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International Survey Regarding Work Related Stress and the Status of Mental Health of Nurses -An Attempt to Establish an Effective Measure to Deal with Work Related Stress of Nurses-

关于护士工作相关压力和心理健康状况的国际调查 -建立有效措施应对护士工作相关压力的尝试-

基本信息

批准号：
14402036
负责人：
KOBAYASHI Toshio
金额：
$ 3.14万
依托单位：
HIROSHIMA UNIVERSITY (2003-2004)Yamaguchi Prefectural University (2002)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14402036/
关键词：
Nurse Occupational Stress Stress Coping Depression International Comparative Study

项目摘要

Many studies reported the effects of stress factors on mental health and sleep among nursing professionals. However, there has been no study that has made international comparisons on this matter by using a questionnaire with a high degree of reliability and validity. In the present study, we make a Nurse Stress Scale(NSS) questionnaire and tested reliability and validity both in Japanese and Chinese hospital nurses.A cross-sectional questionnaire was given to Japanese and Chinese hospital nurses in order to compare the characteristics of work stress and mental health status between them. The responses of 1028 Japanese and 356 Chinese nurses were analyzed. The questionnaire included mental health status (CES-D), NSS (35 items) and coping profile.Nine factors were extracted through factor analysis of NSS closely agreed with the expected ll scales from the results of our previous studies. Mental health status of Japanese nurses was poorer than that of Chinese. Six factors of job stress i … More n Japanese nurses were higher : "high risk job", "job control", "personal relations", "support from colleagues", "conflict with doctors" and "patients' death". Among the coping profile, "avoidance and suppression" and "emotional expression", were higher, "active solution" and "seeking help" were lower in Japanese nurses.From the results of step-wise regression analysis, in which the dependent variable was CES-D scores, "workload" and "reward from work" in the job stress, and "avoidance and suppression", "emotional expression", "changing mood" in the coping profile were significantly related to CES-D scores in both countries. In addition, "problem in personal relationships" and "changing a point of view" were also associated with CES-D in Japanese, while "support from colleagues" was in Chinese. These results indicated that poorer mental health status in Japanese nurses was partly derived from their higher work stress status, especially in "problem in personal relationships", and emotion-oriented coping profile. Less

许多研究报道了压力因素对护理人员的心理健康和睡眠的影响。然而，目前还没有采用信度和效度较高的问卷对这一问题进行国际比较的研究。本研究采用护士应激量表(NSS)对日本和中国的医院护士进行信度和效度检验，并对日本和中国的医院护士进行横断面问卷调查，比较中日两国护士的工作压力特点和心理健康状况。对1028名日本护士和356名中国护士的回答进行了分析。问卷包括心理健康状况(CES-D)、NSS(35个条目)和应对方式问卷，通过对NSS的因素分析，提取了9个因素，与我们以往研究结果的预期LL量表非常接近。日本护士的心理健康状况比中国护士差。工作压力的六个因素I…日本护士的比例较高：“高风险工作”、“工作控制”、“人际关系”、“同事支持”、“与医生冲突”、“病人死亡”。从因变量为工作压力中的CES-D得分、工作压力中的“工作量”和“工作回报”，以及应对中的“回避和压抑”、“情绪表达”、“情绪变化”与CES-D得分进行逐步回归分析，两国护士应对方式中的“回避与压抑”、“情绪表达”、“改变情绪”与CES-D得分显著相关。此外，在日语中，“人际关系问题”和“改变观点”也与CES-D有关，而在中文中，“来自同事的支持”与CES-D有关。这些结果表明，日本护士较差的心理健康状况部分源于较高的工作压力状态，尤其是在“人际关系问题”和情绪型应对方式上。较少