上海市某三级综合性医院护理人员应对方式在工作-家庭冲突、护理工作环境与职业倦怠间中介效应分析

职业与健康 ›› 2025, Vol. 41 ›› Issue (13): 1739-1743.

上海市某三级综合性医院护理人员应对方式在工作-家庭冲突、护理工作环境与职业倦怠间中介效应分析

袁颖¹, 王伟², 严非², 刘静³

1.复旦大学附属中山医院宣传部,上海 200032;
2.复旦大学公共卫生学院,国家卫生健康委员会卫生技术评估重点实验室,上海 200032;
3.复旦大学附属闵行医院（上海市闵行区中心医院）护理部,上海 201199

收稿日期:2024-09-10 修回日期:2024-09-26 发布日期:2025-12-11
通信作者: 刘静,副主任护师,E-mail：mzxliujing_@fudan.edu.cn
作者简介:袁颖,女,实习研究员,主要从事医院管理工作。

Analysis of the mediating effect of coping style on work-family conflict,nursing work environment and job burnout among nurses in a tertiary general hospital in Shanghai

YUAN Ying¹, WANG Wei², YAN Fei², LIU Jing³

1. Propaganda Department, Zhongshang Hospital, Fudan University, Shanghai 200032, China;
2. School of Public Health, Fudan University, Key Laboratory of Health Technology Assessment, National Health Commission, Shanghai 200032, China;
3. Nursing Department, Minhang Hospital, Fudan University（Central Hospital of Minhang District, Shanghai）, Shanghai 201199, China

Received:2024-09-10 Revised:2024-09-26 Published:2025-12-11
Contact: LIU Jing,Deputy chief nurse,E-mail：mzxliujing_@fudan.edu.cn

摘要/Abstract

摘要： 目的了解上海市闵行区某三级综合性医院护理人员职业倦怠现状,分析护理人员应对方式在工作-家庭冲突、护理工作环境与职业倦怠间的中介作用。方法 2022年2月采用问卷调查方式对670名护理人员开展调查,并对数据进行分析。结果 499名护理人员出现了职业倦怠,职业倦怠发生率为74.48%。情绪衰竭、去人格化、个人成就感维度分别处于中度、轻度、重度倦怠水平。护理人员工作-家庭冲突、护理工作环境、积极应对方式、消极应对方式得分[M（P₂₅,P₇₅）]分别为51（43,56）、3（2.90,3.23）、22（17,27）和9（7,12）分。积极应对方式、消极应对方式在工作-家庭冲突与职业倦怠间起部分中介作用,中介效应分别为0.067、0.022,分别占总效应的4.83%、1.59%;积极应对方式在护理工作环境与职业倦怠间起完全中介作用,中介效应为-0.033,占总效应的100%。结论上海市闵行区某三级综合性医院护理人员职业倦怠发生率较高,个人成就感问题相对突出;积极应对方式在工作-家庭冲突、护理工作环境与职业倦怠中发挥的中介作用较强。建议医院管理人员重视护理人员的心理健康状况,加强引导护理人员选择积极、成熟的应对方式,以减少职业倦怠发生率和减轻职业倦怠严重程度。

关键词: 护理人员, 职业倦怠, 工作-家庭冲突, 护理工作环境, 应对方式

Abstract: Objective To understand the current situation of job burnout among nurses in a tertiary general hospital in Shanghai,and explore the mediating role of coping style between work-family conflict,nursing work environment,and job burnout. Methods A questionnaire survey was conducted on 670 nurses in February 2022,and the data was analyzed. Results Totally 499 nurses experienced job burnout,with an incidence rate of 74.48%. Emotional exhaustion,depersonalization,and personal achievement dimensions were at moderate,mild,and severe levels of burnout,respectively. The scores[M（P₂₅,P₇₅）] of work-family conflict,nursing work environment, positive coping style,and negative coping style for nurse were 51（43,56）,3.00（2.90,3.23）,22（17,27）,and 9（7,12）points,respectively. Positive coping style and negative coping style played partially mediating role between work-family conflict and job burnout,with the mediating effects of 0.067 and 0.022,accounting for 4.83% and 1.59% of the total effect,respectively. Positive coping style played a complete mediating effect on nursing work environment and job burnout,with the mediating effect of -0.033,accounting for 100% of the total effect. Conclusion The incidence rate of job burnout among nurses in a tertiary general hospital in Minhang District,Shanghai is relatively high,and personal achievement problems are relatively prominent. Positive coping style played a strong mediating role in work-family conflict,nursing work environment and job burnout. It is suggested that hospital management pay attention to the mental health status of nurses,strengthen guidance for nurses to choose positive and mature coping style,in order to reduce the incidence and severity of job burnout.

Key words: Nurses, Job burnout, Work-family conflict, Nursing work environment, Coping style

中图分类号:

R181.3⁺1

袁颖, 王伟, 严非, 刘静. 上海市某三级综合性医院护理人员应对方式在工作-家庭冲突、护理工作环境与职业倦怠间中介效应分析. [J]职业与健康, 2025, 41(13): 1739-1743.

YUAN Ying, WANG Wei, YAN Fei, LIU Jing. Analysis of the mediating effect of coping style on work-family conflict,nursing work environment and job burnout among nurses in a tertiary general hospital in Shanghai. [J]OCCUPATION AND HEALTH, 2025, 41(13): 1739-1743.

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