Abstract: Objective To explore the impact of challenge hindrance stress and work family conflict on occupational stress of ophthalmic nurses. Methods The convenient sampling method was adopted. A total of 220 nurses in ophthalmology department from 12 general hospitals in Enshi Tujia and Miao Autonomous Prefecture from April to June 2022 were selected as the survey objects. The general situation questionnaire,challenge hindrance stress scale,work family conflict scale and occupational stress scale were used to investigate and the data were analyzed. Results The score of challenging work stress of ophthalmic nurses was （22.36±5.62） points,the score of obstructive work stress was （14.65±4.74）points,the score of work family conflict was （56.22±12.28）points,the score of occupational stress was （364.95 ±72.47）points. There were significant differences in the scores of challenge stress,obstructive stress,work family conflict and occupational stress among ophthalmic nurse of different ages,working years,professional titles and monthly night shifts（all P<0.05）. The scores of ophthalmic nurses with different marital status,monthly income,staffing status and number of children on obstructive stress and work family conflict were statistically significant（all P<0.05）. The scores of ophthalmic nurses with different educational background on challenging stress and obstructive stress were statistically significant（both P<0.05）. The scores of challenge stress among ophthalmic nurses with different gender,marital status and monthly income were statistically significant（all P<0.05）. The challenging work stress score of ophthalmic nurses was negatively correlated with occupational stress score（r=-0.568,P<0.01）,while the obstructive work stress score and work family conflict score were positively correlated with occupational stress score（r=0.602,0.571,both P<0.01）. The score of work family conflict among ophthalmic nurses was negatively correlated with the score of challenging work stress（r=-0.528,P<0.01）,and positively correlated with the score of obstructive work stress（r=0.542,P<0.01）. Hierarchical regression analysis showed that challenge stress,obstructive stress and work family conflict could jointly explain 30.60% of the variation of occupational stress among ophthalmic nurses. Conclusion Ophthalmic nurses in 12 general hospitals in Enshi Tujia and Miao Autonomous Prefecture have a high degree of occupational stress. Challenging stress,obstructive stress and work family conflict are closely related to occupational stress. Reducing the levels of obstructive stress and work family conflict among ophthalmic nurses,as well as increasing the level of challenging stress will help to reduce their occupational stress.

Key words: Ophthalmic nurse, Challenge obstructive stress, Work family conflict, Occupational stress