Research On Health Status And Its Determinants Of Nurses In County Hospitals Of Shandong Province

Background:The quality of nursing work was closely related to the physical and mental health status of nursing workers in county hospital. For now, the research mainly focused on the mental health of nursing workers in city hospital, but the research on quality of life representing general physical health status was scarce for nursing workers in country hospital.By paying attention to quality of life and depression tendency,this research aimed to explore the physical and mental health status of nursing workers in county hospital and its influencing factors, and provide scientific basis for improving the physical and mental health status of nursing workers in county hospital.Objective:The purposes of this study were to investigate the physical and mental health status of nursing workers in county hospital, and explore its influencing factors.Methods:With the method of random cluster sampling,12 county hospital were selected in Shandong province, and 1000 nursing workers were taken out by stratified random sampling to finish anonymous questionnaires. The content of questionnaire included items of general date (gender, age, marital status, technical titles, hospital classes), health condition and health-related behaviors, Individual body and mind feel, job morale, job experience, job and life balance. The physical health conditions were measured by five items (action, self-care, routine activities, pain or discomfort, anxiousness or frustration) and score of nursing workers self-assessment health. The mental health conditions were assessed by depression tendency.The survey datas were analysed with SPSS 15.0 software, rate compared by chi-square test, mean compared by variance analysis and t test, and influencing factors analysed by stepwise binary logistic regression, all at 0.05 significance level.Main Results:990 copies of valid questionnaires were taken back.990 investigated nursing workers included 30 male and 960 femal, with 33.2-year average age. The moderate and above health problems were more opportunity to occur for those nursing workers of 36 to 45 years old, or working in gynecology, or holding intermediate and senior professional titles,or employed in polyclinic hospital. As for the score mean of self-assessment health, for nurse under 35 years old compared with nurse 36 to 45 years old, or for unmarried nurse compared with married nurse, the former was significantly high than the latter, and for nurse in polyclinic hospital compared with nurse in Chinese medicine hospital, the former was high than the latter.The score mean of self-assessment health for nurse with junior college degree was high that of nurse with bachelor degree or technical school or the following diplomas. The incidence of moderate and above depression was 22.5% in 990 nursing workers. The incidence of moderate and above depression was different for nursing workers with different academic degree, and nurse holding master degree or above, or bachelor degree, or technical school or the following diplomas compared with nurse holding junior college degree, the former was all high than the latter. There were no statistically significant in the incidence of moderate and above depression, for different age of nurse.or different gender of nurse, or different hospital classes of nurse, or different marriage status of nurse, or different technical titles of nurse.Conclusions:In county hospital, holding junior college degree is more excellent than that of nursing workers holding bachelor degree, or technical school or the following diplomas,and the physical and mental health status of nursing workers holding master degree or above is poor, with higher incidence of moderate and above depression than others. The key factors influencing the physical health status of nursing workers in county hospital, include pain or discomfort, quality of sleep, positive job emotion and job input. The key factors influencing the mental health status of nursing workers in county hospital, include negative job emotion, job stress, job input, job burnout, anxiousness or frustration, frequency of physical activity and quality of sleep.