ICU护士关怀行为、抗逆力水平与情绪劳动的关系研究

职业与健康 ›› 2025, Vol. 41 ›› Issue (21): 2966-2971.

ICU护士关怀行为、抗逆力水平与情绪劳动的关系研究

刘秦宇¹, 廖莲梅¹, 黄惠榕², 邹依然¹, 刘磊³

1.重庆两江新区人民医院护理部,重庆 401121;
2.福建中医药大学附属第三人民医院护理部,福建福州 350004;
3.四川大学华西医院,四川成都 610041

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: 廖莲梅,副主任护师,E-mail：1713799057@qq.com
作者简介:刘秦宇,女,主管护师,主要从事护理管理工作。

Study on relationship between caring behavior,stress resistance level and emotional labor in ICU nurses

LIU Qinyu¹, LIAO Lianmei¹, HUANG Huirong², ZOU Yiran¹, LIU Lei³

1. Nursing Department,Chongqing Liangjiang New Area People's Hospital,Chongqing 401121,China;
2. Nursing Department,The Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350004,China;
3. West China Hospital of Sichuan University,Chengdu,Sichnan 610041,China

Received:2025-02-08 Revised:2025-02-24 Published:2025-12-15
Contact: LIAO Lianmei,Deputy chief nurse,E-mail：1713799057@qq.com

摘要/Abstract

摘要： 目的调查重症监护室（intensive care unit,ICU）护士情绪劳动的现状,探讨关怀行为、抗逆力水平、情绪劳动的关系,为管理者制定相关干预措施提供依据。方法 2024年2月采用便利抽样法选取福建省10家医院394名ICU护士为调查对象,采用情绪劳动量表、关怀行为量表及医护人员抗逆力量表对其进行调查,并对数据进行分析。结果 ICU护士情绪劳动得分为（64.53±8.67）分,关怀行为得分为（75.88±9.91）分,抗逆力得分为（126.50±14.58）分。任职、人文培训、子女数、专科护士、关怀行为及抗逆力均是ICU护士情绪劳动的影响因素（均P<0.05）。关怀行为在情绪劳动和抗逆力之间存在一定中介作用。结论 ICU护士情绪劳动处于中上水平,可通过提升人文关怀能力及抗逆力水平来管理ICU护士情绪劳动。

关键词: 重症监护室, 护士, 情绪劳动, 关怀行为, 抗逆力

Abstract: Objective To investigate the current status of emotional labor among ICU nurses,explore the relationships between nursing care behaviors,resilience level and emotional labor,and provide basis for managers to develop relevant intervention measures. Methods In February 2024,a total of 394 ICU nurses from 10 hospitals in Fujian Province were selected by the convenience sampling method. The emotional labor scale,nursing care behavior scale,medical and nursing staff resilience scale were used to investigate them,and the data were analyzed. Results The score of emotional labor,nursing care behaviors and resilience among ICU nurses was (64.53±8.67),(75.88±9.91) and (126.50±14.58)points,respectively. The position,humanistic training,number of children,certified nurse specialist,nursing care behaviors,and resilience were all factors that influenced ICU nurses' emotional labor(all P<0.05). The nursing care behaviors played a certain mediating role between emotional labor and resilience. Conclusion The emotional labor level of ICU nurses is at a moderate to high level,and managing ICU nurses' emotional labor can be achieved by enhancing their humanistic care ability and resilience level.

Key words: Intensive care unit, Nurse, Emotional labor, Care behavior, Resilience

中图分类号:

R192.6

刘秦宇, 廖莲梅, 黄惠榕, 邹依然, 刘磊. ICU护士关怀行为、抗逆力水平与情绪劳动的关系研究. [J]职业与健康, 2025, 41(21): 2966-2971.

LIU Qinyu, LIAO Lianmei, HUANG Huirong, ZOU Yiran, LIU Lei. Study on relationship between caring behavior,stress resistance level and emotional labor in ICU nurses. [J]OCCUPATION AND HEALTH, 2025, 41(21): 2966-2971.

