护士职业枯竭与唾液溶菌酶水平的关系  

Correlation between nurse job burnout and salivary lysozyme activity

作　　者：田宏迩[1] 詹永国[1] 曹丽丽[1] 苏景国[2] 张宏[1] 朱华斌[2] 刘留留 姜飞[1] 

机构地区：[1]东南大学公共卫生学院,南京210009 [2]江苏省扬中市疾病预防控制中心

出　　处：《中华劳动卫生职业病杂志》2015年第2期113-115,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：教育部人文社会科学研究规划基金（14YJA840012）

摘　　要：目的 探讨护士职业枯竭程度与唾液溶菌酶活力的关系.方法 采用唾液收集管以咀嚼方式采集131名调查对象连续2个工作日4个时间点的唾液样本,采集时间点为基线（8：00）、上午班中（10：00）、下午班中（15：30）、恢复期（17：30）,同时每名调查对象完成1份职业枯竭调查问卷,问卷主要调查一般人口学特征、职业枯竭水平.使用偏相关分析、多元逐步回归分析对资料进行统计处理.结果 不同年龄、工龄、学历间唾液溶菌酶活力的差异均有统计学意义,与≤30岁组比较,30～35岁组、＞35岁组的工作期活力和平均活力明显降低,差异有统计学意义（P＜0.05）;＞35岁组恢复期低于≤30岁组,差异有统计学意义（P＜0.05）;＞15年组工作期活力、平均活力均低于≤10年组,差异有统计学意义（P＜0.05）;大学（大专）及以上组的工作期和平均活力均低于高中（中专）及以下组,差异有统计学意义（P＜0.05）.职业枯竭及其3个维度均与唾液溶菌酶活力呈显著负相关（P＜0.01）.人格解体和情感耗竭是基线唾液溶菌酶活力的负面影响因素;情感耗竭和个人成就感是工作期唾液溶菌酶活力的负面影响因素;个人成就感是恢复期、平均唾液溶菌酶活力的负面影响因素.结论 唾液溶菌酶活力对护士职业枯竭是敏感的,可以作为职业枯竭的客观评价指标.Objective To investigate the correlation between nurse job burnout and salivary lysozyme activity.Methods The saliva samples of 131 subjects were collected at four time points for two consecutive days with saliva collection tubes.The acquisition time points were 8：00 （baseline concentration）,10：00 （morning）,15：30 （afternoon）,and 17：30 （recovery period）.At the same time every subjects completed the job burnout questionnaire to investigate their general demographic characteristics and job burnout level.The salivary lysozyme concentration was measured with ELISA.The data were analyzed by partial correlation analysis and multiple stepwise regression analysis.Results There were significant differences in the salivary lysozyme activity between subjects with different ages,working years,and education levels.The work period vitality and the average energy of ≤ 30 age group were higher than other two groups and the recovery energy was higher than 〉35 age group.Working period vitality,the average energy of group 〉15 years were less than ≤ 10 years group.The work period energy and the average energy of university （college） and above group were lower than high school （secondary） and the following group.Job burnout and its three dimensions had a significant negative correlation with salivary lysozyme concentration （P〈0.01）.Depersonalization and emotional exhaustion were the negative impact factors for salivary lysozyme activity at baseline.Emotional exhaustion and personal fulfillment were the negative impact factors for salivary lysozyme activity during the working period.Personal fulfillment was the negative factor for salivary lysozyme activity during the recovery period and the average salivary lysozyme activity.Conclusion Salivary lysozyme activity is sensitive for nurse job burnout,so it can be used as an objective evaluation index of job burnout.

关 键 词：护士 厌倦 职业性 溶菌酶 唾液 

分 类 号：R47[医药卫生—护理学]