首页|郑州市新冠病毒肺炎暴发期间一线护理人员二元应对状况的混合研究

郑州市新冠病毒肺炎暴发期间一线护理人员二元应对状况的混合研究

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目的 调查郑州市新冠病毒肺炎暴发期间一线护理人员二元应对状况,为制订针对性、多方位干预措施提供依据.方法 采用横断面研究设计,通过便利抽样法,选取2022年10月21日至11月30日在郑州市新冠肺炎临时定点救治医院工作的一线护理人员为研究对象,采用一般资料调查表、二元应对量表、心理弹性量表、工作相关生活质量量表和社会支持量表进行调查;采用质性研究的设计,以目的抽样法选取二元应对量表总分>145分的12对护理人员及其配偶进行半结构式访谈.结果 128名一线护理人员的二元应对总分为(131.90±18.43)分,处于中等水平;心理弹性、社会支持、工作相关生活质量均与二元应对呈正相关(P<0.05);职务、家庭人均月收入、父母需要照顾、心理弹性、社会支持是一线护理人员二元应对的主要影响因素(调整R2=0.329,P<0.05).质性研究提炼出郑州市新冠肺炎疫情反复暴发带来的负面体验、定点救治医院工作期间的多维挑战、积极应对3个主题和8个亚主题.结论 新冠肺炎暴发期间一线护理人员二元应对受多种因素影响;医院管理者应重视并及时评估一线护理人员二元应对现状,并给予增加职务晋升激励机制、社会支持和夫妻间压力沟通培训等多方位干预措施,促进其身心健康和提高护理工作质量.
Dual coping status of front-line nursing staff in Zhengzhou City during the outbreak of COVID-19:a mixed study
Objective To investigate the dual coping status of front-line nursing staff in Zhengzhou City during the out-break of COVID-19,so as to provide reference for targeted and multi-directional interventions.Methods A cross-sectional study design was adopted.General information questionnaire was carried out,and front-line nursing staff who worked in the temporary designated treatment hospital of COVID-19 in Zhengzhou from October 21 to November 30,2022 were selected as research objects.A survey was conducted by general information questionnaire,dual coping scale,psychological resilience scale,work related quality of life scale,and social support scale.In addition,a qualitative research design was adopt,and purposive sampling method was used to select 12 pairs of nursing staff and their spouses with a total score of over 145 points on the dual coping scale for semi-structured interviews.Results The total score of dual coping among 128 front-line nursing staff was(131.90±18.43)points,which was at a moderate level;psychological resilience,social support,and work related quality of life were all positively correlated with dual coping(P<0.05);position,per capita monthly income of the family,the needs of parental care,psychological resilience,and social support were the main influencing factors for the dual coping of front-line nursing staff(adjusted R2=0.329,P<0.05).Qualitative research extracted 3 themes(the negative experience brought by the repeated outbreaks of COVID-19 in Zhengzhou,multi-dimensional challenges during the work of designated treatment hospitals,and active response)and 8 sub themes.Conclusion The dual coping of front-line nursing staff during the outbreak of COVID-19 is affected by many factors.Hospital managers should pay attention to and timely evaluate the dual coping status of front-line nursing staff and provide multi-dimensional intervention measures such as increasing incentive mechanism of position promotion,social support and training of stress communication between their spouses,so as to promote their psychosomatic health and improve the quality of nursing work.

COVID-19nursesdual copingmixed study

王红霞、曹海英、乔东鸽、张琰、冯宝勤、吴亚琪、郭舒婕

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河南省中医院护理部,河南郑州 450002

河南省骨科医院护理部,河南郑州 450016

河南省人民医院医务部,河南郑州 450003

新冠病毒肺炎 护理人员 二元应对 混合研究

河南省新冠肺炎中医药科学研究专项课题

2022ZYFY18

2024

右江医学
右江民族医学院附属医院

右江医学

影响因子:0.779
ISSN:1003-1383
年,卷(期):2024.52(6)