摘要
目的了解轮班所致睡眠剥夺对护士心理健康的影响,为轮班护士心理健康的维护提供依据。方法随机抽取3所医院54名轮班护士为轮班组,52名白班护士为白班组。采用症状自评量表(SCL-90)及疲劳量表(FS)对两组护士进行调查。结果轮班组SCL-90总分及躯体化、强迫、抑郁、焦虑、敌对及其他(睡眠及饮食)因子分显著高于白班组(P<0·05,P<0·01);轮班组心理健康问题排名前4位的是感到自己的精力下降、活动减慢,容易烦恼和激动,忘性大和感到要赶快把事情做完;轮班组个体疲劳总体水平及其躯体疲劳与脑力疲劳维度均显著高于白班组(均P<0·01)。结论轮班护士存在明显的心理健康问题,加强轮班护士心理健康维护已是当务之急。
Objective To explore the effects of shifts induced sleep-deprivation on nurses＇ mental health. Methods Fiftytwo day-shift nurses （day-shift group） and 54 shift nurses （shift group） from three hospitals were investigated by using SCL-90 and Fatigue Scale-14. Results Shift nurses had higher SCL-90 total mean scores and somatization, compulsion, depression, anxiety, hostility and other （sleeping, diet） faetor seores than the day-shift nurses （P〈0.05, P〈0.01 ）, In the shift group, the following mental and healthy problems ranked the first to fourth： reduced vigor, slowed activity, easy agony and concussion, poor memory and impatienee. Fatigue Scale-14 revealed there was significant differenee in gross fatigue level, physical fatigue and brain fatigue between two groups （all P〈0.01）. Conclusion Shift nurses have obviously mental health problems, so attention should be paid to the mental health of the shift nurses.
基金
广东省汕头市重点科技计划项目(汕府科[2005]116号-4)
关键词
护士
轮班
睡眠剥夺
心理健康
健康维护
nurse
shift
sleep-deprivation
mental health
health maintenance
