经历工作场所暴力的精神科护理人员创伤后成长 特点及影响因素分析
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国家自然科学基金项目(81371494)


Analysis of post-traumatic growth characteristics and influencing factors of psychiatric nurses who experienced violence in the workplace
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    摘要:

    目的 调查经历工作场所暴力的精神科护理人员创伤后成长特点,并分析其影响因素。 方法 采用一般资料调查表、创伤后成长量表、护士自我效能感量表对2020 年5—8 月河南省三所医院 近3 个月经历工作场所暴力的精神科护理人员进行问卷调查。结果 共50 名近3 个月经历工作场所暴 力的精神科护理人员参与本研究,创伤后成长总分为(55.24±21.95)分;各维度得分中,与他人关系为 (7.44±3.27)分,人生感悟为(19.54±7.46)分,个人力量为(9.30±4.17)分,自我转变为(10.20±3.39)分, 新的可能性为(8.76±3.65)分;护士自我效能感量表得分为(23.14±7.43)分。多元线性回归分析结果显 示,自我效能、工作年限、职称为经历工作场所暴力的精神科护理人员创伤后成长的影响因素(R2=0.845, F=39.007,P< 0.001),可解释总变异的84.50%。结论 经历工作场所暴力的精神科护理人员创伤后成 长处于中等水平;提高护士自我效能可以提高创伤后成长水平,工作年限长和高职称的护理人员创伤 早期(3 个月内)创伤后成长水平较高。护理管理者应采取多种措施提高护理人员创伤后成长水平,帮助 护理人员从创伤中康复。

    Abstract:

    Objective To investigate the characteristics of post-traumatic growth in psychiatric nurses who experienced violence in the workplace and analyze its influencing factors. Methods A questionnaire survey was conducted among psychiatric nurses who experienced workplace violence in three hospitals in He'nan Province from May to August in 2020. General information questionnaire, post traumatic growth scale, nurses' self-efficacy scale were applied in the investigation. Results A total of 50 psychiatric care workers who had experienced workplace violence in the last three months participated in the survey. The total score of post-traumatic growth was( 55.24±21.95). The scores of each dimension are as follow: relationship with others (7.44±3.27), life perception( 19.54±7.46), personal strength( 9.30±4.17), self-transformation( 10.20±3.39), new possibility( 8.76±3.65). The score of nurses' self-efficacy scale was( 23.14±7.43). The results of multiple linear regression analysis showed that self-efficacy, working years and professional title were the influencing factors for the post-traumatic growth of the psychiatric nurses who had experienced workplace violence( R2=0.845, F=39.007,P < 0.001), which accounted for 84.50% of the total variation. Conclusions The post-traumatic growth of psychiatric nurses who experienced workplace violence was at the middle level. Improving nurses' selfefficacy can promote post-traumatic growth. The level of post-traumatic growth of nurses with long working years and high professional titles was higher in the early stage of trauma( within 3 months). Nursing managers should take various measures to improve the post-traumatic growth of nursing staff and help them recover from the trauma.

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张华 董蕾 尚培培 关晨阳 李恒芬.经历工作场所暴力的精神科护理人员创伤后成长 特点及影响因素分析[J].神经疾病与精神卫生,2021,21(5):
DOI :10.3969/j. issn.1009-6574.2021.05.009.

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  • 在线发布日期: 2021-06-02