獨生子女的心理探討

論文編號:HL240 論文字數:16245,頁數:31

論文題目：獨生子女護士的心理探討
摘　要
 研究背景：由于我國的特殊國情，近年來，我國青年護理隊伍中獨生子女比例在逐年增加，這是我國未來護理隊伍的典型趨勢，護理人員結構變化必將引起護士心理健康狀況的變化，從而直接影響護士所提供的護理質量及護理學科的發展。80年代開始，獨生子女心理特點、個性品質特點已成為心理學、教育學、醫學等學科的重要研究課題。
 目的：探討獨生子女護士工作壓力與心理健康水平的關系，識別影響獨生子女護士心理健康的主要因素，為維護當代護士心理健康提供可靠依據。
 方法：在河源市四家醫院的35歲以下護士中，采取方便抽樣的方法隨機選擇獨生子女護士106名，非獨生子女護士115名作為對照組。采用護士工作壓力量表和SCL一90癥狀自評量表進行問卷調查。
 結果：1）獨生子女護士工作壓力呈中等水平，獨生子女與非獨生子女護士比較在護理專業及工作方面、管理及人際關系方面有統計學差異。2）病人護理方面的問題、工作量及時間分配方面的問題、護理專業及工作方面的問題是獨生子女護士的主要壓力源。在護理專業及工作方面，病人護理方面是非獨生子女護士的主要壓力源。3）獨生子女護士與非獨生子女心理癥狀有一定差異，獨生子女護士心理健康各因子得分及總分高于非獨生子女護士，且獨生子女護士各項得分高于女性常模，差異均具有顯著性。非獨生子女護士心理健康總分及各因子得分均高于女性常模。4）獨生子女護士主要心理癥狀群表現在抑郁、強迫、人際關系敏感等方面。5）獨生子女護士在管理及人際關系方面條目的得分分析，得分最高的依次是：缺乏其他衛生工作人員的理解及尊重、護理管理者的批評過多、護理管理者的理解與支持不夠、醫生對護理工作過分挑剔。
 結論：獨生子女護士存在較為嚴重的心理問題，嚴重影響獨生子女護士所提供的護理質量。提示當代護理管理者要重視獨生子女護士這一特殊群體的心理健康問題，給予有效的心理干預措施，維護當代護士心理健康，保證護理質量。
 
 關 鍵 詞：獨生子女護士；工作壓力；心理健康
 
 研究類型：調查性研究
 
Title: Nurses of child psychology
ABSTRACT
Background:
 As China's special conditions, in recent years, China's young people nursing teams in the one-child ratio increased year by year, which is typical of China's future trends in care team, nurses structural change is bound to cause changes in mental health nurses, thereby directly affect the quality of care provided by nurses and nursing disciplines. 80 years since the one-child psychological characteristics, features of personality traits has become a psychological, pedagogical, medical and other subjects important research topic in.
Objective:
 Explore the pressure of the one-child nurses, and mental health of the relationship, identify impact of child mental health nurses, the main factor for the maintenance of contemporary mental health nurses to provide a reliable basis for.
Method:
 In a city four hospital nurses under the age of 35, select all of the one-child nurses, 106, 115 randomly selected non-child nurses in the study. Nurse Stress Scale and the use of an SCL SCL-90 questionnaire. Statistical analysis: respectively u test, Pearson correlation, variance analysis, the groups said the data are x ± s.
Results:
 One-child star intermediate level of work stress of nurses, child nurses, the main source of stress is the workload distribution of timely question, patient care issues. The one-child nurses, marriage, educational background and some aspects of job stress was positively correlated. Child mental health nurses were lower than the norm of women, lower than the non-child nurses, child nurses, the main psychological syndrome manifested in depression, compulsion, interpersonal sensitivity and so on. The one-child nursing job stressors and mental health were significantly positively correlated, in which the correlation coefficient is the biggest management and interpersonal aspects. Management and interpersonal skills, with the highest scores in order, are: absence of other health workers in understanding and respect, care and excessive criticism of managers, care managers lack the understanding and support.
Conclusion:
 Source of stress affecting the work of child mental health nurses is an important factor, mainly in management and interpersonal aspects of the nursing profession and work issues, patient care issues. Child mental health nurses is lower than the general population, compared with non-significant difference between the one-child nurses, the most prominent of depression, compulsion, anxiety and other psychological symptoms. The one-child nurses, there is a more serious psychological problems, serious impact on child quality of care provided by nurses. Tip of contemporary nursing administrators should pay attention to this special group of nurses in child mental health problems, providing them with effective psychological intervention measures to protect the contemporary mental health nurses to ensure the quality of care.
 KEY WORDS：One-child nurses; working pressure; Mental Health
 Study type: Survey Research

 
目  錄
1 緒論 1
1.1 背景及意義 1
1.2目的 1
1.3關鍵詞及定義 1
1.4 文獻回顧 2
2 研究設計 4
2.1研究設計 4
2.2研究對象 4
2.3研究工具 4
2.3.1工作壓力源量表 4
2.3.2 SCL—90(癥狀自評量表) 4
2.4研究步驟 4
2.5統計分析 5
3 研究結果 6
3.1 一般資料 6
3.2 工作壓力源 6
3.2.1獨生子女護士與非獨生子女護士工作壓力源得分比較：表l 6
3.2.2獨生子女護士工作壓力源前15位評分：見(表2) 6
3.3 SCL一90測評結果 7
3.3.1獨生子女護士、非獨生子女護士與中國正常成人女性常模SCL一90各因子分比較：見表3 7
3.3.2頻數分析 7
3.4 相關性研究 8
3.4.1 獨生子女護士科室、年齡、學歷、婚否等與工作壓力之間的相關性 8
3.4.2獨生子女護士年齡、學歷、婚否等與SCL90各因子之間的相關性 8
3.4.3獨生子女護士工作壓力源與SCL90各因子之間的相關性：見表7 9
4 討論 10
4.1 護理工作壓力水平及壓力源 10
4.2 獨生予女護士的心理健康水平 10
 4.3影響獨生子女護士工作壓力相關因素分析……………………………………...11
5 推論及建議 13
5.1結論 13
5.2建議 13
5.3本研究局限性及展望 13
致    謝 14
參考文獻 15
附 錄 17
附錄1  工作壓力量表 17
附錄2  綜合評定、癥狀自評量表 19