参考文献

[1] KIM S H,LEE E,PARK J H.Measurement invariance and latent mean differences in the nurses' emotional labour scale[J].J Nurs Res,2022, 30(6):e239.
[2] YILDIZ A T,DINC L.Emotional labor among Turkish nurses:A cross-sectional study[J].Nurs Inq,2023,30(3):e12544.
[3] 王颖,沙丽艳,刘洋,等.工作环境报警疲劳和情绪劳动对ICU护士职业倦怠的影响研究[J].中国护理管理,2022,22(9):1405-1410.
[4] LI Y S,LIU C F,YU W P,et al.Caring behaviours and stress perception among student nurses in different nursing programmes:A cross-sectional study[J].Nurse Educ Pract,2020,48:102856.
[5] 周川茹,黄霞,王聪,等.四川省24所三级医院ICU护士关怀行为的现状及影响因素研究[J].中华护理杂志,2022,57(15):1868-1873.
[6] 郭家宝,李宇辉,张尔欣,等.护士工作场所精神气候的研究进展[J].中国护理管理,2023,23(4):595-599.
[7] 郭宏卿,严萌玮,李静,等.儿科护士情绪劳动的现状及影响因素分析[J].中华护理杂志,2023,58(17):2134-2142.
[8] FRYBURG D A.Kindness as a stress reduction-health promotion intervention:A review of the psychobiology of caring[J].Am J Lifestyle Med, 2022,16(1):89-100.
[9] 肖文杰,张雪,赵德利,等.培养医护人员抗逆力的实践经验和路径研究[J].中国医院管理,2023,43(7):57-59.
[10] 李红甜,张志娟.中山市综合医院低年资医务人员抗逆力水平评估其对情绪劳动的影响[J].职业与健康,2019,35(24):3406-3409.
[11] 王娇,盖海云,等.护士组织支持感和抗逆力对职业生涯状况影响的路径分析[J].护理管理杂志,2020,20(1):7-11.
[12] UNJAI S,FORSTR E M,Mitchell A E,et al.Predictors of compassion satisfaction among healthcare professionals working in intensive care units:A cross-sectional study[J].Intensive Crit Care Nurs,2023, 79:103509.
[13] 李峥,刘宇.护理学研究方法[M].2版.北京:人民卫生出版社,2018:64-65.
[14] YAO Y,WEI W,HU Y,et al.Translation and psychometric validation of the Chinese version of the emotional labour scale for nurses[J].J Nurs Manag,2020,28(4):948-958.
[15] 达朝锦. 关怀行为量表的汉化及其中文版的信度、效度研究[D].兰州:兰州大学,2016.
[16] 张聪慧,赖琪,王碧,等.ICU护士抗逆力水平及组织支持感的现状调查与相关性分析[J].护理实践与研究,2023,20(20):3078-3083.
[17] HAYES A.Introduction to mediation,moderation,and conditional process analysis[J].J Educ Meas,2013,51(3):335-337.
[18] 李雯,张振宇,于义,等.职业倦怠在ICU护士情绪劳动与离职意向间的中介效应分析[J].中华急危重症护理杂志,2023,4(8):741-746.
[19] 李媚,曾铁英,陈黛琪,等.护士幸福感现状及与职场精神力和情绪劳动的关系研究[J].护理学杂志,2022,37(11):71-73.
[20] 张致琴,张全英,李雪.河南省三甲医院临床护士关怀行为的影响因素及路径分析[J].中国健康心理学杂志,2023,31(11):71-73.
[21] 王慧. ICU护士抗逆力现状及影响因素研究[D].石河子:石河子大学,2022.
[22] MTSOENI L,MATLALA S,DOWNING C.Newly qualified intensive care nurses' lived experiences of being a shift leader in a private healthcare institution in Gauteng,South Africa[J].Int J Nurs Sci,2023, 10(3):351-358.
[23] 田君叶,苏莉,张嘉晖,等.我国专科护士培训20年的发展与思考[J].中华护理教育,2024,21(7):773-779.
[24] 曾令丹,徐玉兰,颜巧元,等.ICU护士对工作场所互惠行为认知与体验的质性研究[J].护理学杂志,2024,39(1):68-71.
[25] 姚颖. 护士情绪劳动现状及其与工作投入的关系[D].郑州:郑州大学,2021.
[26] KIM J,KIM S.Effects of a nonviolent communication-based anger management program on psychiatric inpatients[J].Arch Psychiatr Nurs, 2022,41:87-95.