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[目的]探讨临床一线护理人员的心理健康状况和面对应激采取的应付方式。[方法]对1100名护理人员进行一般资料、症状自评量表(SCL-90)、应付方式3部分问卷调查,调查数据被检错后采用SPSS11.0统计软件包进行统计分析。[结果]SCL-90:恐怖因子分显著高于常模(P﹤0.001),精神病性因子分高于常模(P﹤0.05);应付方式:解决问题、求助、合理化、幻想、退避5个分量表分显著高于常模(P﹤0.001),自责分显著低于常模(P﹤0.001);相关性:SCL-90各项因子均分与解决问题分、求助分呈负相关,与自责分、幻想分、退避分、合理化分呈正相关。[结论]临床一线护士心理正常情况下多能采用积极的应付方式,但在一定心理不适情况下求助愿望偏低,易采用消极的应付方式。管理者应帮助护士减轻工作压力,鼓励护士采取积极的应对方式以促进身心健康。
[Objective] To explore the psychological health status of first-line clinical staff and the coping styles of facing the stress. [Method] 1100 nursing staffs were surveyed by SPSS11.0 statistical software package with general information, symptom self-rating scale (SCL-90) and coping style questionnaire survey. [Results] The SCL-90: terrorist score was significantly higher than that of the norm (P <0.001), and the psychotic factor score was higher than that of the norm (P <0.05); coping style: solving problems, seeking help, rationalization, The scores of SCL-90 were significantly higher than those of the norm (P <0.001), and the scores of self-blame were significantly lower than those of the norm (P <0.001) And self-blame points, fantasy points, retreat points, rationalization points were positively correlated. [Conclusion] The clinical first-line nurses are more likely to adopt positive coping styles under the normal psychology, but the desire to seek help is low with certain psychological discomfort, and it is easy to adopt the negative coping style. Managers should help nurses to reduce work stress and encourage nurses to adopt a positive coping style to promote physical and mental health.