Mediating effect of presenteeism behavior among nursing staff on the relationship between work stressors and job burnout

Abstract

Abstract:

Objective To investigate the relationship among work stressors，job burnout and presenteeism behavior for nursing staff，and explore the mediating effect of presenteeism behavior between work stressors and job burnout. Methods From July to August 2024，a convenience sampling method was used to select nursing staff from Tongzhou Maternal and Children Health Hospital as the research subjects. Nursing staff were investigated with job stressor scale，burnout inventory，presenteeism behavior questionnaire，and the correlation among nursing staff was analyzed. The mediating effect of presenteeism behavior was examined by testing procedures for mediating effects，and a structural model of work stressors，job burnout and presenteeism behavior were construct using SPSSAU to further verify the mediating effect of presenteeism behavior. Results The total score of job burnout of 190 nurses was （57.57±22.21）points，the total score of work stressors was （69.60±26.30）points，and the total score of presenteeism behavior was （5.06±2.16）points. The pearson correlation analysis results showed that nurses' work stressors were positively correlated with job burnout and presenteeism behavior（r=0.675，0.513，both P<0.05），and presenteeism behavior was positively correlated with job burnout（r=0.670，P<0.05）.Presenteeism behavior played a mediating role between work stressors and job burnout，with a mediating effect value of 0.169 and an effect proportion of 31.88%，which was similar to the mediating effect proportion of the structural model（31.19%）. Conclusion Work stressors and job burnout among nursing staff are at a medium level，and they exhibit high levels of presenteeism behavior. Presenteeism behavior as a mediating variable has an impact on job burnout.

Key words: Work stressors, Job burnout, Presenteeism behavior, Mediating effect, Structural equation model

CLC Number:

R181.31

GUO Juan, TIAN Lixin. Mediating effect of presenteeism behavior among nursing staff on the relationship between work stressors and job burnout. [J]OCCUPATION AND HEALTH, 2026, 42(12): 1602-1606.

Figures/Tables 5

References 20

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项目	分值范围	得分（$\bar{x}±s$）
工作压力源总分	35~140	69.60±26.30
护理专业	7~28	14.38±5.52
工作量与时间分配	5~20	11.69±4.90
工作环境与资源	3~12	5.76±2.82
患者护理	11~44	22.64±10.05
管理及人际	9~36	15.13±6.88
职业倦怠总分	15~105	57.57±22.21
情绪衰竭	5~35	18.93±10.06
去人格化	4~28	12.31±7.95
低成就感	6~42	26.33±12.50
出勤主义行为总得分	2~8	5.06±2.16
尽管感到身体不适，仍然参加工作	1~4	2.46±1.11
尽管有不适身体症状，仍然参加工作	1~4	2.60±1.11

项目	分值范围	得分（$\bar{x}±s$）
工作压力源总分	35~140	69.60±26.30
护理专业	7~28	14.38±5.52
工作量与时间分配	5~20	11.69±4.90
工作环境与资源	3~12	5.76±2.82
患者护理	11~44	22.64±10.05
管理及人际	9~36	15.13±6.88
职业倦怠总分	15~105	57.57±22.21
情绪衰竭	5~35	18.93±10.06
去人格化	4~28	12.31±7.95
低成就感	6~42	26.33±12.50
出勤主义行为总得分	2~8	5.06±2.16
尽管感到身体不适，仍然参加工作	1~4	2.46±1.11
尽管有不适身体症状，仍然参加工作	1~4	2.60±1.11

