Empirical Research About Anxiety And Depression Of Female Nurses Caused By Medical Dispute

Objective: With the progression of society and turning of simple medical model to social,psychological and biological integrated one,society pay attention more and more highly to psychological problems,among which depression and anxiety are usual one that will directly affect people's work,study and life,and taht reduce body immunity ability,and harm seriously body health and job content of occupational group.As the group at high risk of depression and anxiety,clinical female nurses are everyday from high strength work environment.Their heavy workload,long-term overloading work and lack of a harmonious doctor-patient communication bring about frequently medical disputes.The physical and mental health problems caused by nervous doctor-patient relationship become greatest problems of female nurse.Better understanding of female nurse depression and anxiety caused by medical dispute contribute to alleviating their psychological pressure,improving their life,study and working condition,also to stabilizing medical group,and enhancing quality of medical care.The understanding about relation of medical dispute to depression and anxiety of female nursses also provides theoretical reference information for hospital administrator and health policy maker so that they take effective measures to protect the physical and mental health of female nurses.Methods: A total of 228 nurses from 21 departments of the hospital affiliated to a university of zhangjiakou,Hebei,who work above 1 year and were kept on at 2014-2016,were investigated and assessed by using the General Questionnaire,Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS)and Self-Rating Symptom Checklist-90(SCL-90).“Medical dispute” was defined by a broad conception.When the investigation began,these female nurses were surveyed in order to observe the difference for depression and anxiety incident rate between the population studied and the norm population before medical dispute.Then we observed the occurrence of medical dispute at any time,and inquiry the study object running into medical dispute for continuous two weeks.The study period continue 12 months.This investigation adopted the form of colleting original sources on the spot.The participants answer the sheet on the bass of instruction,and independently fill out the sheet,and their questionnaire was collected on the spot.In the meantime,in-depth interview with them were carried out.The data were done with hygienic statistics in order to confirm the happening of the depression and anxiety of female nurses caused by medical dispute.Results: Study began using SAS and SDS questionnaire survey of 228 subjects,in the 223 valid questionnaires of feminine care population indicated that there were 89 nurses for scale more than 50 of SDS,which accounted for 39.3% of depression rate and has statistically difference comparing to the norms,P <0.05,and that there were 99 nurses for scale more than 50 of SAS,which accounted for 44.2% of anxiety rate and has also statistically difference comparing to the norms,P <0.05.The analysis at end of investigation of 223 nurses indicated that there were 42 nurses who undergo medical dispute,181 nurses who did not run into that.Among nurses group running into medical dispute,depression rate is 65.3%,anxiety rate is 81.6%,there were respectively statistically difference,P<0.01,comparing to the results from the start of investigation.Among 181 people who did not undergo medical dispute,depression incidence rate is 40.1%,anxiety incidence rate is 42.5%,there were no statistically difference for each incidence rate,comparing to the results from the start of investigation.Moreover,there were statistically difference for depression and anxiety incidence rate between nurse group undergoing medical dispute and the group no undergoing medical dispute.The score of SCL-90 shown that the total score of nurse group running into medical dispute was significantly higher than the results from investigation start,and also significantly higher than that of the group no undergoing medical dispute.The results of depression and anxiety were consistent with that of SAS and SDS analysis.Furthermore,the score of interpersonal sensitivity and hostile factor was significantly higher than that of the group no undergoing medical dispute,which suggest that interpersonal communication of the nurse group undergoing medical dispute apparently obstruct.Conclusion:1 The study for 223 female nurses in the top grade affiliated hospital of a collage of zhangjiakou,Hebei,has shown that 18.8 % female nurse's personal experienced medical dispute in one year,which is higher than the domestic document reported.2 The incidence rate of depression and anxiety has obviously increased for the female nurse who have experienced medical dispute,which is far higher than taht not experienced.At the same time,it suggested that they have obstruction in interpersonal interaction.3 The psychological problems such as depression and anxiety have brought enormass risk for female nurses.The mental health levels of female nurses is lower than that of ordinary people,which seniously affect their work,study,living,and harm their body health and their work quity.4 Administrative intervention,psychometric dredge and social support are essential of reducing the female nurse's psychological problems.