护士长健康生产力受损在职业压力与人文关怀品质间的中介效应

职业与健康 ›› 2025, Vol. 41 ›› Issue (1): 87-90.

护士长健康生产力受损在职业压力与人文关怀品质间的中介效应

王心怡¹, 张珊², 卫攀³, 刘艳梅⁴, 曹宝花²

1.陕西中医药大学护理学院,陕西咸阳 712046;
2.空军军医大学护理系,陕西西安 710032;
3.空军军医大学第二附属医院心血管内科,陕西西安 710038;
4.陕西省中医医院针灸一科,陕西西安 710003

收稿日期:2024-03-20 修回日期:2024-04-04 出版日期:2025-01-01 发布日期:2025-12-17
通信作者: 曹宝花,教授,E-mail：cbh528@fmmu.edu.cn
作者简介:王心怡,女,在读硕士研究生,研究方向为护理管理及慢性病管理。
基金资助:
军队护理创新与培育专项计划培育项目（2021HL040）

Mediating effects of health-related productivity loss in head nurses between occupational stress and humanistic care quality

WANG Xinyi¹, ZHANG Shan², WEI Pan³, LIU Yanmei⁴, CAO Baohua²

1. School of Nursing,Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712046,China;
2. Department of Nursing,Air Force Military Medical University,Xi'an,Shaanxi 710032,China;
3. Department of Cardiovascular,The Second Affiliated Hospital of Air Force Medical University,Xi'an,Shaanxi 710038,China;
4. First Department of Acupuncture,Shaanxi Hospital of Traditional Chinese Medicine,Xi'an,Shaanxi 710003,China

Received:2024-03-20 Revised:2024-04-04 Online:2025-01-01 Published:2025-12-17
Contact: CAO Baohua,Professor,E-mail：cbh528@fmmu.edu.cn

摘要/Abstract

摘要： 目的分析陕西省三级甲等医院护士长健康生产力受损在职业压力与人文关怀品质间的中介效应,为提升护士长人文关怀品质提供新思路。方法 2023年11—12月采用便利抽样法选取陕西省12所三级甲等医院的248名护士长为调查对象,采用一般资料调查表、健康生产力受损量表、护士工作压力源量表、护士人文关怀品质量表进行横断面调查,并对数据进行分析。结果护士长健康生产力受损总分为（15.53±5.95）分,人文关怀品质总分为（129.86±15.56）分,职业压力得分为（91.93±12.95）分;护士长人文关怀品质与职业压力和健康生产力受损呈负相关（r=-0.294、-0.279,均 P<0.01）,职业压力与健康生产力受损呈正相关（r=0.482,P<0.01）。健康生产力受损在职业压力与人文关怀品质间起部分中介效应,占总效应的31.46%。结论职业压力可负向预测护士长的人文关怀品质,也可通过健康生产力受损间接影响人文关怀品质,医院管理者应采取多种干预措施缓解护士长的职业压力,降低健康生产力受损的发生率,提升其人文关怀品质。

关键词: 健康生产力受损, 职业压力, 人文关怀品质, 护士长, 中介效应

Abstract: Objective To analyze the mediating effect of health-related productivity loss between occupational stress and humanistic care quality of head nurses in grade-A tertiary hospitals in Shaanxi Province,and provide new ideas for improving the humanistic care quality of head nurses. Methods Using the convenience sampling method,248 head nurses from twelve grade-A tertiary hospitals in Shaanxi Province were surveyed by the general information questionnaire,Standford presenteeism scale,the nurses' job stressor scale and nursing caring characters assessment tool from November to December 2023,and the data were analyzed. Results The total score of health-related productivity loss among head nurses was （15.53±5.95）points,the total score of humanistic care quality was （129.86±15.56）points,and the total score of occupational stress was （91.93±12.95）points. The humanistic care quality of head nurses was negatively correlated with occupational stress and health-related productivity loss（r= -0.294,-0.279,both P<0.01）,while occupational stress was positively correlated with health-related productivity loss（r=0.482,P<0.01）. The health-related productivity loss partially mediated the effect between occupational stress and humanistic care quality,accounting for 31.46% of the total effect. Conclusion Occupational stress can negatively predict the humanistic care quality of head nurses,and can indirectly affect the humanistic care quality through health-related productivity loss. The hospital administrators should adopt a variety of interventions to alleviate the occupational stress of head nurses,reduce the incidence of health-related productivity loss,and enhance the quality of their humanistic care.

