三级甲等医院介入护士心理困扰、职业倦怠与睡眠质量关系

摘要/Abstract

摘要： 目的调查三级甲等医院介入护士心理困扰、职业倦怠与睡眠质量现状,探讨影响介入护士睡眠质量的危险因素。方法采用方便抽样法,于2022年3—4月采用心理困扰量表、职业倦怠量表、匹兹堡睡眠质量指数量表（Pittsburgh sleep quality index scale,PSQI）对西部地区16所三级甲等医院267名介入科护士进行调查,并对数据进行分析。结果三级甲等医院介入护士心理困扰、职业倦怠和睡眠质量指数得分分别为（24.37±7.16）（67.55±10.36）和（7.96±3.1）分,其中62.92%的护士睡眠质量指数≥5分。单因素分析显示,不同年龄、婚姻状况、职称和工龄的介入科护士心理困扰、职业倦怠和睡眠质量得分比较,差异均有统计学意义（均P<0.05）。相关分析显示,三级甲等医院介入科护士睡眠质量指数总分及各维度得分与心理困扰总分及各维度得分、情绪耗竭、人格解体得分均呈正相关（均P<0.05）,与个人成就感得分呈负相关（均P<0.05）。多元回归分析显示,心理困扰、情感衰竭、人格解体、个人成就感及工龄均是介入科护士睡眠质量的主要影响因素（均P<0.05）。结论三级甲等医院介入科护士睡眠质量问题突出,受心理困扰、职业倦怠、工龄等因素影响。护理管理者应根据影响因素采取针对性干预策略,提升介入科护士睡眠质量,以促使其身体功能恢复,提高工作投入。

关键词: 介入护士, 睡眠质量, 心理困扰, 职业倦怠, 影响因素

Abstract: Objective To investigate the status of psychological distress,job burnout and sleep quality of interventional nurses in grade-A tertiary hospitals,explore the risk factors of sleep quality of interventional nurses. Methods A convenient sampling method was used to investigate 267 nurses in interventional department from 16 grade-A tertiary hospitals in western China from March to April 2022 with psychological distress scale,job burnout scale and Pittsburgh sleep quality index scale（PSQI）,and the data were analyzed. Results The scores of psychological distress,job burnout,and sleep quality index of interventional nurses in grade-A tertiary hospitals were （24.37±7.16）,（67.55±10.36） and （7.96±3.1）points,respectively. Among them,62.92% of the nurses had sleep quality index ≥5 points. The univariate analysis showed that there were statistically significant differences in the scores of psychological distress,job burnout and sleep quality among the interventional department nurses at different age,marital status,professional title and length of service（all P<0.05）. The correlation analysis showed that the total score of sleep quality index and the scores of each dimension of nurses in the intervention department of grade-A tertiary hospitals were positively correlated with the total score of psychological distress and the scores of each dimension,the scores of emotional exhaustion and the scores of depersonalization（all P<0.05）,and negatively correlated with the scores of personal accomplishment（all P<0.05）. The multiple regression analysis showed that psychological distress,emotional exhaustion,depersonalization,personal accomplishment and length of service were the main influencing factors of sleep quality of nurses in interventional department（all P<0.05）. Conclusions The sleep quality problem of nurses in interventional department of grade-A tertiary tertiary hospital is prominent,and it affected by psychological distress,job burnout,length of service and other factors. The nursing managers should take targeted intervention strategies according to the influencing factors,and improve the sleep quality of nurses in interventional department,so as to promote their physical function recovery and improve work engagement.

Key words: Intervention nurses, Sleep quality, Psychological distress, Job burnout, Influencing factors

中图分类号:

R181.3⁺1

王利昭. 三级甲等医院介入护士心理困扰、职业倦怠与睡眠质量关系. [J]职业与健康, 2023, 39(13): 1764-1768.

WANG Lizhao. Relationship between psychological distress,job burnout and sleep quality of interventional nurses in grade-A tertiary hospitals. [J]OCCUPATION AND HEALTH, 2023, 39(13): 1764-1768.

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