腫瘤科護士工作壓力源調查與管理要點探討

范金鳳

[摘要] 目的 探討腫瘤科護士工作壓力源調查與管理要點。方法 選擇20名腫瘤科護士納入研究，作為此次研究工作對象，對其工作壓力源調查分析，并結合工作壓力源調查分析結果，制定落實工作壓力源調整護理管理制度干預。比較分析實施管理調整前后的腫瘤科護士工作壓力評分、護理管理質量評分。結果 實施管理調整后的工作壓力總分評分為（2.55±0.45）分，人際關系評分為（2.30±0.50）分，體力要求評分為（2.35±0.35）分，興趣投入評分為（2.50±0.65）分，均明顯低于實施管理調整前的（3.35±0.55）分、（3.45±0.55）分、（3.25±0.65）分、（3.15±0.55）分，差異有統計學意義（P<0.05）;實施管理調整后的基礎護理評分為（95.65±2.05）分，專科護理評分為（94.65±1.65）分，護理安全評分為（95.30±1.50）分，護理記錄評分為（95.45±2.95）分，均明顯高于實施管理調整前的（85.85±2.55）分、（82.65±4.35）分、（82.65±2.95）分、（79.65±5.05）分，差異有統計學意義（P<0.05）;實施管理調整后的焦慮自評量表評分為（37.35±1.35）分，抑郁自評量表評分為（38.65±1.50）分，均明顯低于實施管理調整前的（63.50±2.35）分、（63.75±2.40）分，差異有統計學意義（P<0.05）。結論 通過調查分析腫瘤科護士工作壓力源，并結合調查結果，實施工作壓力源調整護理管理制度干預具有重要作用價值。

[關鍵詞] 腫瘤科;護士;工作壓力源;調查;管理

[中圖分類號] R473 [文獻標識碼] A [文章編號] 1672-5654（2020）02（a）-0064-03

Investigation and Management of Nurses' Stressors in Oncology

FAN Jin-feng

The First Affiliated Hospital of Baotou Medical College， Baotou， Inner Mongolia， 014010 China

[Abstract] Objective To explore the main points of investigation and management of nurses' stressors in oncology. Methods Twenty nurses of oncology were selected for the study. As the research object of this study， their work stressors were investigated and analyzed， and the results of work stressors survey and analysis were used to formulate and implement work pressure source adjustment nursing management system intervention. The work stress scores and nursing management quality scores of oncology nurses before and after the implementation of management adjustment were compared and analyzed. Results After the implementation of the management adjustment， the total work stress score was（2.55±0.45）points， the interpersonal relationship score was（2.30±0.50）points， the physical requirement score was（2.35±0.35）points， and the interest input score was （2.50±0.65）points， which were significantly lower than （3.35±0.55）points， （3.45±0.55）points， （3.25±0.65）points， and （3.15±0.55）points before the implementation of management adjustments， and the differences were statistically significant（P<0.05）. ; After the implementation of management adjustment， the basic nursing score was（95.65± 2.05）points， the specialty nursing score was （94.65±1.65）points， the nursing safety score was （95.30±1.50）points， and the nursing record score was （95.45±2.95）points， were significantly higher than（85.85±2.55）points， （82.65±4.35）points， （82.65±2.95）points， and （79.65±5.05）points before the implementation of management adjustment， and the differences were statistically significant（P<0.05）; The adjusted self-rating anxiety scale score was（37.35±1.35）points and the depression self-rating scale score was （38.65±1.50）points， which were significantly lower than the（63.50±2.35points and （63.75±2.40）points， and the difference were statistically significant（P<0.05）. Conclusion Through investigation and analysis of the work stressors of the oncology nurses， and in combination with the survey results， it is of great value to implement the intervention of the work stressors to adjust the nursing management system.

[Key words] Oncology; Nurse; Work stressor; Investigation; Management

腫瘤科為臨床重要科室之一，腫瘤科護士工作過程中存在程度不同的壓力，更是重要的工作質量影響因素[1]。腫瘤科臨床護理工作有著高壓力特點、高風險特點，在實際工作中臨床護理人員往往會出現較大工作壓力。而且由于臨床護理資源缺乏，以及長期處于高壓狀態，導致腫瘤科護士的心理健康水平明顯降低，并對其臨床護理質量帶來一定影響[2-3]。該次研究選擇20名腫瘤科護士作為該次研究對象，旨在探討腫瘤科護士工作壓力源調查與管理要點。現報道如下。

1? 資料與方法

1.1? 一般資料

選擇20名腫瘤科護士納入研究，作為研究對象，均知情同意，均為女性，年齡最小22歲，年齡最大40歲，平均年齡為（29.50±3.05）歲;工作年限最短2年，工作年限最長20年，平均工作年限為（5.50±1.05）年;其中副主任護師有2名，主管護師有5名，護師有10名，護士有3名。……