三级甲等医院护士工作压力、希望对主观幸福感影响的研究

发布时间：2019-05-15 22:59

【摘要】：目的了解护士工作压力、希望及主观幸福感现状;分析影响护士工作压力、希望和主观幸福感的相关因素;探讨护士工作压力、希望与主观幸福感三者之间的相互作用关系。为减轻护士工作压力、提高其生活质量以及为临床护理管理者改善临床护士工作环境、提高护理服务质量提供科学依据。方法本研究采用横断面研究方法,应用自行编制的一般资料调查表、状态希望量表(SHS)、护士工作压力源量表、总体幸福感量表(GWB),通过分层和方便抽样的方法选取湖北省9家三级甲等医院1200名护士进行问卷调查。采用??±S、t检验、方差分析、Pearson相关分析、多元线性回归分析、中介效应分析对资料进行描述性和推论性统计。结果(1)三级甲等医院护士工作压力得分为(2.79±0.39),护理专业及工作方面得分为(3.04±0.50),工作量及时间分配得分为(3.27±0.56),工作环境及资源得分为(2.64±0.70),病人护理得分为(2.88±0.47),管理及人际得分为(2.58±0.54)。希望得分为(3.76±1.05),其中路径思维得分为(4.02±1.04),动力思维得分为(3.50±1.87)。主观幸福感得分为(77.40士12.14)对健康的担心得分为(11.60士2.83),精力得分为(15.36士4.24),对生活的满足和兴趣得分为(5.73士1.64),心情忧郁或愉快得分为(13.96士3.56),对情感和行为控制得分为(12.91士2.18),松弛或紧张得分为(16.84士2.85)。(2)三级甲等医院护士工作压力在不同年龄、婚姻、工作年限、工作科室、是否倒夜班、离职意愿、参加业余活动情况差异有统计学意义;护士希望在不同性别、年龄、婚姻状况、工作年限、工作科室、月收入、离职意愿、参加业余活动情况差异有统计学意义;护士主观幸福感在不同年龄、工作年限、工作科室、是否倒夜班、离职意愿、家庭关系、参加业余活动情况差异有统计学意义,(P0.05)。(3)三级甲等医院护士主观幸福感与希望及各维度呈显著正相关,与工作压力呈负相关,工作压力与希望及各维度呈负相关。(4)多元线性回归分析显示,家庭关系是否和谐、压力总分、改行或离职意愿、希望总分、参加业余活动情况进入回归方程,共同解释主观幸福感总变异的31%,其中家庭关系是否和谐对护士幸福感状况影响最大。(5)结构方程模型结果显示工作压力对主观幸福感的直接效果为-0.193,间接效果为-0.222,工作压力对主观幸福感的总效果为-0.415,间接效果占总效果的53.49%。希望对主观幸福感的直接效果为0.456,工作压力对希望的直接效果为-0.486。结论(1)三级甲等医院护士主观幸福感较高,处于中等偏上水平;护士工作压力得分呈较高水平,工作压力较大,应设法缓解护士工作压力;护士整体希望水平不高,应帮助护士提升希望水平。(2)结构方程模型基本上验证了三甲医院护士工作压力、希望与主观幸福感之间关系的假设模型。工作压力可直接影响主观幸福感,工作压力可通过希望对主观幸福感产生影响。希望可直接影响主观幸福感,也可充当中介变量介导工作压力对主观幸福感的间接作用。
[Abstract]:Objective To study the status of nurses' working pressure, hope and subjective well-being, and to analyze the related factors that affect the working pressure, hope and subjective well-being of the nurses, and to explore the relationship between the working pressure, the hope and the subjective well-being of the nurses. In ord to reduce that working pressure of the nurse, improve the quality of life of the nurse and improve the working environment of the clinical nurse for the clinical nursing management, and provide the scientific basis for improving the service quality of the nursing. Methods A cross-sectional study was used in this study, and the self-prepared general data questionnaire, the status desired scale (SHS), the nurse's work pressure source scale and the overall well-being scale (GWB) were applied. By means of stratified and convenient sampling, a survey of 1200 nurses in 9 tertiary A hospitals in Hubei province was carried out. Use? The data were analyzed by means of S, t-test, variance analysis, Pearson correlation analysis, multiple linear regression analysis, and intermediate effect analysis. Results (1) The working pressure of the nurses in the three-class hospital is divided into (2.79-0.39), the nursing profession and the work are divided into (3.04-0.50), the workload and the time are divided into (3.27-0.56), the working environment and the resources are divided into (2.64-0.70), and the nursing of the patients is divided into (2.88-0.47). The management and interpersonal must be divided into (2.58-0.54). The hope is to be divided into (3.76-1.04), in which the path thinking is divided into (4.02-1.04), and the dynamic thinking is divided into (3.50-1.87). The subjective well-being (77.40 + 12.14) is divided into (11.60 + 2.83), the energy is divided into (15.36 + 4.24), the satisfaction and interest of life are divided into (5.73 + 1.64), the mood is melancholy or happy is divided into (13.96 + 3.56), and the control of emotion and behavior is divided into (12.91 + 2.18). The relaxation or tension was divided into (16.84 + 2.85). (2) The working pressure of the nurses in the three-class A-class hospital is of statistical significance in different age, marriage, working life, working department, whether the night shift, the intention of separation and the participation in the leisure activities are different; the nurse wishes to work in different sex, age, marital status, working life and working department, The difference of the monthly income, the will of the service and the participation in the leisure activities is of statistical significance; the subjective well-being of the nurse is of statistical significance in different ages, working years, working sections, whether or not the night shift, the intention of separation, the family relationship and the participation in the leisure activities are statistically significant (P0.05). (3) The subjective well-being of the nurses in the three-class A-class hospital is positively correlated with the hope and each dimension, and is negatively correlated with the working pressure, and the working pressure is negatively correlated with the hope and each dimension. (4) The multi-element linear regression analysis shows whether the family relationship is harmonious, the total score of the pressure, the change or the separation will, the total score and the participation in the leisure activity enter the regression equation to explain the 31% of the total variation of the subjective well-being. The relationship between the family and the family has the greatest influence on the condition of the nurse's well-being. (5) The structural equation model shows that the direct effect of the working pressure on the subjective well-being is-0.193, the indirect effect is-0.222, the total effect of the working pressure on the subjective well-being is-0.415, and the indirect effect accounts for 53.49% of the total effect. It is hoped that the direct effect on subjective well-being is 0.456, and the direct effect of working pressure on the hope is-0.486. Conclusion (1) The subjective well-being of the nurses in the three-class hospital is higher and the level of the secondary level is higher; the working pressure of the nurse is higher and the working pressure is higher, and the working pressure of the nurse should be relieved; the overall hope level of the nurse is not high, and the nurse should be assisted to improve the desired level. (2) The structural equation model basically verifies the assumption model of the relationship between the working pressure, the hope and the subjective well-being of the three-party hospital. The working pressure can directly affect the subjective well-being, and the working pressure can influence the subjective well-being. It is hoped that the subjective well-being can be directly affected, and the indirect effect of the intermediate variable-mediated working pressure on the subjective well-being can also be used.
【学位授予单位】：锦州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

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