手术室护士职业倦怠与工作压力源调查  

A study on burn-out of operating room nurse and their job stresses

作　　者：底会娟[1] 李素艳[1] 吴爱须 尹维宁[1] 焦俊敏[1] 

机构地区：[1]河北医科大学第二医院手术室,石家庄050000 [2]北医科大学第二医院胃肠外科,石家庄050000

出　　处：《中华现代护理杂志》2011年第27期3236-3238,共3页Chinese Journal of Modern Nursing

基　　金：河北省2010年医学科学研究重点课题计划（201000291）

摘　　要：目的探讨手术室护士职业倦怠现状及其与工作压力源的关系。方法采用横断面调查进行描述性研究。采用护士职业倦怠量表（MBI—HSS）和中国护士工作压力源量表对445名手术室护士进行调查分析。结果职业倦怠的3个分量表中，手术室护士的高度倦怠感分别为：情感枯竭占43．6％，去人格化倾向占31．7％，个人成就感低落占54．6％。与Maslach正态分布样本的高度倦怠均为33％比较，只有去人格化倾向无显著区别，而情感枯竭、个人成就感低落显著高于常模。手术室护士工作压力源评分前3位是担心出现差错事故（3．32±0．69）分、工作量大（3．18±0．76）分、护理工作的社会地位低（3．12±0．87）分；手术室护士的职业倦怠与工作压力源存在相关性。结论手术室护士的工作压力大会产生职业倦怠，从而影响护理工作质量及工作效率。Objective To characterize the current status of operating room nurse＇ s burn-out, explore the relationship between the nurse burnout and job stress sources. Methods Applying cross section survey to do the descriptive study, choosing 445 operating room nurses were investigated by questionnaires, including MBI-HSS, and work pressure-source questionnaire （SSRS）. Results Among the three burnout inventories, operating room nurses＇ high fatigue including emotional exhaustion which occupied 43.6% , depersonalization tendency which occupied 31.7% , low level of efficacy which occupied 54.6%. Compared with North American norm （33% for high fatigue） , there was just depersonalization tendency which similar to North American norm, while the emotional exhaustion and low level of efficacy were highly above the norm; The top three factors which leading to the job stress were worrying about mistakes and accidents （3.32 ± 0.69 ） , large work amount （3.18 ± 0.76）, and social position （3. 12 ± 0. 87 ）. Conclusions The operating room nurse working pressure was generated from job burn-out, further influence nursing work quality and work efficiency.

关 键 词：手术室 职业倦怠 工作压力源 调查分析 

分 类 号：R47[医药卫生—护理学]