三级甲等医院急诊科护士正念、职业韧性与功能性躯体症状的相关研究

摘要/Abstract

摘要： 目的调查绵阳市三级甲等医院急诊科护士正念水平、职业韧性与功能性躯体症状现状,分析急诊科护士功能性躯体症状主要影响因素。方法采用便利抽样法,于2022年8—12月选取绵阳市5所三级甲等医院317名急诊科护士为调查对象。采用正念水平量表、职业韧性量表和功能性躯体症状量表进行资料收集,采用描述分析、相关分析及多元回归分析方法分析影响功能性躯体症状的主要因素。结果 317名急诊科护士正念水平得分为（67.95±10.14）分,职业韧性得分为（33.62±6.17）分,功能性躯体症状得分为（24.83±12.02）分。单因素分析显示,不同性别、年龄、婚育状况、急诊科工龄、轮值夜班、每周加班时长、运动锻炼、工作压力强度、精神紧张和睡眠质量的急诊科护士功能性躯体症状总分比较,差异均有统计学意义（均P<0.05）。Pearson相关分析显示,急诊科护士正念水平与功能性躯体症状呈负相关（r<0,P<0.05）,与职业韧性呈正相关（r>0,P<0.05）;职业韧性与功能性躯体症状呈负相关（r<0,P<0.05）。多元回归分析显示,年龄、急诊科工龄、轮值夜班、每周加班时长、睡眠质量、正念水平及职业韧性均是功能性躯体症状的主要影响因素（均P<0.05）。结论绵阳市三级甲等医院急诊科护士功能性躯体症状较明显,正念水平和职业韧性是其独立影响因素,护理管理者应多维度采取针对性干预措施,改善护士功能性躯体症状,降低亚健康发生。

关键词: 急诊科, 护士, 功能性躯体症状, 正念, 职业韧性

Abstract: Objective To investigate the status of mindfulness level,occupational resilience and functional somatic symptoms of emergency department nurses in grade-A tertiary hospitals,and to analyze the main influencing factors of functional somatic symptoms of emergency department nurses. Methods From August to December 2022,a total of 317 emergency department nurses from 5 grade-A tertiary hospitals in Mianyang were selected by convenience sampling method as the survey subjects. The mindfulness level scale,occupational resilience scale and functional somatic symptom scale were used for data collection. Descriptive analysis,correlation analysis and multiple regression analysis were used to analyze the main factors affecting functional somatic symptoms. Results The score of mindfulness level of 317 emergency department nurses was （67.95±10.14）points,the score of occupational resilience was （33.62±6.17）points,and the score of functional somatic symptoms was （24.83±12.02）points.Univariate analysis showed that there were significant differences in the total scores of functional somatic symptoms among emergency department nurses with different gender,age,marital status,length of service in emergency department,night shift rotation,weekly overtime hours,exercise intensity,work pressure intensity,mental stress and sleep quality（all P<0.05）. Pearson correlation analysis showed that the level of mindfulness of emergency department nurses was negatively correlated with functional somatic symptoms（r<0,P<0.05） and positively correlated with occupational resilience（r>0,P<0.05）. Occupational resilience was negatively correlated with functional somatic symptoms（r<0,P<0.05）. Multivariate regression analysis showed that age,length of service in the emergency department,night shift rotation,weekly overtime hours,sleep quality,mindfulness level and occupational resilience were the main influencing factors of functional somatic symptoms（all P<0.05）. Conclusion Nurses in emergency departments of grade-A tertiary hospitals in Mianyang City have more obvious functional somatic symptoms,and mindfulness level and career resilience are independent influencing factors. Nursing managers should take targeted interventions in multiple dimensions to improve nurses' functional somatic symptoms and reduce the occurrence of sub-health.

Key words: Emergency department, Nurses, Functional somatic symptoms, Mindfulness, Occupational resilience

中图分类号:

R192.6

左兴玉, 张玲玲. 三级甲等医院急诊科护士正念、职业韧性与功能性躯体症状的相关研究. [J]职业与健康, 2024, 40(16): 2235-2240.

ZUO Xingyu, ZHANG Lingling. Correlation study on mindfulness,occupational resilience and functional somatic symptoms of nurses in emergency department of grade-A tertiary hospitals. [J]OCCUPATION AND HEALTH, 2024, 40(16): 2235-2240.

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