目的 为全面反映我国精神科护士的心理症状总体状况,对1998-2008年有关精神科护士症状自评量表(Symptom Checklist-90,SCL-90)的研究成果进行Meta分析.方法 采用内容分析法和Meta分析法对所选54篇研究文献进行分析.结果 我国精神科护士SCL-90各因子得分与全国常模相比,人际关系敏感、偏执无差异,其余7个因子合并假设检验差异有统计学意义(P＜0.01),但是只有躯体化、焦虑2个因子的效应值偏离常模达到中效应水平,但效应值(d)均偏低;精神科护士与非精神科护士在躯体化、抑郁、焦虑3个因子合并假设检验差异有统计学意义(P＜0.01或P＜0.05),d值差异有统计学意义,但效应值较低;精神科男、女护士在恐怖因子合并假设检验差异有统计学意义(P＜0.05),但是d值差异无统计学意义;30岁以下精神科护士与常模在人际关系敏感、偏执、精神病性3个因子合并假设检验差异有统计学意义(P＜0.01或P＜0.05),d值差异有统计学意义,但效应值较低.结论 从总体上看,我国精神科护士的SCL-90量表各因子水平与国内常模水平基本相当.%Objective To reveal the mental health status of psychiatric nurses in China with a meta-analysis of their SCL-90 results.Methods Literature review was conducted with content analysis and meta-analysis. Results Compared with those of national norm,nurses' scores of interpersonal sensitivity and paranoid ideation indicated no statistic difference, while hypothesis test on other 7 factors showed statistic difference (P＜0.01), and effect size of somatization and anxiety reached middle level, but relatively low. Compared with non-psychiatric nurses, hypothesis test on psychiatric nurses' somatization, depression and anxiety indicated statistic difference as well (P＜0.01 or P＜0.05). Nurses with different genders showed statistic difference on phobic anxiety, while the difference of d value did not. Nurses with different ages showed differences on factors such as paranoid ideation. interpersonal sensitivity and phychotism.Conclusion The menial health status of psychiatric nurses in China generally averages the national level.
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