肿瘤ICU护士职业抱负现状及其与经历患者欺凌行为应对方式、心理弹性的关系研究

职业与健康 ›› 2023, Vol. 39 ›› Issue (19): 2597-2602.

肿瘤ICU护士职业抱负现状及其与经历患者欺凌行为应对方式、心理弹性的关系研究

王国州, 陈蕾, 迟园园, 张冉旭, 于思淼

天津医科大学肿瘤医院重症监护科,国家恶性肿瘤临床医学研究中心,天津市“ 肿瘤防治” 重点实验室,天津市恶性肿瘤临床医学研究中心,天津 300060

收稿日期:2023-03-07 修回日期:2023-04-17 出版日期:2023-10-01 发布日期:2026-03-26
通信作者: 陈蕾,主管护师,E-mail：chl-415@163.com
作者简介:王国州,男,护士,主要从事危重症护理工作。
基金资助:
天津医科大学肿瘤医院护理部种子基金项目（TJMUCH-H-2019-06）; 天津市医学重点学科（专科）建设项目资助（TJYXZDXK-011A）

Research on status of career aspiration of nurses in oncology ICU and its relationship with coping styles after experiencing patient bullyingand resilience

WANG Guozhou, CHEN Lei, CHI Yuanyuan, ZHANG Ranxu, YU Simiao

Department of Intensive Care Unit,Cancer Hospital of Tianjin Medical University,National Clinical Research Center for Cancer,Tianjin Key Laboratory of "Tumor Prevention and Control",Tianjin Clinical ResearchCenter for Cancer,Tianjin 300060,China

Received:2023-03-07 Revised:2023-04-17 Online:2023-10-01 Published:2026-03-26
Contact: CHEN Lei,Nurse in charge,E-mail：chl-415@163.com

摘要/Abstract

摘要： 目的了解肿瘤重症监护病房（intensive care unit,ICU）护士职业抱负现状,探讨其与应对方式、心理弹性的关系。方法 2021年2月采用一般资料调查表、患者欺凌行为量表、护士应对方式问卷、心理弹性量表和职业抱负量表对全国14所三级肿瘤专科医院ICU 269名护士进行调查。结果调查对象患者欺凌行为总分为（39.69±10.55）分,心理弹性总分为（52.63±15.17）分,职业抱负总分为（11.67±5.45）分,最常采用的应对方式为问题解决[（2.30±0.74）分]和正面认识[（2.24±0.88）分]。相关分析显示,问题解决、回避与自责、缓解情绪困扰、寻求社会支持、正面认识、行为摆脱均与职业抱负呈正相关（r=0.155~0.706,均P<0.05）,心理弹性与职业抱负呈正相关（r=0.451,P<0.01）。分层回归显示,性别、学历、心理弹性、回避与自责进入回归方程共同解释职业抱负变异的33.3%。结论肿瘤ICU护士经历患者欺凌行为普遍,性别、学历、应对方式和心理弹性是职业抱负的主要影响因素。护理管理者应采取相关措施提高肿瘤ICU护士的心理弹性水平,帮助其以乐观积极的态度应对患者欺凌等压力,提高其职业抱负。

关键词: ICU护士, 患者欺凌行为, 应对方式, 心理弹性, 职业抱负

Abstract: Objective To understand the status quo of career aspirations among nurses in oncology intensive care unit（ICU）,explore the its relationship with coping styles and resilience. Methods In February 2021,a total of 269 nurses in the ICU of 14 tertiary oncology hospitals across the country were investigated using general information questionnaire,patient mistreatment scale,nurse's coping way questionnaire,Connor-Davidsion resilience scale（CD-RISC） and career aspiration scale. Results The total score of patient mistreatment was （39.69±10.55）points,and the total score of resilience was （52.63±15.17）points. The total score of career aspiration was （11.67±5.45）points,the most commonly used coping style was problem solving[（2.30±0.74）points] and positive perceptions[（2.24±0.88）points]. The correlation analysis showed that problem solving,avoidance and self blame,alleviating emotional distress,seeking social support,positive recognition,and behavioral disengagement were all positively correlated with career aspirations（r=0.155-0.706,all P<0.05）,while resilience was positively correlated with career aspirations（r=0.451,P<0.01）. The hierarchical multiple regression showed that gender,education,resilience,avoidance and self-blame entered the regression equation,which together explained 33.3% of the variation of career aspirations. Conclusions It is common for oncology ICU nurses to experience patient bullying,and gender,education,coping way and resilience are the main influencing factors of career aspirations. The nursing administrators should take measures to improve the resilience level of oncology ICU nurses and help them cope with pressure such as patient bullying with an optimistic attitude,and improve their career aspirations.

Key words: ICU nurses, Patient mistreatment, Coping wary, Resilience, Career aspiration

中图分类号:

R192.6

王国州, 陈蕾, 迟园园, 张冉旭, 于思淼. 肿瘤ICU护士职业抱负现状及其与经历患者欺凌行为应对方式、心理弹性的关系研究. [J]职业与健康, 2023, 39(19): 2597-2602.

WANG Guozhou, CHEN Lei, CHI Yuanyuan, ZHANG Ranxu, YU Simiao. Research on status of career aspiration of nurses in oncology ICU and its relationship with coping styles after experiencing patient bullyingand resilience. [J]OCCUPATION AND HEALTH, 2023, 39(19): 2597-2602.

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