上海市ICU护士社会支持与职业倦怠关系的横断面研究

Li Li , Hong Ruan , Wei-Jun Yuan
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引用次数: 29

摘要

目的探讨上海市ICU护士社会支持与职业倦怠的关系。方法采用随机整群抽样的方法对356名ICU护士进行横断面调查。在训练有素的调查人员的指导下,采用自我报告的问卷收集数据。收集、计算和分析情绪衰竭、人格解体和个人成就感低等数据。结果患者平均年龄26.96岁(SD 4.07)。情绪耗竭的均值(M)和标准差(SD)分别为M = 31.85, SD = 8.38;人格解体的均值(M)和标准差(SD)分别为M = 11.69, SD = 5.54;个人成就感低的均值(M)和标准差(SD)分别为M = 19.79, SD = 7.02。高情绪耗竭(EE)、人格解体(DP)和缺乏个人成就感(PA)的比例分别为76.4%、39.6%和94.9%。影响情绪衰竭的主要因素为同事支持(R = 0.343, T = 1.98, P = 0.049)、请假(R = - 1.182, T = - 3.747, P = 0.001)、工作征用(R = - 1.41, T = - 2.369, P = 0.018)、上级支持(R = - 0.524, T = - 3.926, P = 0.001)。影响人格解体的主要因素是上级支持(R = - 0.333, t = - 4.146, P = 0.001)、年龄(R = - 0.89, t = - 2.272, P = 0.024)和工作征用(R = - 0.148, t = - 2.124, P = 0.034)。个人成就与主管支持之间存在正相关关系。结论主管支持、年龄、工作要求是影响人格解体的主要因素。此外,管理者的支持在低个人成就感中起着重要作用。进一步的研究应关注与情绪耗竭相关的主管支持、同事支持、休假时间和工作请求。
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The relationship between social support and burnout among ICU nurses in Shanghai: A cross-sectional study

Objective

The associations between social support and burnout were explored in ICU nurses of Shanghai.

Methods

We performed a cross-sectional study of 356 ICU nurses by applying random cluster sampling. Data were collected using self-reported questionnaires under the instruction of trained investigators. Data on emotional exhaustion, depersonalisation and feelings of low personal accomplishment etc. were collected, calculated and analyzed.

Results

The participants had a mean age of 26.96 years (SD 4.07). The mean value (M) and standard deviation (SD) of emotional exhaustion was M = 31.85, SD = 8.38, those of depersonalisation was M = 11.69, SD = 5.54 and those of feelings of low personal accomplishment was M = 19.79, SD = 7.02. The high degree of emotional exhaustion (EE), depersonalisation (DP), and lack of personal accomplishment (PA) were revealed to be 76.4%, 39.6%, and 94.9%, respectively. The major influencing factors of emotional exhaustion included support from co-workers(R = 0.343, T = 1.98, P = 0.049), taking leave (R = −1.182, t = −3.747, P = 0.001), requisition of work (R = −1.41, t = −2.369, P = 0.018), and supervisor support (R = −0.524, t = −3.926, P = 0.001). The major influencing factors of depersonalisation were support from the supervisor (R = −0.333, t = −4.146, P = 0.001), age (R = −0.89, t = −2.272, P = 0.024) and requisition of work (R = −0.148, t = −2.124, P = 0.034). There was a positive co-relationship between personal accomplishment and supervisor support.

Conclusions

Supervisor support, age, and requisition of work were the major influencing factors of depersonalisation. In addition, supervisor support plays an important role in low personal accomplishment. Further research should focus on supervisor support, co-worker support, time on leave, and requisition of work associated with emotional exhaustion.

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