肿瘤科护士的自杀意念及其相关因素分析

Suicidal ideation and its related factors among nurses of oncology departments of four cities in China

摘要:

目的 调查肿瘤科护士的自杀意念率及相关因素分析。方法 选取国内4 个城市的4 所肿瘤专 科医院和8 所综合医院的1 473 例肿瘤科护士自评完成一般情况问卷、Zung 氏抑郁自评量表、中国护士工作 应激源量表（CNSS）和近1 年自杀意念评定。结果 肿瘤科护士近1 年的自杀意念率为6.7% ；护士自杀意 念的危险因素为婚姻状况为再婚、同居、分居/ 离婚或丧偶、护师职称、抑郁、家庭经济条件差、经常倒夜班、 CNSS 家庭领域>62 分、患者病情领域>123 分、人际关系领域>85 分及工作负荷领域>104 分；仅有11.1% 的伴有自杀意念的护士曾求助过精神卫生专业人员。结论 肿瘤科护士潜在自杀风险高；不良的职业特征和 工作应激因素可能增加了护士自杀意念的发生风险。

Abstract:

Objective To investigate the prevalence of suicidal ideation among nurses working in oncology departments and the correlated factors. Methods A total of 1,473 oncology nurses were selected from four oncology specialty hospitals and eight general hospitals of four cities in China, and administered with a socio-demographic questionnaire, Zung’s Self-rating Depression Scale, Chinese Nurse Stressor Scale (CNSS) and a standardized question regarding one-year suicidal ideation. Results The prevalence rate of one-year suicidal ideation among the oncology nurses was 6.7%. Risk factors (ORs) for suicidal ideation were marital status of remarriage, cohabitation, separation/ divorce, or widowhood, a technical title of attending nurse, depression, CNSS family domain score >62, patient domain score >123, and workload domain score >104. Only 11.1% of the nurses with suicidal ideation had sought help from mental health professionals. Conclusions Oncology nurses have a high risk of potential suicide. Adverse occupational factors and job stress might increase the risk for suicidal ideation.