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护理学报 ›› 2020, Vol. 27 ›› Issue (6): 29-34.doi: 10.16460/j.issn1008-9969.2020.06.029

• 调查研究 • 上一篇    下一篇

医院患者自杀事件中731名第二受害者体验和支持需求水平分析

谭蓉a, 胡德英b, 刘义兰b, 罗凯燕a   

  1. 华中科技大学同济医学院附属协和医院 a.骨科; b.护理部,湖北 武汉 430022
  • 收稿日期:2019-10-16 出版日期:2020-03-25 发布日期:2020-07-13
  • 通讯作者: 胡德英（1967-）,女,湖北武汉人,博士,主任护师,护理部副主任,高级心理咨询师。
  • 作者简介:谭蓉（1988-）,女,湖北宜昌人,硕士,护师。
  • 基金资助:
    国家自然科学基金（71673100）

Experience and Support Needs of 731 Second Victims of Inpatient Suicide

TAN Ronga, HU De-yingb, LIU Yi-lanb, LUO Kai-yana   

  1. a.Dept. of Orthopaedics; b.Dept.of Nursing Administration, Union Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2019-10-16 Online:2020-03-25 Published:2020-07-13

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摘要： 目的 了解综合医院患者自杀事件中第二受害者的体验及其支持需求现状。方法 采用便利抽样法,于2019年5月选择湖北省8所三级综合医院经历患者自杀事件的731名护士作为研究对象。采用一般资料问卷及患者自杀事件中第二受害者体验和支持需求调查问卷对其进行调查。结果 医院患者自杀事件中731名第二受害者体验所有条目均分为（3.20±0.76）分,支持需求所有条目均分为（3.46±0.44）分;不同工作年限的第二受害者,其患者自杀事件中第二受害者体验得分比较,差异有统计学意义（P<0.05）;不同性别、工作年限、职称、职务的第二受害者,其患者自杀事件中第二受害者支持需求得分比较,差异均有统计学意义（P<0.05）。结论 医院患者自杀事件中第二受害者体验及支持需求均处于中等以上水平。经历患者自杀事件的第二受害者主要表现为心理和躯体的负性体验。工作年限1~5年的第二受害者,其在患者自杀事件中的体验得分最高;女性、工作年限6~10年、副主任护师及以上职称、职务为护士长的第二受害者,其在患者自杀事件中的支持需求得分最高。护理管理者应有针对性的设置培训内容,积极建立第二受害者支持体系,提供多样化支持资源。

关键词: 综合医院, 患者自杀事件, 第二受害者, 护士, 心理体验, 支持需求

Abstract: Objective To understand the experience and support needs of nurses as the second victim of inpatient suicide in general hospitals. Methods Convenient sampling method was used to select 731 nurses who experienced inpatient suicide from 8 tertiary general hospitals in Hubei Province in May 2019. The nurses were surveyed with a general information questionnaire and Inpatient Suicide Second Victim Experience and Support Needs Questionnaire. Results The item average score of experience of the second victim of inpatient suicide was 3.20±0.76, and that of support needs 3.46±0.44. Second victims with different working years had a statistically significant difference in terms of experience score (P<0.05). Support needs of second victims with different gender, working years, professional title and positions were statistically significant (P<0.05). Conclusion Experience and support needs of the second victims of inpatient suicide are both in mediate or above level. Second victims of inpatient suicide are mainly manifested as negative psychological and physical experience. Those with 1 to 5 working years perform the highest experience score in the second victims of inpatient suicide. Female, those with 6 to10 working years and those with vice-director nurse or above and head nurses perform the highest scores of support needs in the second victims of inpatient suicide. It is recommended that nursing managers should provide targeted training, diversified support resources and actively establish support system for second victims.

Key words: general hospital, inpatient suicide, second victim, nurse, psychological experience, support need

中图分类号: 

  • R471
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