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赵雪, 刘利, 高菲, 吴辉. 护士工作倦怠与职业紧张关系[J]. 中国公共卫生, 2012, 28(3): 359-361. DOI: 10.11847/zgggws2012-28-03-46
引用本文: 赵雪, 刘利, 高菲, 吴辉. 护士工作倦怠与职业紧张关系[J]. 中国公共卫生, 2012, 28(3): 359-361. DOI: 10.11847/zgggws2012-28-03-46
ZHAO Xue, LIU Li, GAO Fei, . Job burnout and occupational stress among nurses[J]. Chinese Journal of Public Health, 2012, 28(3): 359-361. DOI: 10.11847/zgggws2012-28-03-46
Citation: ZHAO Xue, LIU Li, GAO Fei, . Job burnout and occupational stress among nurses[J]. Chinese Journal of Public Health, 2012, 28(3): 359-361. DOI: 10.11847/zgggws2012-28-03-46

护士工作倦怠与职业紧张关系

Job burnout and occupational stress among nurses

  • 摘要: 目的 探讨护士工作倦怠与职业紧张的关系,改善护士身心健康,提高其生命质量.方法 随机抽取辽宁省6所综合医院工作时间>6个月的515名女性护士进行问卷调查,应用工作倦怠问卷(MBI)测量护士的工作倦怠,应用工作内容问卷(JCQ)、付出-回报失衡问卷(ERI)测量护士的职业紧张.结果 护士工作倦怠的平均得分:情感衰竭(13.45±7.18),分,消极怠慢(7.21±5.27)分,个人成就感(26.04±10.19)分;单因素分析结果显示,年龄≤30岁、单身、护士长、轮班护士及护患关系严重紧张组的工作倦怠得分高于其他组(P<0.05);按照多元回归分析标准化系数的顺序,护士情绪衰竭的职业紧张影响因素为:外在付出(β=0.383)、内在投入(β=0.226)和决策自主(β=-0.115);消极怠慢的影响因素为:外在付出(β=0.253)、内在投入(β=0.159)、上级支持(β=-0.112)和技术自主(β=-0.098);个人成就感的影响因素为:心理要求(β=-0.159)和技术自主(β=0.130).结论 职业紧张对护士工作倦怠有明显影响.

     

    Abstract: Objective To explore the relationship between job burnout and occupational stress among nurses for the improvements of the nurses' mental and physical health and life quality.Methods The study population was comprised of 515 nurses working more than 6 months from six hospitals in Liaoning province.Job burnout was measured with Maslach Burnout Inventory-General Survey(MBI-GS).Occupational stress was measured with Job Content Questionnaire(JCQ) and Effort-Reward Imbalance Questionnaire(ERI).Results The mean MBI-GS scores were 13.45±7.18 for emotional exhaustion,7.21±5.27 for cynicism,and 26.04±10.19 for professional efficacy.Univariate analyses showed that MBI-GS scores of the nurses of younger(≤30 years),single,being a head nurse,working on shift,and with serious dissatisfaction to nurse-patient relationship were higher than those of other groups(P < 0.05).The influencing factors,in the sequence of standardized coefficients of multivariate regression,were extrinsic effort(β=0.383),intrinsic effort(β=0.226) and decision authority(β=-0.115) for emotional exhaustion,extrinsic effort(β=0.253),overcommitment(β=0.159),supervisor support(β=-0.112) and skill discretion(β=-0.098) for cynicism,and psychological job demand(β=-0.159) and skill discretion(β=0.130) for professional efficacy.Conclusion Occupational stress has significant effect on job burnout among nurses.

     

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