临床护士隐性缺勤的潜在剖面分析及影响因素研究

职业与健康 ›› 2023, Vol. 39 ›› Issue (15): 2092-2098.

临床护士隐性缺勤的潜在剖面分析及影响因素研究

张燕¹, 郗海涛¹, 申红梅¹, 马丽荣², 郝伶俐³

1.首都医科大学附属北京康复医院社区康复中心,北京 100144;
2.北京大学肿瘤医院迦南门诊部,北京 100044;
3.北京大学第三医院泌尿科,北京 100191

收稿日期:2023-01-28 修回日期:2023-02-20 发布日期:2026-03-24
作者简介:张燕,女,主管护师,主要从事慢性病临床护理与管理工作。
基金资助:
北京残疾人联合会项目（GNOAFWGK0275）; 首都医科大学附属北京康复医院青年课题（2022-35）

Latent profile analysis and influence factors study of presenteeism among clinical nurses

ZHANG Yan¹, XI Haitao¹, SHEN Hongmei¹, MA Lirong², HAO Lingli³

1. Community Rehabilitation Center,Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100144,China;
2. Canaan Clinic,Peking University Cancer Hospital,Beijing 100044,China;
3. Department of Urology,Peking University Third Hospital,Beijing 100191,China

Received:2023-01-28 Revised:2023-02-20 Published:2026-03-24

摘要/Abstract

摘要： 目的调查临床护士隐性缺勤现状,探索临床护士隐性缺勤的潜在类别,分析隐性缺勤的影响因素。方法于2022年6—8月采用一般资料调查表、工作-家庭冲突量表、社会支持评定量表、隐性缺勤量表对北京市384名临床护士进行电子问卷调查。利用Mplus 8.3进行护士隐性缺勤潜在剖面分析,建立亚组模型。利用单因素分析和有序多分类logistic回归分析探讨临床护士隐性缺勤的影响因素。结果北京市384名临床护士隐性缺勤总得分为（15.13±3.73）分,工作-家庭冲突总得分为（26.07±4.16）分,社会支持总得分为（41.59±3.82）分。临床护士隐性缺勤可分为低隐性缺勤组66.6%、中等隐性缺勤组24.5%和高隐性缺勤组8.9% 3个潜在类别。有序多分类logistic回归显示,夜班数为4~9个/月（OR=2.008,P<0.05）、工作满意度（OR=2.968,P<0.05）、工作-家庭冲突度（OR=2.190,P<0.01）均是隐性缺勤的正向预测因素;社会支持（OR=0.303,P<0.01）是隐性缺勤的负向预测因素。结论不同人口学特征临床护士隐性缺勤潜在剖面不同,夜班数、工作满意度、工作-家庭冲突度和社会支持度是临床护士隐形缺勤的影响因素。

关键词: 临床护士, 隐性缺勤, 潜在剖面分析, 影响因素

Abstract: Objective To investigate the current situation of clinical nurses' presenteeism,explore the potential categories of nurses' presenteeism,and analyze the influencing factors of presenteeism. Methods From June to August 2022,a total of 384 clinical nurses in Beijing were investigated with the general information questionnaire,the work-family conflict scale,the social support rating scale and Stanford presenteeism scale. The latent profile analysis of presenteeism was carried out to establish subgroup model by Mplus 8.3. The univariate analysis and ordinal logistic regression analysis were used to explore the influencing factors of presenteeism inclinical nurses. Results The total score of presenteeism in 384 clinical nurses in Beijing was （15.13±3.73）points,the total score of work-family conflict was （26.07±4.16）points,and the total score of social support was （41.59±3.82）points. The presenteeism of clinical nurses could be divided into three subgroups,including low presenteeism group（66.6%）,medium presenteeism group（24.5%） and high presenteeism group（8.9%）. The ordinal logistic regression showed that the number of night shifts was 4-9/month（OR=2.008,P<0.05）,job satisfaction（OR=2.968,P<0.05）,and work-family conflict（OR=2.190,P<0.01） were positive predictors of presenteeism,and the social support（OR=0.303,P<0.01） was inverse predictors of presenteeism. Conclusion The potential profiles of presenteeism of clinical nurses with different characteristics are different,and the number of night shifts,job satisfaction,work-family conflict and social support are the influencing factors of presenteeism in clinical nurses.

Key words: Clinical nurse, Presenteeism, Latent profile analysis, Influencing factors

中图分类号:

R181.3⁺1

张燕, 郗海涛, 申红梅, 马丽荣, 郝伶俐. 临床护士隐性缺勤的潜在剖面分析及影响因素研究. [J]职业与健康, 2023, 39(15): 2092-2098.

ZHANG Yan, XI Haitao, SHEN Hongmei, MA Lirong, HAO Lingli. Latent profile analysis and influence factors study of presenteeism among clinical nurses. [J]OCCUPATION AND HEALTH, 2023, 39(15): 2092-2098.

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