the effect of logistic regression model, and its AUC (95%CI) was 0.924 (0.875-0.996). Conclusion The psychological resilience of ICU nurses is low, and there are many factors affecting their resilience. The nursing managers should intervene according to the corresponding factors so as to improve the psychological status of ICU nurses.
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Key words:
- Three grade general hospital /
- ICU /
- Nurses /
- Resilience /
- Status investigation /
- Influencing factors
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