Analysis of stress and self-regulation in the operating room
Abstract ObjectiveTo explore the sources of stress and effective self-regulation for nurses in the operating room. MethodsAn independent self-assessment questionnaire survey of 28 nurses in the specialized operating room of a tertiary hospital was conducted using the survey method. Results Respondents had different degrees of psychological discomfort, of which the highest proportion was a sense of depression and fatigue towards operating room nursing. Conclusion Operating room nurses take positive and effective self-regulation to relieve pressure to improve the quality of care.
Keywords operating room nurses psychological stress self-regulation
Stress, also known as tension or stress, is a series of tense reaction state caused by something on human psychology or physiology [1]. The operating room is a special site for hospitals to rescue the lives of patients with acute, critical and serious illnesses, and our hospital is a specialized hospital for oncology, whose surgical methods are all based on radical treatment of tumors, with relatively long operating times and heavy workloads, which must be overloaded with a high degree of concentration in a closed environment over a long period of time, so that nurses in the operating room have been in a state of high stress, and are subjected to tremendous mental and psychological pressure. These pressures have a direct impact on the quality of nursing work, now the pressure to produce and effective self-regulation is introduced as follows:
1 source of occupational stress in the operating room nurses
1.1 overloaded workload in the operating room and the number of surgical procedures is inextricably linked to how many, and now more patients with tumors, the amount of surgery every day is very large and the time is relatively long, continuous work without rest. Relatively long, continuous work without rest, long-term irregular life, resulting in the body balance disorder and physical and mental exhaustion, nurses standing for a long time prone to varicose veins of the lower limbs, relatively fixed cervical spine anterior flexion position, standing prone to cervical spondylosis [2] often delayed eating time, resulting in gastritis, gastric ulcers and so on.
1.2 Special working environment, operating room nurses work in the environment of long-term stressors, some of the instruments and equipment used in the operating room, medical materials on the human body also have different . Damage, such as high-frequency electric knife produces a toxic paste coke odor, orthopedic surgery used in the drug bone cement mixed with dissolving agent produces a strong irritating odor. These gases have a carcinogenic effect on the human body with long-term exposure. The patient's body fluids, blood, surgery with the use of a variety of sharp instruments, etc., so that the operating room has become a high-risk department of occupational injury.
1.3 Psychological quality aspects of the operating room nurses psychological pressure sources have to deal with emergencies, the occupational hazards of needle injuries, the face of the sudden death of the patient, the lack of knowledge of first aid skills, the fear of errors and accidents, etc., in addition to overtime work, nursery class frequently and other characteristics, resulting in nurses have a strong sense of guilt to the family, have low self-esteem, frustration and disappointment psychology, easy to produce repression, anxiety and depressed mood and other adverse psychological The response.
1.4 Nursing work quantitative pressure on the implementation of nursing work in the operating room so that each nurse to explore the potential to strengthen learning, hard work, improve performance, and over-pressurization, the reality of excessive competition, exacerbate the nurses' sense of crisis so that it produces a significant tension, anxiety, varying degrees of depression of the nurses' moods and thinking, the work of the negative impact.
1.5 Unfair treatment pressure operating room nursing heavy workload, the nurse's high input and compensation is not proportional, resulting in a number of nurses to produce a negative psychology, work is not active, not enthusiastic, resulting in a decline in the quality of care.
2 Psychological stress on the impact of nurses
2.1 Positive impact of the correct understanding and evaluation of a variety of stress factors, and constantly improve the self, can prompt nurses to strengthen the level of business, to improve their own psychological quality, in order to positive and optimistic state of mind in the face of the work. 2.2 Negative impact of excessive pressure is easy to make the nurses produce fatigue, complaints, and other bad moods. If you can't adjust in time, you will not be able to concentrate, work attitude is not serious, and even make mistakes, the consequences are very serious.
3 How to self-regulation
3.1 Strengthen the operating room specialist theoretical knowledge learning and operational skills training, operating room professionalism, high technical requirements, nurses need to continue to strengthen the occupational safety education, improve their own awareness of the protection of the combination of theory and practice, establish confidence, adapt to the role of the operating room nursing work. At the same time, nurses should receive continuing education to obtain more new knowledge, new skills, and improve their own business level and quality.
3.2 Create a good working atmosphere in the operating room work needs to have a good collaborative, to create a unity and cooperation *** with the advancement of the collective atmosphere, we help each other, *** with the improvement, so that everyone feels the warmth of the collective, will make the nurse to reduce a lot of pressure on the work, you can do a better job.
3.3 Reduce the pressure to eliminate the burden of emotion directly affects the physical and mental health of nurses, thus affecting the efficiency at work. In work and life, to consciously learn some psychological relaxation training skills and mental health, health care knowledge, to pay close attention to their own psychological fatigue signs. When encountering difficulties and worries at work, we should use some positive psychological defense mechanisms to comfort ourselves and eliminate negative emotions [3]. At the same time, it is necessary to strengthen the nurse's self-cultivation, pay attention to psychological exercise, maintain vigorous energy, work and life in the spirit of concentration, happy mood, so that they are in the best psychological state to play the best level.
3.4 Reasonable arrangement of rest, work and rest, reduce fatigue use of rest time can choose to travel, shopping, etc., way to their own decompression, the reasonable arrangement of rest time will make their own pressure to get a good relief. Operating room a need for doctors, assistants, anesthesiologists and operating room nurses to work closely with each other in order to become a smooth completion of the work, no matter who made a mistake, may be the impact of the success of the operation, and even bring great pain to the patient, or even death [4]. Therefore, the psychological pressure of operating room nurses should not be ignored, and various sources of pressure should be identified and analyzed in time. Through good self-regulation can better complete the work of the operating room, better service for patients.
References
[1]Chen Ying, Wu Rong, Liu Huizhu. A survey on the current status of psychological stress and needs of emergency department nurses. Journal of Nursing, 2008,23(9);70-71
[2]Lai Haiyan, Gong Fengqiu. Operating room nurses should pay attention to preventing cervical spondylosis. Chinese Journal of Nursing, 2001,33(2) 139.
[3]Qin EY, Guo YG, Ning YH. Stress and relief measures for operating room nurses[J]. Journal of Henan University of Science and Technology, 2008,26(2):159-160.
[4]Zhuang Hongsheng, Wang Weijun, Li overrong, et al. The implementation of the regulations on medical malpractice full book [M]: Beijing, China Science and Technology Press. 2002:642
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