天津市三级甲等医院护士职业倦怠在知觉压力与自我复原力间的中介效应

职业与健康 ›› 2025, Vol. 41 ›› Issue (21): 2907-2911.

天津市三级甲等医院护士职业倦怠在知觉压力与自我复原力间的中介效应

马玉菲¹, 张亚军^2a, 王立妍¹, 庄伊楠¹, 赵怡婷¹, 王树苓^2b

1.天津中医药大学研究生院,天津 301617;
2.天津中医药大学第二附属医院 a 中医外科, b 人事科,天津 300250

收稿日期:2025-02-08 修回日期:2025-02-24 发布日期:2025-12-15
通信作者: 王树苓，主任护师，E-mail：wsl_722@sina.com
作者简介:马玉菲,女,在读硕士研究生,研究方向为临床护理。
基金资助:
教育部人文社会科学青年基金项目（20YJCZH156）

Mediating effect of occupational burnout between perceived stress and self resilience among nurses in grade-A tertiary hospitals of Tianjin

MA Yufei¹, ZHANG Yajun^2a, WANG Liyan¹, ZHUANG Yinan¹, ZHAO Yiting¹, WANG Shuling^2b

1. Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;
2. a Department of Traditional Chinese Medicine Surgery,b Department of Personnel,Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China

Received:2025-02-08 Revised:2025-02-24 Published:2025-12-15
Contact: WANG Shuling,Chief nurse,E-mail：wsl_722@sina.com

摘要/Abstract

摘要： 目的探究天津市三级甲等医院护士职业倦怠在知觉压力与自我复原力间的中介效应,为提高护士自我复原力的干预措施提供临床思路。方法于2024年3—5月使用便利抽样法抽取天津市2所三级甲等医院护士346名,采用一般资料调查表、中文版自我复原力量表、中文版知觉压力量表和中国职业倦怠量表对其进行调查。结果天津市三级甲等医院护士知觉压力、自我复原力、职业倦怠总分分别为（39.26±7.75）、（39.93±7.12）和（47.67±12.22）分。相关分析结果显示,自我复原力与知觉压力、职业倦怠均呈负相关（r=-0.508、-0.460,均P<0.01）;知觉压力与职业倦怠呈正相关（r=0.694,P<0.01）。护士知觉压力能负向预测自我复原力（β=-0.314,P<0.01）,职业倦怠能负向预测自我复原力（β=-0.109,P<0.01）,且职业倦怠在知觉压力与自我复原力间具有中介作用,效应值为-0.119,占总效应量的27.48%。结论天津市三级甲等医院护士的自我复原力处于中等偏上水平,职业倦怠在知觉压力与自我复原力间具有中介作用。建议医院管理人员优化护士工作压力环境,注重职业倦怠程度,从而提高自我复原力,更好地提高护理服务质量。

关键词: 三级甲等, 护士, 知觉压力, 自我复原力, 职业倦怠

Abstract: Objective To explore the mediating effect of occupational burnout between perceived stress and self resilience among nurses in grade-A tertiary hospitals of Tianjin,provide clinical ideas for intervention measures to improve nurses' self resilience. Methods From March to May 2024,a total of 346 nurses from two grade-A tertiary hospitals in Tianjin were selected using the convenience sampling method. They were surveyed using a general information questionnaire,the Chinese perceived stress scale,the ego-resiliency scale,and the China Maslach burnout inventory. Results The total scores of perceived stress,self-resilience and occupational burnout among nurses in grade-A tertiary hospitals of Tianjin was(39.26±7.75),(39.93±7.12) and(47.67±12.22) points,respectively. The results of correlation analysis showed that self-resilience was negatively correlated with perceived stress and occupational burnout(r=-0.508,-0.460,both P<0.01). The perceived stress was positively correlated with occupational burnout(r=0.694,P<0.01). The nurses' perceived stress could negatively predict self-resilience(β=-0.314,P<0.01),and occupational burnout negatively predicted self-resilience(β=-0.109,P<0.01). The occupational burnout had a mediating effect on perceived stress and self-resilience,with an effect value of -0.119,accounting for 27.48% of the total effect size. Conclusion The self-resilience of nurses in grade-A tertiary hospitals of Tianjin is at the upper middle level,and occupational burnout plays a mediating role in the relationship between perceived stress and self-resilience. It is suggested that hospital managers should optimize the working stress environment of nurses and pay attention to the degree of occupational burnout to improve self-resilience and better improve the quality of nursing services.

Key words: Tertiary grade-A, Nurses, Perceived stress, Self-resilience, Occupational burnout

中图分类号:

R181.3⁺1

马玉菲, 张亚军, 王立妍, 庄伊楠, 赵怡婷, 王树苓. 天津市三级甲等医院护士职业倦怠在知觉压力与自我复原力间的中介效应. [J]职业与健康, 2025, 41(21): 2907-2911.

MA Yufei, ZHANG Yajun, WANG Liyan, ZHUANG Yinan, ZHAO Yiting, WANG Shuling. Mediating effect of occupational burnout between perceived stress and self resilience among nurses in grade-A tertiary hospitals of Tianjin. [J]OCCUPATION AND HEALTH, 2025, 41(21): 2907-2911.

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