湖北省外科护士反刍思维和职业倦怠的相关性分析

职业与健康 ›› 2025, Vol. 41 ›› Issue (21): 2896-2900.

湖北省外科护士反刍思维和职业倦怠的相关性分析

冯静懿^1,2a, 刘亚萍^2a, 杜从林^2a, 张志霞^2b, 陈秋霞^2b

1.武汉科技大学医学院,湖北武汉 430081;
2.武汉科技大学附属天佑医院 a 泌尿外科, b 护理部,湖北武汉 430064

收稿日期:2025-02-11 修回日期:2025-02-24 发布日期:2025-12-15
通信作者: 刘亚萍,主管护师,E-mail：bzmulyp@126.com
作者简介:冯静懿,女,在读硕士研究生,研究方向为心理护理。

Analysis on correlation between ruminative thinking and job burnout among surgical nurses in Hubei Province

FENG Jingyi^1,2a, LIU Yaping^2a, DU Conglin^2a, ZHANG Zhixia^2b, CHEN Qiuxia^2b

1. School of Medicine,Wuhan University of Science and Technology,Wuhan,Hubei 430081,China;
2. a Department of Urology,b Nursing Department,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan,Hubei 430064,China

Received:2025-02-11 Revised:2025-02-24 Published:2025-12-15
Contact: LIU Yaping,Nurse in charge,E-mail：bzmulyp@126.com

摘要/Abstract

摘要： 目的调查湖北省外科护士反刍思维程度和职业倦怠程度,分析外科护士反刍思维与职业倦怠的相关性,为制订针对性干预措施提供参考。方法采用分层抽样与便利抽样相结合的方法,于2023年9—12月应用一般资料调查问卷、反刍思维量表（rumination response scale,RRS）、职业倦怠量表（Maslach burnout inventory general survey,MBI-GS）对湖北省的鄂西、鄂北、鄂中、鄂东4所三级甲等医院267名外科护士进行调查。结果外科护士反刍思维和职业倦怠得分分别为（41.58±13.19）和（68.07±17.90）分;Pearson相关分析结果显示,护士反刍思维总分与职业倦怠总分呈显著正相关（P<0.01）,症状反刍维度、反省深思维度、强迫冥想维度皆与情感衰竭维度和去人格化维度呈显著正相关（均P<0.01）,反省深思维度、强迫冥想维度与个人成就感降低维度呈正相关（P<0.05）。分层回归分析显示,控制一般资料的影响后,反刍思维可解释35.2%的职业倦怠变异。结论湖北省外科护士反刍思维程度与职业倦怠密切相关,护理管理者应关注并及时评估外科护士的心理状态,合理调配工作任务,减轻外科护士高负荷的工作压力,避免外科护士长期处于高压、紧张的工作环境中,从而减少职业倦怠的发生。

关键词: 外科护士, 反刍思维, 职业倦怠, 横断面研究

Abstract: Objective To investigate the levels of ruminative thinking and job burnout among surgical nurses in Hubei Province,analyze the correlation between ruminative thinking and job burnout,and provide a reference for developing targeted intervention measures. Methods Using a combination method of stratified sampling and convenience sampling,a survey was conducted from September to December 2023. The general demographic questionnaires,the rumination response scale(RRS) and Maslach burnout inventory general survey(MBI-GS) were administered to investigate 267 surgical nurses across four grade-A tertiary hospital in Hubei Province：those in the western,northern,central,and eastern regions. Results The scores for ruminative thinking and job burnout among surgical nurses were (41.58±13.19) and (68.07±17.90)points,respectively. The Pearson correlation analysis revealed the total score of ruminative thinking in nurses was significantly positively correlated with the total score of job burnout(P<0.01). The dimensions of symptom rumination,reflective pondering,and obsessive contemplation were all significantly positively correlated with the emotional exhaustion and depersonalization dimensions of burnout(all P<0.01). The dimensions of reflective pondering and obsessive contemplation were positively correlated with the reduced personal accomplishment dimension(P<0.05). The hierarchical regression analysis indicated that,after controlling for general demographic factors,ruminative thinking could explain 35.2% of the variance in job burnout. Conclusion The extent of ruminative thinking among surgical nurses in Hubei Province is closely associated with job burnout,and the nursing managers should monitor and regularly assess the psychological state of surgical nurses,appropriately allocate work tasks,and reduce the burden of high workloads,so as to prevent surgical nurses from being exposed to prolonged high-pressure and stressful work environments,thereby reducing the occurrence of job burnout.

Key words: Surgical nurse, Ruminative thinking, Job burnout, Cross-sectional study

中图分类号:

R181.3⁺1

冯静懿, 刘亚萍, 杜从林, 张志霞, 陈秋霞. 湖北省外科护士反刍思维和职业倦怠的相关性分析. [J]职业与健康, 2025, 41(21): 2896-2900.

