改革护理排班模式对护士身心健康影响临床研究.docVIP

改革护理排班模式对护士身心健康影响临床研究 　　[摘要] 目的 探讨小循月换夜班法与传统性排班法两种排班模式对护士身心健康的影响。 方法 选取我院肿瘤科、骨科、眼科3个病区2012年6～11月实施传统性排班模式为对照组，另选相同病区2013年6～11月改革实施小循月换夜班法为实验组，采取自身对照的方式。由我院心理咨询师自行设计量表，对3个病区67名护士在2012年6～11月和2013年6～11月从困倦、疲劳、情绪、精力等心理状况进行问卷调查；对两种排班模式下的夜班护士分别抽血样进行皮质醇、促甲状腺激素、三碘甲状腺原氨酸、甲状腺素四种激素检测。 结果 小循月换夜班法下护士在一般健康、生活满意度、社会支持、焦虑、抑郁、睡眠质量等方面正常率明显高于传统性排班；两种排班方式下夜班护士皮质醇、促甲状腺激素、三碘甲状腺原氨酸、甲状腺素四种激素水平均在正常范围内，但小循月换夜班法下的夜班护士四种激素水平波动小于传统性排班法。 结论 小循月换夜班法有利于护士“人体生物钟”的调节，改善了护士生活质量；较好地缓解了目前夜班护士不足的困难，合理分配了资源，提高了护理工作效率和质量；适应护理模式改革的需要。 　　[关键词] 小循月换夜班法；排班方式；护士；身心健康 　　[中图分类号] R47 [文献标识码] B [文章编号] 1673-9701（2015）13-0126-04 　　[Abstract] Objective To explore the effects of two types of shift patterns of small cycle monthly night shift and conventional shift pattern on nurses mental and physical health. Methods Conventional shift patterns in the department of oncology， the department of orthopedics and the department of ophthalmology in our hospital from June to November 2012 were selected as control group， and the reformed small cycle monthly night shift in the same three departments from June to November 2013 were selected as experimental group. Self control was applied. Self-designed questionnaire by psychological consultants in our hospital was applied， and 67 nurses in the three departments completed the questionnaire from June to November 2012 and June to November 2013 in terms of psychological conditions such as sleepiness， fatigue， emotion and energy； four hormones of cortisol， TSH， triiodothyronine and thyroxine were tested for nurses of night shift from the two types of shift patterns by blood sample drawing. Results The investigation showed that normal rates of general health， life satisfaction rate， social support， anxiety， depression and sleeping quality for nurses under small cycle monthly night shift were significantly higher than those under the conventional shift pattern； under the two types of shift patterns， levels of cortisol， TSH， triiodothyronine and thyroxine were within the normal ran