Key words: Health-related productivity loss, Occupational stress, Humanistic care quality, Head nurse, Mediating effect

中图分类号:

R181.3⁺1

王心怡, 张珊, 卫攀, 刘艳梅, 曹宝花. 护士长健康生产力受损在职业压力与人文关怀品质间的中介效应. [J]职业与健康, 2025, 41(1): 87-90.

WANG Xinyi, ZHANG Shan, WEI Pan, LIU Yanmei, CAO Baohua. Mediating effects of health-related productivity loss in head nurses between occupational stress and humanistic care quality. [J]OCCUPATION AND HEALTH, 2025, 41(1): 87-90.

参考文献

[1] RAINBOW J G,DRAKE D A,STEEGE L M.Nurse health,work environment,presenteeism and patient safety[J].West J Nurs Res,2020, 42(5):332-339.
[2] JIANG H,JIA H,ZHANG J,et al.Nurses' occupational stress and presenteeism:The mediating role of public service motivation and the moderating role of health[J].Int J Environ Res Public Health,2021, 18(7):3523.
[3] CHUN B Y,SONG C S.A moderated mediation analysis of occupational stress,presenteeism,and turnover intention among occupational therapists in Korea[J].J Occup Health,2020,62(1):e12153.
[4] 梅鹿,王琳,刘芙蓉,等.助产士隐性缺勤对职业发展的影响:人文关怀能力的中介作用[J].心理月刊,2022,17(10):147-149,185.
[5] 刘芳,王悦齐,温绣蔺,等.基于Watson关怀理论的系统化导师制培训对培养新护士人文关怀品质的效果评价[J].中国护理管理,2021, 21(1):85-91.
[6] 乔艳. 对脑卒中后抑郁患者实施人文关怀的方法与效果[J].护理管理杂志,2012,12(5):362-363.
[7] KOOPMAN C,PELLETIER K R,MURRAY J F,et al.Stanford presenteeism scale:Health status and employee productivity[J].J Occup Environ Med,2002,44(1):14-20.
[8] 赵芳,戴俊明,颜士勇,等.健康生产力受损量表(SPS-6)中文版的信度和效度研究[J].中华劳动卫生职业病杂志,2010,28(9):679-682.
[9] 李小妹,刘彦君.护士工作压力源及工作疲溃感的调查研究[J].中华护理杂志,2000,35(11):645-649.
[10] 刘于皛. 护士人文关怀品质测评工具的构建研究[D].上海:第二军医大学,2011.
[11] MACKINON D P,LOCKWOOD C M,HOFFMAN J M,et al.A comparison of methods to test mediation and other intervening variable effects[J].Psychol Methods,2002,7(1):83-104.
[12] 何凤,刘显群.四川省三级甲等医院儿科护士精神薪酬满意度、工作沉浸对隐性缺勤的作用分析[J].职业与健康,2023,39(15):2074-2078,2083.
[13] 杨焱平;牟绍玉.护士长隐性缺勤现状及影响因素分析[J].护理学杂志,2020,35(9):61-63.
[14] 廖雨风,刘义兰,彭笑.职业压力程度对护士人文关怀品质的影响研究[J].护理管理杂志,2014,14(3):158-160.
[15] 赵聪聪,程相红,刘利,等.低生育水平时期助产士职业压力现状及影响因素分析[J].临床护理杂志,2023,22(5):2-6.
[16] 栾莹莹,潘潇,杨培云,等.情绪智力在临床护士心理弹性与人文关怀品质关系中的中介作用[J].齐鲁护理杂志,2023,29(3):1-5.
[17] 孙宏玉. 护理硕士专业学位研究生人文关怀品质现状及影响因素分析[J].中国实用护理杂志,2018,34(14):1105-1110.
[18] SONG J,LIU F,LI X,et al.The effect of emotional labor on presenteeism of Chinese nurses in tertiary-level hospitals:The mediating role of job burnout[J].Front Public Health,2021,9:733458.