急診科護士心里壓力分析及對策

論文編號:HL146  論文字數:14291.頁數:25

論文題目：急診護士壓力分析及對策
摘　要
 
 目的：急診護士壓力分析及對策的研究主要目的在于探討急診護士了解急診護士工作壓力及心理壓力產生的原因, 評估急診科護士工作壓力及心理健康程度，描述急診科護士壓力狀況及不同壓力源類型，并對產生壓力的原因進行分析，分析急診科護士心理健康程度與急診科護士心理壓力的相關性，提出緩解急診護士壓力的建議。
 方法：急診護士壓力分析及對策為描述性研究，采用急診室護士SCL-90各因子與中國成人常模作比較和護士工作壓力源量表，采用問卷調查的方法,對天津市三所三級綜合醫院不同年齡、不同職稱、不同學歷的107名急診科護士進行調查。   
 結果：急診護士SCL-90各因子分值與健康成人（P＜0.05）無顯著性差異，表明急診護士心理健康水平正常。但急診護士工作壓力狀況顯示，79.2%的急診護士感到壓力較大或很大,工作疲潰感，其中30-39歲年齡段急診護士心理壓力最大，40-49歲年齡段急診護士心理壓力相對較小。導致她們心理壓力的原因主要為: 擔心出現護理糾紛和差錯事故；工作責任重、勞動強度大；多種有害因子；知識技能壓力；工作環境的復雜特殊性；精神極度緊張；護患溝通的復雜性；缺乏社會支持和管理層的重視。結論：通過對107名急診科護士心理健康狀況及工作壓力調查，分析出急診科護士心理健康狀況良好，但在工作方面存在一定的壓力, 急診科護士是搶救患者的直接執行者,時間就是生命,在最短的時間內,以最快的速度,最熟練的搶救措施配合醫生搶救患者生命。高強度工作壓力會使護士產生工作疲勞,感覺緊張憂郁，應積極采取應對措施,減輕急診科護士的心理壓力。
 關 鍵 詞：急診科；護士；工作壓力；心理壓力；對策
 論文類型：研究報告
 
 
 
 Title: Emergency nurses analysis and Countermeasures
 
 ABSTRACT
 
 Objective: emergency nurses analysis and countermeasures research aims to explore the emergency nurses' understanding of emergency nurses' working pressure and psychological pressure causes, assessment of emergency department nurses work pressure and mental health of nurses in emergency department, to describe the stress status and different pressure source type, and the cause of stress analysis, analysis of emergency department nurses the extent of mental health of nurses in emergency department and psychological stress of nurses in emergency department, put forward to alleviate pressure recommendations.
 Methods: emergency nurses' stress analysis and Countermeasure for descriptive study, using emergency room nurse SCL-90 each factor and Chinese adult often die for comparison and nurse job stressors scale, using the method of questionnaire survey in Tianjin city, three general hospitals of different age, different titles in different degree, the 116 operation room nurses investigation.
 Results: the emergency nurse SCL-90 each factor score and adult health ( P < 0.05 ) without significant differences, showed normal levels of mental health of nurses in emergency department. But the emergency nurses' working pressure status display, 79.2% emergency nurses feel the pressure of large or great, job burnout, which 30-39 age of emergency nurses' mental stress maximum, 40-49 age of emergency nurses' mental stress is relatively small. Because of their psychological pressure of the main reasons is: fear of nursing disputes and mistakes and accidents; working responsibility heavy, large labor intensity; a variety of harmful factor; knowledge and skills; work environment complicated particularity; spirit is exceeding and nervous; nurse-patient communication complexity; lack of social support and management attention.
 Conclusion: according to the 107 emergency nurses mental health status and work pressure survey, analysis of the psychological health state of emergency nurses in the work is good, but there exist certain pressure, emergency nurses is rescuing a patient with the direct executant, time is life, in the shortest possible time, the fastest speed, the most skilled rescue measures with the doctors rescue patients life. Work pressure will make nurses feel nervous fatigue, depression, should be adopted actively answer measure, reduce emergency department nurses' mental stress.
 Off key words: emergency department; nurse; job stress; psychological stress; countermeasure
 TYPE OF THESIS:Applied Research

目  錄
1 緒論 1
1.1 背景及意義 1
1.2 研究目的及目標 2
 1.3 關鍵詞及定義………………………………………………………………………2
 1.4 文獻回顧……………………………………………………………………………3
 1.4.1 急診科護士工作壓力及心理壓力現狀…………………………………….3
 1.4.2 急診科護士壓力源………………………………………………………….4
2 研究方法 7
2.1 研究設計 7
2.2 研究對象 7
 2.3 研究工具/方法……………………………………………………………...………7
 2.4 研究步驟……………………………………………………………………………7
 2.5 統計學分析方法……………………………………………………………………8
3 研究結果 9
3.1 一般資料 9
 3.2. 急診科護士心理健康水平 9
4 討論 11
4.1 急診科護士心理健康程度 11
 4.2. 急診科護士壓力狀況 11
 4.2.1  護理專業及工作方面……………………………… ……………… ….. 11
 4.2.2  工作量及時間分配問題………………………………………………… 11
 4.2.3  環境及資源方面的問題…………………………………………… ……12
 4.2.4  患者護理方面的問題…………………………………………………… 12
 4.2.5  管理及人際關系方面的問題…………………………………………….12
5 推論及建議 13
5.1 推論 13
 5.2 建議
 5.2.1 疏導情緒…………………………… ……………………………………..13
 5.2.2 強化急診科護士執業意識和技能教育…………………………………...13
5.2.3 提高自身保護意識…………………………………...................................13
5.2.4 改善人際關系培養良好的心里素質 14
 5.2.5 護理管理者的支持 14    
致    謝 15
參考文獻 17
附    錄 19