遭受医疗暴力事件的院前急救护理人员人格特质与应激障碍、应对方式的相关性分析-现代医学

遭受医疗暴力事件的院前急救护理人员人格特质与应激障碍、应对方式的相关性分析

单位：1. 青岛市中心医院护理部, 山东青岛 266042;
2. 青岛市中心医院急救中心, 山东青岛 266042;
3. 青岛市中心医院神经外科, 山东青岛 266042;
4. 青岛市中心医院门诊, 山东青岛 266042

分类号：R471

出版年·卷·期（页码）：2018·46·第七期（761-764）

摘要：

目的：探讨遭受医疗暴力事件的院前急救护理人员人格特质与应激障碍、应对方式的相关性。方法：以我院129例遭受过医疗暴力事件的院前急救护理人员为研究对象，调查其人格特质、创伤后应激障碍及应对方式，并分析其相关性。结果：外向-情绪稳定型者创伤后应激障碍自评量表（PCL-C）总分和反复体验、回避/麻木、高警觉3个维度的评分以及简易应对方式量表（SCSQ）中消极应对维度的评分均低于其他3种类型（P<0.05）；外向-情绪稳定型者SCSQ中积极应对方式得分均高于其他3种类型（P<0.05）。Pearson相关分析显示，中文版艾森克人格问卷简式量表（EPQ-RCS）中精神质（P）维度、神经质（N）维度评分与PCL-C总分和各维度评分及SCSQ中积极应对维度评分呈负相关，与消极应对维度呈正相关（P<0.05）。结论：院前急救人员的人格特征与遭受医疗暴力事件后的应激障碍及其应对方式有密切的关系。

Objective: To explore the correlation between personality traits and posttraumatic stress disorder, coping styles in pre-hospital nurses suffered medical violence.Methods:A total of 129 pre-hospital nurses who had suffered medical violence were enrolled in this study,and the personality traits, posttraumatic stress disorder and coping styles were researched,the correlation between personality traits and posttraumatic stress disorder, coping styles were analyzed.Results:The total score and 3 dimension scores of re-experienced, avoid/numb, high vigilance and the negative coping scores of SCSQ were lower in social-emotional stability type than those in the other 3 types(P<0.05); the active coping style score was higher in social-emotional stability type than that in the other 3 types(P<0.05).Pearson correlation analysis showed that the score of P dimension and N dimension in EPQ-RCS were negatively correlated with PCL-C total score and each dimension score,active coping style scores in SCSQ,and were positive correlated with the negative coping scores(P<0.05).Conclusion: There are closely relationship between personality traits and posttraumatic stress disorder,coping styles in pre-hospital nurses suffered medical violence.

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