苏州市三级医院产科护士心理韧性在个人职业疲劳与工作投入的中介效应分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (7): 897-902.

苏州市三级医院产科护士心理韧性在个人职业疲劳与工作投入的中介效应分析

潘晓红, 沈菲, 陆爱芬

苏州大学附属苏州九院产科,江苏苏州 215200

收稿日期:2023-07-14 修回日期:2023-08-07 出版日期:2024-04-01 发布日期:2026-03-16
通信作者: 沈菲,主管护师,E-mail：hu90trw@163.com
作者简介:潘晓红,女,护师,主要从事产科护理工作。

Analysis on mediating effect of psychological resilience on personal occupational fatigue and work engagement among obstetric nurses in tertiary hospitals in Suzhou City

PAN Xiaohong, SHEN Fei, LU Aifen

Department of Obstetrics,Suzhou Ninth Hospital Affiliated to Soochow University,Suzhou Jiangsu,215200, China

Received:2023-07-14 Revised:2023-08-07 Online:2024-04-01 Published:2026-03-16
Contact: SHEN Fei,Nurse in charge,E-mail：hu90trw@163.com

摘要/Abstract

摘要： 目的了解心理韧性在产科护士职业疲劳与工作投入间的中介效应,为缓解产科护士职业疲劳提供参考。方法采用简单抓阄方法于2022年6—9月向苏州市4所三级医院的203名产科护士发放调查问卷,问卷包含一般资料表、职业疲劳量表、心理韧性量表、工作投入量表,并对数据进行分析。结果苏州市203名产科护士的心理韧性得分为（86.01±10.45）分,职业疲劳得分为（17.32±2.93）分,工作投入得分为（68.08±6.05）分。产科护士心理韧性与职业疲劳呈负相关（r=-0.472,P<0.05）,心理韧性与工作投入呈正相关（r=0.619,P<0.05）,职业疲劳与工作投入呈负相关（r=-0.424,P<0.05）。产科护士职业疲劳对心理韧性、工作投入的直接作用值分别为-0.260和-0.400,心理韧性对工作投入的直接作用值为0.180。心理韧性在产科护士职业疲劳与工作投入间有部分中介作用,占总效应的21.69%。结论苏州市4所三级医院203名产科护士的心理韧性在职业疲劳和工作投入间起部分中介作用,提高产科护士的心理韧性有利于减轻其职业疲劳并促进工作投入力度。

关键词: 心理韧性, 产科, 护士, 职业疲劳, 工作投入, 中介作用

Abstract: Objective To understand the mediating effect of psychological resilience between occupational fatigue and work engagement of obstetric nurses,and provide reference for alleviating occupational fatigue of obstetric nurses. Methods A simple lot drawing method was used to distribute questionnaires to 203 obstetric nurses in four tertiary hospitals in Suzhou City from June to September 2022. The questionnaire includes general information sheet,occupational fatigue scale,psychological resilience scale and work engagement scale. And the data were analyzed. Results The psychological resilience score of 203 obstetric nurses in Suzhou was （86.01±10.45）points,occupational fatigue score was （17.32±2.93）points,and work engagement score was （68.08±6.05）points. The psychological resilience of obstetric nurses was negatively correlated with occupational fatigue（r=-0.472,P<0.05）,and positively correlated with work engagement（r=0.619,P<0.05）. Occupational fatigue was negatively correlated with work engagement（r=-0.424, P<0.05）. The direct effect values of occupational fatigue on psychological resilience and work engagement of obstetric nurses were -0.260 and -0.400,respectively,and the direct effect value of psychological resilience on work engagement was 0.180. Psychological resilience partially mediated the relationship between occupational fatigue and work engagement among obstetric nurses,accounting for 21.69% of the total effect. Conclusion The psychological resilience of 203 obstetric nurses from four tertiary hospitals in Suzhou City plays a partial mediating role between occupational fatigue and work engagement. Improving the psychological resilience of obstetric nurses is beneficial for reducing their occupational fatigue and promoting work engagement.

Key words: Psychological resilience, Obstetrics, Nurse, Occupational fatigue, Work engagement, Mediating effect

中图分类号:

R181.3⁺1

潘晓红, 沈菲, 陆爱芬. 苏州市三级医院产科护士心理韧性在个人职业疲劳与工作投入的中介效应分析. [J]职业与健康, 2024, 40(7): 897-902.

PAN Xiaohong, SHEN Fei, LU Aifen. Analysis on mediating effect of psychological resilience on personal occupational fatigue and work engagement among obstetric nurses in tertiary hospitals in Suzhou City. [J]OCCUPATION AND HEALTH, 2024, 40(7): 897-902.

