nyenaceyg
Dołączył: 13 Gru 2010
Posty: 522
Przeczytał: 0 tematów
Ostrzeżeń: 0/5
Skąd: England
|
 Wysłany: Czw 9:28, 28 Kwi 2011 Temat postu: On the intensive care unit nurses with different t |
 |
|
On the intensive care unit nurses with different temperament types of mental health
Paper Keywords: nurses; psychology; intensive care unit Abstract: 【Objective】 assess the intensive care unit (ICU) nurses in the hearts of different temperament types of zero state of health, to understand the different temperament types and mental health . 【Method】 symptom checklist (SCL-90) and the traditional temperament questionnaire on 160 nurses in three A-level general hospitals IcU investigation, according to rating scores calculated to determine the temperament type. The SCL to the points for a 90-factor score ≥ 2 and ≥ 3 criteria for the detection of positive symptoms, screening more serious factor. F test to compare the use of different temperament types of mental health nurses in ICU were significant differences. 【Results】 SCL 9O respectively forced wide, the other (sleeping and eating), hostility, somatization, depression and hostility, depression, forced to the top 5 and top 3. 5 kinds of temperament and SCL, 9O of the positive items comparison, the mixed quality of mental health the best. 5 kinds of temperament and SCL-90 except fear factor among all the factors were no significant differences,[link widoczny dla zalogowanych], other differences exist in symptom scores was significant (P nursing requires not only expertise and skilled operational skills, but also for nurses with health in mind. I understand the intensive care unit (ICU) nurses, mental health, based on the comparison further in accordance with the temperament, and facilitate the distribution of nurses for a variety of different temperament types of nurse training good psychological quality to provide a scientific basis. 1 Subjects and methods 1.1 target in 2008 1 to 12 months in Xiangya Hospital, attached to the Second Xiangya Hospital, Xiangya Third Hospital attached to the work of an ICU more than 160 years, nurses, nurse practitioners holding certificates. 1 Age 46 years (n = 1 0. 6%); unmarried 69 (43.1), married 9O (56.3), divorced in 1 case (0.6%); secondary 58 (36.3%), college 88 (55. 0%), undergraduate l4 cases (8.8%); the title of nurse 75 (46.9), Nurse 63 cases (39.4%), charge nurse and 22 patients (13.8%); care age 1 to 5 years 55 cases (34.4%), 6 to 10 years, 55 patients (34.4%), 11 to 15 years in 28 cases (17.5%), 16 to 20 years l7 (10.6%) ,> 20 years in 5 cases (3.1%). 1.2 units of survey methods and objects to obtain the consent of investigation questionnaires, completed by the independent rater was completed by the investigators on the spot to recover after. Survey tools: ① general information questionnaire: the questionnaire prepared by ourselves, including nurse's name, age, sex, age care, job, marital status and education. ② Checklist: Using SCL (SCL a 90) in mental health. ③ traditional temperament test: temperament questionnaire, a total of 60 projects. 1.3 SPSS13.0 software package used statistical methods for statistical data. Measurement data as mean ± standard deviation (z ± S) said. By F test. 2 results 2.1 160 cases of nurses temperament temperament temperament questionnaire according to the traditional assessment of the results obtained choleric 5 cases (3.1%), multiple blood quality of 56 cases (35%), mucus mass in 21 cases (13.1%), depression, quality of lo patients (6.3%%), mixed quality of 68 cases (42.5%). 2.2 SCL shared equally and the 90 factors of a factor positive detection of symptoms in Table 1. factor scores ≥ 2 in accordance with the standard Ⅲ, the positive rate of the first five were forced (37.5%), other (21.3%) hostility (20.6%), somatization (19.4%), depression (18.8%). The factor score ≥ 3 is divided into standard, low positive rate, the first three are hostile (3.8%), depression (2.5%), forced (1.9%). 2.3 SCL different temperament types and the factor of 90 compared a 5 gas type and quality factor Q SCL90 addition to the fear factor was no significant difference (P> 0 .05), the other symptom scores there were significant differences (P <0.01). Table 2. 3 Discussion professional nurses, the urgency of the task, the importance of responsibility required of nurses not only have a high professional level, but also a good psychological quality, especially for nurses in ICU particularly important. A survey shows that the SCL ICU nurses and a total average of 90 positive items compared with the general ward nurses, significantly higher than the latter. Forcing caused by reasons for the high factor scores, and ICU workload, many critically ill patients, thought highly concentrated on; other (sleeping and eating), and somatization factor scores high, and the heavy workload of ICU nurses in long-term physical and psychological function led to a decline in the relevant , prone to somatic symptoms such as back pain, headaches, sleep disorders, gastrointestinal discomfort; cause hostility factor scores high, may be related to the special nature of clients. ICU are critically ill patients urgency, cancel accompany restrict access, patients and their families widespread impatience, anxiety and other negative emotions. If the weight of patients and medical staff being busy with the rescue to the other patients did not take into account, it will have a misunderstanding. Clients do not understand, and the occurrence of complaints, are easily lead to psychological imbalance in nurses, resulting in hostility; depression factor score of the ICU as an emergency treatment for an important place in critically ill patients, patients inevitably experience more deaths scene, compassion and sense of responsibility nurses frequently subjected to death stimuli in the same time, virtually has also been a strong psychological pressure, eventually reflected in the nurses can not cope with work and self-worth to be hurt both. This feeling of frustration confidence, such as not discarded and sublimation, it is easy to continuing depressed state of mind of nurses resulting from depression. mixed quality of the survey showed mental health of ICU nurses in the best temperament and their combination has played a variety of mutual penetration and mutual offset the effects. While the choleric and melancholic poor mental health nurses, which may be related to both disposition. Choleric are easily agitated, angry; melancholic temperament were withdrawn and the sentimental, emotional instability, introversion, and more blood, mucus quality and quality does not act because of their choleric and melancholic so extreme manifestations, such as sanguine as lively; mucus quality of performance is quiet and calm, so their mental health status among these five kinds of temperament in a neutral position. The Temperament and SCL of 5 to 90 between the various factors in addition no significant difference between the terrorist factor at each of the other symptom scores were statistically significant differences were that the nature of work with the ICU and environmental factors. With the improvement of people's health needs, increasingly complex disease, medical technology, constantly updated, which gave the nurse a new challenge. There have been suggestions to improve the working environment, the correct approach to stress, attention to self-protection, control and communication skills, reduce tension in the relationship, managers and reasonable measures such as dispatching nurses to relieve the pressure on the mental and physical E4, 53. I believe that on this basis should also address the different temperament types and the corresponding mental health intervention in a reasonable and effective to improve the mental health of ICU nurses, to better ensure the effectiveness of work.
Post został pochwalony 0 razy
|
|
