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目的：了解某中西医结合医院护士的心理健康状况,及其对同事支持的认知情况,探讨同事支持对护士心理健康的影响。方法采用一般情况调查问卷、症状自评量表( SCL-90)、同事支持量表,对浙江省杭州市某三级甲等中西医结合医院的331名护士进行调查。结果中西医结合医院护士SCL-90总分及9个因子得分均高于全国常模,差异有统计学意义(P<0.01)。量表显示得分最高的是强迫得分为(2.07±0.84)分、抑郁得分为(1.91±0.81)分、躯体化得分为(1.85±0.74)分。已婚与未婚的护士躯体化、强迫、偏执得分差异均有统计学意义(t值分别为2.592,2.066,2.388；P<0.05)；不同教育程度的护士抑郁、敌对、偏执、精神病性得分差异均有统计学意义( t值分别为2.162,2.677,2.099,1．970；P<0.05)；不同工龄的护士SCL-90总得分、躯体化、强迫、抑郁、敌对、偏执、精神病性得分差异均有统计学意义(F值分别为3.723,3.613,4.137,5.504,4.370,4.513,4.149；P<0.05)。逐步多元线性回归分析显示,某中西医结合医院护士躯体化、焦虑、敌对、恐怖、偏执心理状态与护士长支持有相关性(β′=0.142~0.193,P<0.05)；强迫症状、人际关系、抑郁、精神病性心理状态与意识提升有相关性(β′=0.128~0.241,P<0.05)。结论完善同事支持系统,提高护士长及同事支持水平,对改善护士的心理健康非常重要。

Objective To probe to the psychological health status among nurses and the recognition of their colleague′s support, explore colleague′s support impacting on nurse′s psychological health. Methods We investigated 331 nurses in a certain Grade III Class A hospital of integrated traditional and Western Medicine in Hangzhou, Zhejiang Province by questionnaire surveys. The questionnaire included general information, symptom checklist, colleague′s support scale. Results The total score and nine factors scores in symptom checklist were obviously higher than nationwide normal model, and there was statistical significance between them (P<0. 01). The rating scales indicated that the top score was the average score of coercion (2. 07 ± 0. 84), depression (1. 91 ± 0. 81) and dramatization (1. 85 ± 0. 74). There were differences between the married and unmarried nurses in the average score of somatization, coercion and intolerance(t=2. 592,2. 066, 2. 388, respectively;P<0. 05). There were different in nurses with different educational background impacting on the average scores of depression, hostility, intolerance and psychosis ( t =2. 162,2. 677,2. 099,1. 970, respectively;P<0. 05 ) . The nurses with different length of work experience had different the average of total score and the scores of somatization, coercion, depression, hostility, intolerance and psychosis ( F =3. 723, 3. 613,4. 137,5. 504,4. 370,4. 513,4. 149,respectively;P <0. 05). Stepwise multivariate linear regression analysis indicated that there were significant correlation between dramatization, anxiety, hostility, terrorist, Paranoid psychological state and head nurse support (β′=0. 142-0. 193;P<0. 05), and there were significant correlation between coercion, interpersonal relationships, depression, psychosis and consciousness raising (β′ =0. 128-0. 241;P<0. 05). Conclusions It is very important to perfect the colleague′s support system, raise head nurse support and colleague support level for improving the mental heath of nurses.