院前急救护士共情疲劳与职业应激、职业倦怠关系研究

发布时间：2018-03-08 07:07

本文选题：共情疲劳　切入点：职业应激　出处：《中国职业医学》2016年02期 　论文类型：期刊论文

【摘要】：目的探讨院前急救护士共情疲劳与职业应激、职业倦怠的关系。方法采用分层整群随机抽样方法,以河南省5个地级市的380名院前急救护士为研究对象,以261名同医院的院内急诊护士为对照人群。采用中文版《护士专业生活品质量表》、《护士工作应激源量表》(NSS)、《职业倦怠量表》(MBI)对研究对象进行测评,其中NSS包括与护士期望值有关的应激源(因素1)、与家庭有关的应激源(因素2)、与人际关系有关的应激源(因素3)、与工作性质有关的应激源(因素4)、与患者有关的应激源(因素5)、与工作负荷有关的应激源(因素6)。结果院前急救护士共情疲劳得分高于院内急诊护士(P0.01)。院前急救护士中,工龄3.0年者共情疲劳得分分别高于工龄为3.0~年和10.0年者(P0.05);职称为护士者共情疲劳得分分别高于职称为护师和主管护师及以上者(P0.05)。相关分析显示,院前急救护士共情疲劳得分与NSS的因素2、因素3、因素4、因素5、因素6和MBI得分均呈正相关[相关系数(r)分别为0.15、0.28、0.25、0.34、0.32、0.36,均P0.05],MBI得分与NSS的6个因素得分均呈正相关(r分别为0.31、0.25、0.36、0.32、0.37、0.31,均P0.05)。多重线性回归分析结果显示,MBI得分、NSS因素5得分、MBI与NSS因素5的得分交互作用与共情疲劳得分回归关系均成立(标准化偏回归系数分别为0.39、0.24、0.35,均P0.05)。路径分析结果显示,MBI得分在NSS得分与共情疲劳得分之间呈不完全中介效应。结论院前急救护士共情疲劳较严重;工龄短或职称低人员存在更高的共情疲劳易感性,且受职业应激与职业倦怠协同影响。
[Abstract]:Objective to explore the relationship between empathy fatigue, occupational stress and job burnout of pre-hospital first aid nurses. Methods 380 pre-hospital first aid nurses in 5 prefectural cities of Henan Province were studied by stratified cluster random sampling. 261 in-hospital emergency nurses in the same hospital were used as control group. The Chinese version of the Nurses' Professional quality of Life scale, the Nurses' Job stressor scale (NSSS), and the Job Burnout scale (MBI) were used to evaluate the subjects of the study. NSS includes stressors related to nurses' expectations (factor 1), family (factor 2), interpersonal relationships (factor 3), nature of work (factor 4), patients. Stress source (factor 5), stress source related to workload (factor 6). Results the score of empathy fatigue of pre-hospital first aid nurses was higher than that of in-hospital emergency nurses (P 0.01). The scores of empathy fatigue of those with 3.0 years of service were higher than those with 3.0 ~ years of service and 10.0 years of service, while those with title of nurses were higher than those with professional titles of nurses and those with higher professional titles than those with professional titles of nurses and in charge of nurses and above. The correlation analysis showed that the scores of empathy fatigue were higher than those of nurses with professional titles. The scores of empathy fatigue of pre-hospital first aid nurses were positively correlated with the factors of NSS: 2, 3, 4, 5, 6 and MBI (r = 0.15, 0.28, 0.34, 0.32, 0.36, respectively, P0.05). All of them had positive correlation r with the six factors of NSS. The results of multiple linear regression analysis showed that the interaction between NSS factor 5 and the score of NSS factor 5 and the regression relationship between the scores of MBI and NSS factor 5 were established (the normalized partial regression coefficients were 0.39 0.240.35, all P 0.05). The results showed that there was an incomplete mediating effect between the score of NSS and the score of empathy fatigue. There was a higher susceptibility to empathy fatigue and was influenced by occupational stress and job burnout.
【作者单位】：河南护理职业学院;
【基金】：河南省卫生计生委2014年度卫生政策研究计划项目(YWZY201423)
【分类号】：R47

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