癌症患者自杀事件影响肿瘤科护士心理应激状况的调查分析

摘要

Objective To investigate how patients′ suicide events affects the nurses psychologically ,and seeking for the proper intervention when it happens .Methods Using the Zung self‐evaluating forms (SAS)and self‐made questionnaire to investi‐gate 41 oncology nurse and analyze the data .Results Three days after the patients′ suicide events ,the nurses′ SAS score was (63 .30 ± 9 .21) ,which was prominently different from the average score of nurses who did not face incidents like this (P< 0 .05) ;during the following four weeks ,the nurses′ working state and personal life experience was hugely influenced ,experience of mental stress were severe .Conclusion The management should realize that the impact ,which was caused by these incidents that the pa‐tients committed suicide ,would render psychological damage to the nurses .Therefore ,it is necessary to build up an intervention sys‐tem to prevent the nurses from suffering psychological problems .%目的：调查肿瘤患者自杀事件对病区护士的心理影响，探讨有针对性的干预措施。方法采用 Zung 氏焦虑自评量表（SAS）和自制的问卷调查表对肿瘤科41名护士进行调查，对所得数据进行分析。结果患者自杀事件发生后的前3 d ，肿瘤科直接面对自杀事件的护士 SAS 评分为（63．30±9．21）分，与国内健康人群常模及国内护士常模 SAS 均分比较差异有统计学意义（P＜0．05）；自杀事件发生后的4周内，护士群体的个人生活和工作状态受到明显影响，精神应激体验严重。结论护理管理层应充分认识自杀事件发生对一线护士可能造成的心理影响，建立针对性强的心理干预机制，尽早对护士（特别是直接面对自杀事件的护士）实施心理干预，使护士身心处于最佳状态，保证护理队伍的稳定性。