参考文献

[1] 林琳,何国平.国外关于护士心理韧性的研究进展[J].解放军护理杂志,2018,35(17):41-44.
[2] 高勤,李晓波.实习护生社交焦虑与情绪智力、心理韧性的关系研究[J].蚌埠医学院学报,2022,47(3):359-363.
[3] 刘灿,汪立.妊娠期糖尿病孕妇睡眠质量与感知压力、心理韧性的相关性研究[J].蚌埠医学院学报,2022,47(8):1134-1138.
[4] 钱文静,章雅青,钱蒨健.三级甲等医院手术室护士职业疲劳现况及影响因素分析[J].中国护理管理,2022,22(2):238-244.
[5] 李梦瑶,黄康慧,胡玉莲,等.护士职业疲劳现况及其影响因素研究[J].中华护理杂志,2022,57(7):853-858.
[6] 赵峰,周学颖,田蕾蕾,等.手术室护士心理资本在职业疲劳和职业倦怠间的中介效应分析[J].中华现代护理杂志,2021,27(32):4446-4452.
[7] CONNOR K M,DAVIDSON J R.Development of a new resilience scale:The connor-davidson resilience scale(CD-RISC)[J].Depress Anxiety,2003,18(2):76-82.
[8] 于肖楠,张建新.自我韧性量表与 Connor-Davidson 韧性量表的应用比较[J].心理科学,2007,30(5):1169-1171.
[9] SCHWARTZ J E,JANDORF L,KRUPPL B.The mesment of fatigue:A new instrument[J].J Psychosom Res,1993,37(7):753-762.
[10] 张轶文,甘怡群.中文版Utrecht工作投入量表(UWES)的信效度检验[J].中国临床心理学杂志,2005,6(3):268-270,281.
[11] 曲瑞杰,李瑞玲,王海播,等.心理韧性在ICU护士护护合作与工作幸福感中的中介作用[J].安徽医学,2020,41(11):1359-1362.
[12] 唐娇,刘欣怡,覃楠玲,等.心理韧性在眼科护士工作家庭冲突对职业倦怠影响中的中介作用[J].职业与健康,2022,38(14):1893-1897,1901.
[13] 胡月娇,潘凌云.江西省三级医院妇产科医师睡眠质量与职业疲劳水平及其影响因素分析[J].职业与健康,2022,38(1):59-62.
[14] 刁云云,郝文斌,田秀娟,等.高龄孕妇妊娠期心血管功能异常与妊娠并发症、母婴结局的相关性研究[J].中国妇产科临床杂志,2021, 22(5):524-525.
[15] 任春丽,唐兴国,张玉芳,等.二孩后瘢痕子宫高龄孕妇再妊娠并发症发生情况分析[J].河北医学,2020,26(11):1919-1923.
[16] 黄畅成,薛祥庆,王海艳.手术室轮班护士睡眠质量的影响因素分析[J].蚌埠医学院学报,2022,47(3):409-413.
[17 ]褚欣悦,吴玉兰,刘伟.我国临床护士睡眠障碍发生率及影响因素的meta分析[J].职业与健康,2022,38(3):395-399,405.
[18] 刘庆莲. 西南地区18家三级医院血透专科护士心理授权、工作投入与职业认同的相关研究[J].职业与健康,2022,38(10):1370-1374.
[19] 汪艳,吕文杰,王玮.急诊科护士情绪管理、工作投入现状及对患者满意度的影响[J].现代临床医学,2022,48(5):352-354,357.
[20] 陈莉莉,寇红艳,李霜,等.手术室护士职业认同和心理资本对共情疲劳的影响分析[J].职业与健康,2022,38(13):1769-1772.
[21] 王锐,张琳琪,杨芹,等.突发公共卫生事件期间儿科护士心理韧性现状及影响因素分析[J].中华现代护理杂志,2021,27(32):4426-4434.
[22] 董虹玎,陈松杨.我国运动员心理韧性对其心理疲劳的影响效应[J].福建体育科技,2022,41(3):42-48.
[23] MOHAMMADI M,MAZLOUMI A,KAZEMI Z,et al.Evaluation of mental workload among ICU ward′s nurses[J].Health Promot Perspect,2015,5(4):280-287.
[24] 刘瑞,李雪,方晓霞,等.工作投入在护士自我价值感与工作幸福感间的中介作用[J].中华护理教育,2022,19(7):636-640.
[25] 宋明娟. 整体护理对产科护理质量及母婴健康的影响分析[J].中国冶金工业医学杂志,2021,38(5):557-558.
[26] 李沪生,程康耀,王一焱,等.临床护理人员心理负荷现状及与工作投入、疲劳的关系研究[J].中国实用护理杂志,2022,38(20):1521-1527.
[27] 何志荣,姚卓娅,耿军辉,等.消毒灭菌护士职业倦怠现状及其与职业压力、心理韧性的相关性分析[J].临床护理杂志,2021,20(1):56-58.
[28] 连婕,贾妮,庄蓉,等.心理韧性对精神科医生工作压力与睡眠质量的中介作用[J].中国职业医学,2022,49(2):171-175.