摘要
目的探讨重症监护病房(ICU)护士职业压力对报警疲劳的影响,并分析心理弹性在ICU护士职业压力和报警疲劳的中介作用。方法通过整群抽样法,对上海市6所(上海市第六人民医院、上海华山医院、上海瑞金医院、上海肿瘤医院、上海市第八人民医院、上海金山区中心医院)综合医院2020年10月至11月的752名ICU护士分别采用护士工作压力源量表、ICU护士报警疲劳量表、心理弹性量表(CD-RISC)中文版进行调查分析。结果不同医院等级、年龄、性别、学历、ICU工作年限、婚姻状况、子女情况、月收入、近3个月翻班数、血型的ICU护士职业压力得分比较,差异有统计学意义(P<0.05)。近3个月不同工作/生活事件职业压力得分比较,差异有统计学意义(P<0.05)。相关分析显示,ICU护士职业压力各维度得分与心理弹性各维度得分呈负相关(r<0,P<0.05),与报警疲劳得分呈正相关(r>0,P<0.05)。线性回归结果显示,ICU工作年限、子女情况、翻班情况、离职想法、报警疲劳状况及心理弹性情况是ICU护理人员职业压力的影响因素(P<0.05)。ICU护士职业压力、报警疲劳、心理弹性三者呈线性关系,中介效应验证,心理弹性的中介效应值为0.134,占整体效应的64.73%。结论ICU护士职业压力通过心理弹性对报警疲劳起中介效应。
Objective To explore the influence of occupational stress on alarm fatigue of intensive care unit(ICU)nurses,and to analyze the mediating role of mental resilience in occupational stress and alarm fatigue of ICU nurses.Methods Using the cluster sampling method,from October to November 2020,a total of 752 ICU nurses in six general hospitals in Shanghai(Shanghai Sixth People’s Hospital,Shanghai Huashan Hospital,Shanghai Ruijin Hospital,Shanghai Cancer Hospital,Shanghai Eighth People’s Hospital,Shanghai Jinshan Central Hospital)were respectively treated with job stressors scale,ICU nurse alarm fatigue scale and mental resilience scale table Chinese version(CD-RISC)for investigation and analysis.Results The occupational stress scores of ICU nurses with different hospital grades,age,gender,education background,years of working in ICU,marital status,children,monthly income,shift number in the last three months,and blood type were statistically significant(P<0.05).The occupational stress scores of different work/life events in the past three months were compared,and the differences were statistically significant(P<0.05).Correlation analysis showed that the scores of each dimension of occupational stress of ICU nurses were negatively correlated with the scores of each dimension of mental resilience(r<0,P<0.05),and positively correlated with the scores of alarm fatigue(r>0,P<0.05).Linear regression results showed that ICU nursing staff working years,children,shift,dimission thoughts,alarm fatigue,and mental resilience were the factors influencing occupational stress(P<0.05).The relationship between occupational stress,alarm fatigue,and mental resilience of ICU nurses were linear,and the mediating effect was verified.The mediating effect value of mental resilience was 0.134,accounting for 64.73%of the overall effect.Conclusion Occupational stress of ICU nurses has mediating effect on alarm fatigue through mental resilience.
作者
唐雯琦
马俊
冯笑
章左艳
周文杰
TANG Wenqi;MA Jun;FENG Xiao;ZHANG Zuoyan;ZHOU Wenjie(Department of Critical Medicine,the Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University,Shanghai200233,China;Department of Nursing,the Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University,Shanghai200233,China)
出处
《中国医药导报》
CAS
2022年第36期78-81,共4页
China Medical Herald
关键词
职业压力
报警疲乏
心理弹性
重症监护病房
中介效应
Occupational stress
Alarm fatigue
Psychological elasticity
Intensive care unit
Mediating effect
