Objective To investigate and analyze the psychiatric nurses'depression,trait coping style and their influential factors,and to provide the scientific evidence for formulating the general intervention to improve the psychiatric nurses'mental health.Methods A total of 200 psychiatric nurses were investigated with general state questionnaire,Zung's self-rating depression scale-Chinese version (SDS-C),and trait coping style questionnaire(TCSQ) by using the convenience sampling method.The datas were analyzed by t-text,Pearson correlation method,single factor analysis and multiple stepwise regressions using SPSS 13.0.Results A total of 200 questionnaires were distributed and 192 valid questionnaires were returned,resulting in a response rate of 96%.The average score of SDS in psychiatric nurses was significantly higher than that in the national norm [(47.46 ± 10.04) vs (41.88 ± 10.57)],the difference was statistically significant (t =7.713,P < 0.01),and the average score of the positive coping dimension of the TCSQ in psychiatric nurses was significantly lower than that in the national norm [(29.10 ± 13.73) vs (30.26 ± 8.74)],the difference was statistically significant (t =-1.16,P =0.024).The positive rate of depression in psychiatric nurses was 24.4%.The positive coping style was negatively correlated with the severity of depression(r =-0.44,P < 0.01).Factors influencing the total score of SDS of psychiatric nurses were the positive coping style,sex and age (r =-6.39,2.75,2.50; P < 0.05).Conclusions The depression of psychiatric nurses are significantly correlated with their coping style.Positive coping style can help reduce the incidence of depression in psychiatric nurses.%目的 调查精神科护士抑郁状况及应对方式,对其影响因素进行分析,为采取有效的措施改善精神科护士心理健康提供科学依据.方法 采用方便抽样方法,选取200名精神科护士,通过中文版Zung抑郁自评量表及特质应对方式量表进行问卷调查,采用Pearson相关性分析对护士抑郁状况及应对方式的相关性进行分析,并对其抑郁状况及其影响因素进行回归分析.结果 共发放调查问卷200份,有效回收问卷192份,有效回收率为96%.精神科护士的抑郁自评量表总均分为(47.46±10.04)分,显著高于国内常模的(41.88±10.57)分,两组比较差异有统计学意义(t=7.713,P<0.01).精神科护士积极应对维度总均分为(29.10±13.73)分,显著低于国内常模的(30.26±8.74)分,两组比较差异有统计学意义(t=-1.16,P<0.05).精神科护士的抑郁检出率为24.4%,护士的抑郁程度与积极应对方式呈正相关,差异具有统计学意义(r=-0.44,P<0.01).年龄、性别及积极的应对方式是护士抑郁程度的影响因素(r值分别为-6.39,2.75,2.50;P <0.05).结论 精神科护士抑郁情绪与其消极应对方式密切相关.构建护士积极的应对方式有助于降低精神科护士抑郁情绪发生率.
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