项目	人数	工作压力源	职业倦怠	出勤主义行为
年龄（岁）
22~<31	70	67.98±26.07	58.47±25.68	5.03±2.19
31~<41	74	67.16±27.63	57.91±19.69	5.18±2.07
41~<51	38	75.88±23.94	56.08±20.33	4.89±2.30
≥51	8	76.51±24.96	53.63±23.37	5.00±2.45
F值		1.211	0.183	0.150
P值		0.307	0.908	0.930
职称
护士	48	62.03±22.53	48.60±22.42	4.31±2.18
护师	64	71.84±2935	65.66±21.45	5.64±2.15
主管护师	78	72.42±25.20	56.45±20.53	5.01±2.04
F值		2.717	8.950	5.430
P值		0.069	<0.001	0.005
婚姻情况
未婚	45	69.01±25.97	55.532±7.68	4.84±2.30
已婚	137	69.53±26.14	58.20±20.58	5.09±2.14
离异	8	74.14±33.66	58.25±15.33	5.63±1.92
F值		0.130	0.246	0.513
P值		0.879	0.782	0.600
收入满意度
满意	82	60.27±24.35	49.82±21.83	4.46±2.04
不满意	108	76.69±25.60	63.45±20.70	5.51±2.15
t值		4.472	4.391	3.408
P值		<0.001	<0.001	0.001
上夜班
是	115	70.16±27.25	57.60±23.52	5.07±2.11
否	75	68.74±24.91	57.52±20.17	5.042±2.6
t值		0.363	0.024	0.081
P值		0.718	0.981	0.927
最高学历
中专	3	68.34±32.08	44.33±25.42	5.33±3.06
大专	51	73.21±28.73	60.37±25.59	4.96±2.23
本科	133	68.52±25.45	57.01±20.95	5.13±2.14
研究生	3	57.34±17.21	48.00±3.00	3.33±1.16
F值		0.610	0.838	0.731
P值		0.609	0.475	0.535
工作领域
门诊	66	65.21±25.93	51.26±22.58	4.83±2.18
病房	65	70.69±26.19	61.73±22.39	5.35±2.09
手术室	19	71.85±24.45	60.89±20.69	5.53±2.09
产房	22	82.06±25.81	64.68±19.16	5.27±2.43
其他	18	63.84±27.53	52.89±20.47	4.06±1.83
F值		2.008	2.870	1.751
P值		0.950	0.024	0.141
工作年限（年）
1~<6	30	64.64±23.16	50.93±25.83	4.33±2.31
6~<11	48	71.86±28.76	62.90±22.71	5.29±2.04
11~<16	44	65.74±26.48	58.07±19.90	5.20±2.05
16~<21	20	69.46±29.33	60.15±20.95	5.65±2.03
≥21	48	74.03±24.06	54.85±21.72	4.90±2.29
F值		0.932	1.634	1.493
P值		0.446	0.167	0.206
人事性质
正式	120	75.28±26.83	61.69±20.85	5.41±2.09
合同	70	59.91±22.53	50.39±22.97	4.43±2.17
t值		4.034	3.470	3.074
P值		<0.001	0.003	0.010

项目	人数	工作压力源	职业倦怠	出勤主义行为
年龄（岁）
22~<31	70	67.98±26.07	58.47±25.68	5.03±2.19
31~<41	74	67.16±27.63	57.91±19.69	5.18±2.07
41~<51	38	75.88±23.94	56.08±20.33	4.89±2.30
≥51	8	76.51±24.96	53.63±23.37	5.00±2.45
F值		1.211	0.183	0.150
P值		0.307	0.908	0.930
职称
护士	48	62.03±22.53	48.60±22.42	4.31±2.18
护师	64	71.84±2935	65.66±21.45	5.64±2.15
主管护师	78	72.42±25.20	56.45±20.53	5.01±2.04
F值		2.717	8.950	5.430
P值		0.069	<0.001	0.005
婚姻情况
未婚	45	69.01±25.97	55.532±7.68	4.84±2.30
已婚	137	69.53±26.14	58.20±20.58	5.09±2.14
离异	8	74.14±33.66	58.25±15.33	5.63±1.92
F值		0.130	0.246	0.513
P值		0.879	0.782	0.600
收入满意度
满意	82	60.27±24.35	49.82±21.83	4.46±2.04
不满意	108	76.69±25.60	63.45±20.70	5.51±2.15
t值		4.472	4.391	3.408
P值		<0.001	<0.001	0.001
上夜班
是	115	70.16±27.25	57.60±23.52	5.07±2.11
否	75	68.74±24.91	57.52±20.17	5.042±2.6
t值		0.363	0.024	0.081
P值		0.718	0.981	0.927
最高学历
中专	3	68.34±32.08	44.33±25.42	5.33±3.06
大专	51	73.21±28.73	60.37±25.59	4.96±2.23
本科	133	68.52±25.45	57.01±20.95	5.13±2.14
研究生	3	57.34±17.21	48.00±3.00	3.33±1.16
F值		0.610	0.838	0.731
P值		0.609	0.475	0.535
工作领域
门诊	66	65.21±25.93	51.26±22.58	4.83±2.18
病房	65	70.69±26.19	61.73±22.39	5.35±2.09
手术室	19	71.85±24.45	60.89±20.69	5.53±2.09
产房	22	82.06±25.81	64.68±19.16	5.27±2.43
其他	18	63.84±27.53	52.89±20.47	4.06±1.83
F值		2.008	2.870	1.751
P值		0.950	0.024	0.141
工作年限（年）
1~<6	30	64.64±23.16	50.93±25.83	4.33±2.31
6~<11	48	71.86±28.76	62.90±22.71	5.29±2.04
11~<16	44	65.74±26.48	58.07±19.90	5.20±2.05
16~<21	20	69.46±29.33	60.15±20.95	5.65±2.03
≥21	48	74.03±24.06	54.85±21.72	4.90±2.29
F值		0.932	1.634	1.493
P值		0.446	0.167	0.206
人事性质
正式	120	75.28±26.83	61.69±20.85	5.41±2.09
合同	70	59.91±22.53	50.39±22.97	4.43±2.17
t值		4.034	3.470	3.074
P值		<0.001	0.003	0.010

项目	护士工作压力源	职业倦怠	出勤主义行为
护士工作压力源	1.000
职业倦怠	0.675^a	1.000
出勤主义行为	0.513^a	0.670^a	1.000