目的 探讨围绝经期护士心理困扰现状及其影响因素，为促进该群体的心理健康提供依据。 方法 2022年11月至2023年6月，采用便利抽样法抽取成都市5所三级甲等医院的514例围绝经期护士为研究对象，采用一般资料调查问卷、心理困扰量表、心理弹性量表、简易应对方式量表对其进行问卷调查。 结果 477例（92.8%）围绝经期护士存在心理困扰。其中，轻度心理困扰168例（32.68%），中度心理困扰143例（27.82%），高度心理困扰166例（32.30%）。其心理困扰与积极应对和心理弹性呈负相关，与消极应对呈正相关（均 P ＜0.001）。多元线性回归显示，配偶健康状况、负性生活事件、日常锻炼、积极应对方式、消极应对方式和心理弹性是其心理困扰的影响因素（ P ＜0.05）。 结论 围绝经期护士的心理困扰发生率较高，且受多种因素影响。建议管理者早期识别并准确地干预，帮助该群体降低心理困扰。

Objective To explore the status quo of psychological distress in perimenopausal nurses and analyze its influencing factors,so as to provide a basis for promoting the mental health of this group.Methods From November 2022 to June 2023，a convenient sampling method was used to select 514 perimenopausal nurses from 5 tertiary Ahospitals in Chengdu.The general information questionnaire，Kessler Psychological Distress Scale，the Connor-Davidson Resilience Scale，and the Simplified Coping Style Questionnaire were used to investigate them.Results There were 477（92.8%） perimenopausal nurses with psychological distress，among which 168 cases（32.68%) had mild psychological distress，143 cases（27.82%) had moderate psychological distress，and 166 cases（32.30%) had high psychological distress.Their psychological distress was negatively correlated with positive coping and psychological resilience,and positively correlated with negative coping（allP ＜0.001）.The multiple linear regressionanalysis showed that spousal health status，negative life events，frequency of physical exercise， positive coping style，negative copingstyle and psychological resilience were the influencing factors（ P ＜0.05).Conclusions The psychological distress of perimenopausal nurses is high and affected by many factors.Managers should identify early and intervene accurately to help this group reduce psychological distress.

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