赵建君

[摘要] 目的 了解具备人文关怀能力的老年科护士心理健康变化情况。 方法 选择成都医学院第一附属医院117名女性护士进行研究，将22名老年医学科护士作为试验组，推行人文关怀服务（2016年6月起）；其余护士作为对照组，不进行任何干预。采用症状自评量表（SCL-90）和简易应对方式问卷（SCSQ）先后于2016年5、11月对两组护士进行评价。 结果 人文关怀实施前，两组各项评分比较，差异无统计学意义（P > 0.05）。人文关怀实施后，试验组SCL-90中躯体化、抑郁、焦虑评分和SCSQ评分降低（P < 0.05），且低于同期对照组，差异有统计学意义（P < 0.05）。 结论 具备人文关怀能力的护士可以较好地改善护患关系，从工作中获得成就感和愉悦心情，有助于缓解其工作压力，提升心理健康水平。

[关键词] 老年护理；人文关怀；心理健康

[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）06（a）-0178-03

Influence of humanistic solicitude on the mental health of nurses in geriatrics

ZHAO Jianjun

Department of Geriatrics， the First Affiliated Hospital of Chengdu Medical College， Sichuan Province， Chengdu 610500， China

[Abstract] Objective To understand the mental health of nurses with humanistic care ability. Methods 117 female nurses from the First Affiliated Hospital of Chengdu Medical College were selected. The nurses from Department of Geriatrics （22 cases） were divided into treatment group， which were received humane care service （from June 2016）. And the nurses from other departments （95 cases） were divided into control group， which were received no intervention. SCL-90 and SCSQ were respectively used to evaluate the nurses in the two groups in May 2016 and November 2016. Results Before intervention， the scores of SCL-90 and SCSQ in the two groups had no difference （P > 0.05）. After Intervention， the scores of somatization， depression and anxiety of SCL-90 and SCSQ in the treatment group were decreased （P <0.05）； and those scores of the treatment group were lower than those in the control group after intervention， with statistically significant difference （P < 0.05）. Conclusion Nurses with humanistic care can improve the nurse-patient relationship， obtain a sense of accomplishment and happiness from the work， which can contribute to alleviate the work of nurses pressure and promote their mental health.

[Key words] Elderly care； Humanistic care； Mental health

老年人的病情相对复杂，加之老年人身体健康情况普遍不佳[1-4]，老年患者的心理状态不容乐观[5-7]，因此对老年患者的照护也非同一般，这需要护理人员增强自身的人文关怀能力，才能较好履行对老年患者的照护职能。老年科的年青护士因此会产生较大的护理工作压力。已有不少学者研究表明，当前护理人员的心理健康水平普遍不高，工作压力突出，甚至存在明显的职业倦怠问题[8-9]。在护士形成对老年患者人文关怀能力的前后，她们的心理健康水平变化如何？人文关怀能力的具备，是否会进一步增加护士的工作负担，进而影响其心理健康水平？这些都值得关注。经过研究发现，具备老年人文关怀能力的护士，其心理健康水平明显提升，现将相关研究结果报道如下。

1 资料与方法

1.1 一般资料

选择成都医学院第一附属医院老年医学科、心内科、ICU、急诊科等120名女性护士进行测评。发……