手術(shù)室護(hù)士身心健康現(xiàn)狀及其影響因素的分析

論文編號:HL077  論文字?jǐn)?shù):14736.頁數(shù):20

論文題目：了解手術(shù)室護(hù)士身心健康現(xiàn)狀及其影響因素
摘    要
 目的：由于手術(shù)室工作量大,任務(wù)重,隨機(jī)性強(qiáng),對護(hù)士的要求高。因此，手術(shù)室護(hù)士承擔(dān)著較大的工作負(fù)擔(dān)和心理壓力，長期處于身心疲憊的“亞健康”狀態(tài),影響其自身的生活質(zhì)量和醫(yī)療服務(wù)質(zhì)量。所以分析影響手術(shù)室護(hù)士身心健康的因素，并制定相應(yīng)的對策有極大的現(xiàn)實意義。   
 方法：調(diào)查了本地3所醫(yī)院共70名護(hù)士。手術(shù)室護(hù)士發(fā)卷35份，回收32份，有效問卷32份，占91.4%。其他科室護(hù)士發(fā)卷35份，回收33份，有效問卷33份，占94.3%。采用臨床癥狀自評量表(SCL-90)[1]含90個項目，分“0~4”5級評分。包括軀體化、強(qiáng)迫癥狀、人際關(guān)系敏感、憂郁、焦慮、敵對、恐怖、偏執(zhí)、精神病性及其他10大類[1]，每1類反映答卷者某一方面的情況。
 結(jié)果：
 手術(shù)室護(hù)士與其他科室護(hù)士在總分、軀體化、強(qiáng)迫癥狀、人際關(guān)系敏感、憂郁、焦慮、敵對、恐怖方面的比較均采用t檢驗，2組間差異均有非常顯著性(P<0.01)。2組護(hù)士均有涉及身體主要器官的多種疾病,主要表現(xiàn)為下肢靜脈曲張、神經(jīng)衰弱、經(jīng)前期緊張綜合癥。2組間比較用X²檢驗，手術(shù)室護(hù)士與其他科室護(hù)士相比，差異有顯著性(P<0.05)。
 結(jié)論：應(yīng)重視手術(shù)室護(hù)士身心健康的維護(hù)，加強(qiáng)防護(hù)提高手術(shù)室護(hù)士的生活質(zhì)量和工作質(zhì)量。
 關(guān) 鍵 詞： 手術(shù)室；身心健康；軀體化癥狀；SCL-90
   論文類型：調(diào)查研究   

Abstract
Objective
 Due to the operating room workload is big， strong randomicity， task，to the high requirements. Therefore，the operating room nurse to undertake the bigger burden and psychological pressure，in the long run，the exhaustion of body and mind "and health" condition， influence the quality of life of its own and medical service quality. So of analysis on the physical and mental health of the operating room nurses，and make corresponding factors of is of great realistic significance countermeasures.
Methods
 The local 3 hospital survey of 70 nurses. The operating room nurse hair roll of 35, recycling of 32, effective questionnaire and a, accounted for 91.4%. Other departments nurse hair roll a recovery of 33, 35, the effective questionnaire was 33 a, accounted for 94.3%. The clinical symptoms since the rating scale (SCL-90) [1] of 90 projects, points "0 ~ 4" grade 5 rating. Including the body, forced symptoms, sensitive interpersonal relationship, depression, anxiety, hostile, terror, paranoid, psychoticism and other 10 categories [1], each class 1 reflect a hand.
Results
 The operating room nurse and other departments in the total score, the nurse body, forced symptoms, sensitive interpersonal relationship, depression, anxiety, hostility and terrorist compare all use t-test, differences between the two groups are very significant (P < 0.01). The 2 groups were involved in the main body nurse DuoZhong organs of the disease, mainly for the varix, neurasthenia, premenstrual tension syndrome. The 2 groups compared with X ² inspection and operating rooms, the nurse and other departments, compared to the nurse greup (P < 0.05).
Conclusion
 Should attach importance to the operating room nurse health of body and mind, strengthen the maintenance of protective improve operating room nurse quality of life and the quality of the work.
 Key words: Operation; The physical and mental health; The body symptoms; SCL-90
Paper type: study
目  錄
緒論 ………………………………………………………………………………… 7
背景和意義………………………………………………………………… 8
1．2研究目的及目標(biāo)…………………………………………………………… 8
1．3關(guān)鍵詞及定義 ……………………………………………………………  8
   1.3.1手術(shù)室………………………………………………………………… 8
 1.3.2身心健康………………………………………………………………  8
 1.3.3軀體化癥狀……………………………………………………………  9
 1.3.4 SCL-90…………………………………………………………………  9
     1．4文獻(xiàn)回顧…………………………………………………………………… 9
 1.4.1手術(shù)室護(hù)士職業(yè)壓力源……………………………………………… 9
 1.4.2手術(shù)室護(hù)士職業(yè)壓力源的產(chǎn)生原因………………………………… 10
 1.4.3職業(yè)壓力源對手術(shù)室護(hù)士的影響…………………………………… 11
 1.4.4過高的壓力對團(tuán)體的影響…………………………………………… 11
2   研究方法 ………………………………………………………………………… 14
        2.1 研究設(shè)計…………………………………………………………………… 14
        2.2研究對象……………………………………………………………………  14
            2．2．1納入標(biāo)準(zhǔn)……………………………………………………… … 14
            2．2．2排除標(biāo)準(zhǔn)……………………………………………………… … 15
        2.3研究工具/方法……………………………………………………………… 15 
        2.4研究步驟………………………………………………………………………16
        2.5統(tǒng)計學(xué)分析方法………………………………………………………………16
3    研究結(jié)果  ……………………………………………………………………… 16
        3.1一般資料………………………………………………………………………16
        3.2影響手術(shù)室護(hù)士身心健康因素………………………………………………16
        3.3臨床癥狀自評量表總分、因子統(tǒng)計…………………………………………17
        3.4 2組護(hù)士所患疾病情況………………………………………………………17
4    討論 ……………………………………………………………………………… 17
        4.1影響因素………………………………………………………………………17
           4.1.1心理因素 ………………………………………………………………17
           4.1.2工作性質(zhì)因素 …………………………………………………………17
           4.1.3接觸性危害因素 ………………………………………………………18
           4.1.4環(huán)境因素……………………………………………………………… 18
        4.2防范措施………………………………………………………………………19
 5    推論及建議…………………………………………………………… ……… 20
         5.1推論 …………………………………………………………………… ……20
         5.2建議……………………………………………………………………………20
 參考文獻(xiàn) ………………………………………………………………………… 21
問卷………………………………………………………………………………… …22