FENG Jingyi, LIU Yaping, DU Conglin, ZHANG Zhixia, CHEN Qiuxia. Analysis on correlation between ruminative thinking and job burnout among surgical nurses in Hubei Province. [J]OCCUPATION AND HEALTH, 2025, 41(21): 2896-2900.

参考文献

[1] NOLEN-HOEKSEMA S,WISCO B E,LYUBOMIRSKY S.Rethinking rumination[J].Perspect Psychol Sci,2008,3(5):400-424.
[2] 韩娟,陈东莉,王敏娜,等.西安市三甲医院ICU护士反刍思维与离职意愿相关性研究[J].医学与社会,2018,31(9):75-77.
[3] 于潇,毛旭,马艳梅.临床护士自我能力否定倾向与职业倦怠的相关性研究[J].军事护理,2023,40(9):18-21.
[4] 韩秀,杨宏飞.Nolen-Hoeksema反刍思维量表在中国的试用[J].中国临床心理学杂志,2009,17(5):550-551,549.
[5] NOLEN-HOEKSEMA S.Responses to depression and their effects on the duration of depressive episodes[J].J Abnorm Psychol,1991,100(4):569-582.
[6] MASLACH C,SCHAUFELI W B,LEITER M P.Job burnout[J].Annu Rev Psychol,2001,52(1):397-422.
[7] 李超平,时勘.分配公平与程序公平对工作倦怠的影响[J].心理学报,2003,35(5):8.
[8] 李永鑫,李艺敏,时金献.护士工作倦怠与人格特征的相关研究[J].护理学杂志,2007,22(1):3-5.
[9] 李佳欢,王娟,陈擎仪,等.正念和反刍在护士工作压力与睡眠质量关系中的链式中介作用[J].山东大学学报(医学版),2020,58(2):103-108.
[10] 李鑫,章美华,陶玲,等.血液科护士职业获益感现状与反刍思维的关系研究[J].护理管理杂志,2023,23(5):335-339.
[11] 高燕飞,章妙玉.护士心灵驿站对新护士工作满意度的影响[J].心理月刊,2024,19(12):48-50,109.
[12] NOLEN-HOEKSEMA S,DAVIS C G."Thanks for sharing that":Ruminators and their social support networks[J].J Pers Soc Psychol,1999,77(4):801-814.
[13] 王方,龚燕妮.基于多种人际角色共情体验的护理团建活动对护士团队心理资本的影响[J].护理研究,2021,35(18):3327-3331.
[14] 陈景盈,符霞,路景画,等.血液透析护士工作投入的潜在剖面及其影响因素分析[J].护理学杂志,2024,39(4):69-73.
[15] 王倩,王素云,蒋岩,等.年轻临床护士情绪劳动管理与反刍思维、心理契约的相关研究[J].全科护理,2021,19(34):4770-4774.
[16] 江韩英,王美娜.巴林特小组干预对儿科护士职业倦怠感及职业规划的影响[J].中国卫生标准管理,2023,14(1):24-28.
[17] 梁银华,SYLVANUS G,唐云红.塞拉利昂公立医院护士工作压力的现状调查和分析[J].中国医学工程,2024,32(3):57-63.
[18] 刘凤,黄永丽,彭静涵,等.内科护士同情能力与职业倦怠状况及其相关性[J].现代临床护理,2019,18(4):15-20.
[19] 王金朋,佟久芬,夏冰杰,等.唐山市精神科医护人员职业倦怠及其影响因素横断面研究[J].精神医学杂志,2021,34(4):348-351.
[20] 李树超,贺琳惠,杜思妙,等.工作家庭冲突对父母养育倦怠的影响:一个有调节的中介模型[J].中国临床心理学杂志,2024,32(5):1080-1084,1089.
[21] 朱懿珍,张玉霞,王雪皎,等.医护人员决策疲劳的研究进展[J].护理学杂志,2021,36(1):101-104.
[22] 张少谦,马雷,郑金坡,等.DRG支付方式下公立医院临床医师激励研究——基于波特-劳勒综合激励模型[J].现代医院管理,2024, 22(2):53-55.
[23] 洪梦园,杨金侠,索白莉,等.我国基层卫生人员职业倦怠现状及其影响因素[J].医学与社会,2023,36(5):97-101.
[24] 徐超,刘玉琢,陈彤,等.自我效能感在社区医护人员职业倦怠和主观幸福感之间的中介作用[J].现代预防医学,2022,49(14):2579-2584.
[25] 杜昕昱,米嘉润,依力夏提·艾力,等.我国三级公立医院护士情绪耗竭现状及影响因素研究[J].中国医院管理,2024,44(8):23-28.
[26] 刘丽珍,曲翌敏,曹赫,等.基层卫生应急工作人员睡眠时长对职业倦怠的影响[J].中华疾病控制杂志,2024,28(1):64-68,74.