职业与健康 ›› 2023, Vol. 39 ›› Issue (6): 784-788.

• 论著 • 上一篇    下一篇

重症监护室医护人员感知工作压力源现状及影响因素分析

胡爱萍a, 杨双a, 马永红a, 姜华a, 牟文轩b, 向明芳b   

  1. 电子科技大学医学院/电子科技大学医学院附属肿瘤医院(四川省肿瘤医院) a护理系,b危重医学中心,四川 成都 610041
  • 收稿日期:2022-06-14 修回日期:2022-11-01 发布日期:2026-03-04
  • 通信作者: 向明芳,主任护师,E-mail:xmf429@126.com
  • 作者简介:胡爱萍,女,在读硕士研究生,研究方向为危重症护理与护理管理。
  • 基金资助:
    吴阶平医学基金临床科研专项资助基金(320.6750.18526)

Analysis on status and influencing factors of perceived strssors of ICU healthcare professionals

HU Ai-pinga, YANG Shuanga, MA Yong-honga, JIANG Huaa, MOU Wen-xuanb, XIANG Ming-fangb   

  1. a Department of Nursing,b Department of Critical Care Medicine,Medical College of University of Electronic Science and Technology/Cancer Hospital Affiliated to Medical College of University of Electronic Science and Technology(Sichuan Cancer Hospital),Chengdu Sichuan 610041,China
  • Received:2022-06-14 Revised:2022-11-01 Published:2026-03-04
  • Contact: XIANG Ming-fang,Chief nurse,E-mail:xmf429@126.com

摘要: 目的 基于重症监护室(intensive care unit,ICU)的特殊背景,了解ICU工作压力源感知现状及其影响因素,为ICU压力调节和管理提供依据。方法 采用便利抽样法,于2021年11—12月,采用一般资料调查表和重症监护室医护人员压力源感知量表,对四川省内10所医院符合标准的346名ICU医护人员进行横断面调查。采用多元线性回归分析ICU压力源水平的影响因素。结果 重症监护室医护人员感知压力源量表总分为(147.53±40.23)分,得分前5项条目为持续而繁重的工作量,随时待命或夜间工作,不支持工作/有攻击性/谵妄的患者,缺少医护人员,提出许多要求且不断哀怨的患者。不同年龄、职称、婚姻状况、工作年限的医护人员,其压力源得分差异均有统计学意义(均P<0.05)。多元线性回归分析显示,职称和婚姻状况是ICU医护人员工作压力源水平的主要影响因素(β=13.183、13.336,均P<0.05)。结论 ICU医护人员工作压力源居于中等水平,高职称和已婚者压力源水平更高,应重视上述人群的工作压力水平,合理安排人力配置,以识别和改善重症监护室压力源,保障ICU医护人员的身心健康。

关键词: 重症监护室, 医护人员, 压力源, 影响因素

Abstract: Objective Based on the special background of intensive care unit(ICU),to understand the status and influencing factors of perceived strssors of ICU,provide basis for pressure regulation and management in ICU. Methods From November to December 2021,the convenience sampling method was adopted to collect 346 ICU healthcare professionals from10 hospital in Sichuan Province. The cross-sectional survey was performed by the general situation questionnaire and the perceived stressors scale of intensive care units. The multiple linear regression was used to identify the influencing factors of perceived strssors of ICU. Results The total score of perceived stressors scale among ICU healthcare professionals was (147.53±40.23)points. The top five items were continuous and heavy workload,standby at any time or working at night,patients who do not support work/have aggression/delirium,lack of medical staff,and patients who make many demands and constantly complain. There were statistically significant differences in the scores of job stressors among ICU healthcare professionals of different age,professional title,marital status and working years(all P<0.05). The multiple linear regression analysis showed that professional title and married status were the main influencing factors of perceived strssors of ICU healthcare professionals(β=13.183,13.336,both P<0.05). Conclusion The job stressors of ICU healthcare professionals are in the middle level,the higher professional title and married people have the higher level of stressors,so it is necessary to pay attention to the above groups and reasonably arrange human resources,to identify and improve the strssors in ICU and ensure the physical and mental health of ICU medical staff.

Key words: Intensive care unit, Healthcare professionals, Stressor, Influencing factors

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