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引用次数: 0
摘要
研究目的根据护士的个人特征和工作相关特征，研究护士在非工作时间对工作的心理疏离程度的差异，并研究心理疏离对护理工作量与疲劳和睡眠之间关系的调节和中介作用：本研究采用横断面设计和自填式在线调查。调查数据来自美国 827 名直接护理病人的医院护士。使用 SPSS 中 Hayes 的 PROCESS 宏评估了心理疏离在工作量和疲劳/睡眠关系之间的调节和中介效应：结果：根据年龄、最高护理学位、工作经验、轮班时间、每周工作时间以及为 COVID-19 患者提供护理的频率，心理疏离程度存在明显差异。当心理疏离程度较高时，工作量与身体疲劳、精神疲劳和睡眠质量的相关性减弱。从统计学角度看，心理疏离对工作量与疲劳和睡眠问题之间的关联起到了中介作用：结论：医疗机构应促进护士在休假期间的心理疏导，以保护她们免受疲劳和睡眠问题的困扰。
Psychological detachment from work during nonwork time as a moderator and mediator of the relationship of workload with fatigue and sleep in hospital nurses
Objectives
To examine differences in psychological detachment from work during nonwork time by nurses’ personal and work-related characteristics, and to examine the moderating and mediating effects of psychological detachment on the relationships between nursing workload and fatigue and sleep.
Methods
This study employed a cross-sectional design with a self-administered online survey. Survey data from 827 hospital nurses providing direct patient care in the United States were used. Moderating and mediating effects of psychological detachment between workload and fatigue/sleep relationships were assessed using Hayes’ PROCESS macro in SPSS.
Results
There were significant differences in psychological detachment from work based on age, highest nursing degree, work experience, shift length, weekly work hours, and frequency of providing care to patients with COVID-19. The associations of workload with physical fatigue, mental fatigue, and sleep quality were weakened when psychological detachment was high. Psychological detachment statistically mediated the associations between workload and fatigue and sleep problems.
Conclusion
Healthcare organizations are encouraged to facilitate nurses’ psychological detachment during time-off to protect them from fatigue and sleep problems.
期刊介绍：
Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.
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