Cause analysis and countermeasure of nurse psychological pressure
护士心理压力原因分析及对策

摘要

目的 探究临床护士心理压力现状与核心成因，构建科学可行的干预对策，为提升护士心理健康水平、稳固护理队伍、优化服务质量提供实证支撑。方法 选取本院2025年1-6月50名临床护士为研究对象，采用护士压力量表（NSS）、马斯勒倦怠量表（MBI）开展问卷调查，结合半结构化访谈，系统剖析压力来源及影响因素。结果 76.0%护士存在中度及以上心理压力，34.0%出现明显职业倦怠，情绪耗竭发生率最高（42.0%）；压力成因按占比排序为工作负荷过重（82.0%）、职业风险与医患冲突（78.0%）等五方面。结论 护士心理压力问题突出，成因多维度交织，需构建个人-团队-组织三维干预体系，通过优化配置、完善支持、强化赋能等措施缓解压力，助力护理行业可持续发展。

Abstract

Objective To explore the current situation and core causes of psychological stress among clinical nurses and construct scientific and feasible intervention countermeasures, so as to provide empirical support for improving nurses' mental health, stabilizing nursing team and optimizing service quality.
Methods A total of 50 clinical nurses from January to June 2025 in our hospital were included in the study. Nurses' Stress Scale (NSS) and Masler Burnout Scale (MBI) were used to conduct a questionnaire survey, and semi-structured interviews were conducted to systematically analyze the sources of stress and its influencing factors.
Results 76.0% of the nurses had moderate or above psychological pressure, 34.0% had obvious job burnout, and the incidence rate of emotional exhaustion was the highest (42.0%). The causes of stress were ranked as overweight work load (82.0%) and occupational risk and doctor-patient conflict (78.0%).
Conclusion   the psychological stress of nurses is prominent, and the causes are intertwined in many dimensions. it is necessary to construct a three-dimensional intervention system of individual, team and organization, which can relieve the stress and promote the sustainable development of the nursing industry by optimizing the allocation, improving the support and strengthening the empowerment.