手术室护士情绪劳动现状对专业生活品质的影响  

Effects of current emotional labor on quality of professional life in operation room nurses

作　　者：叶芸 黄丽莎 Ye Yun;Huang Lisha(Department of Anesthesiology,the 908 Hospital of Joint Logistics Support Force,Yingtan 335000,China)

机构地区：[1]解放军联勤保障部队第九○八医院麻醉科,鹰潭335000

出　　处：《中华现代护理杂志》2019年第15期1938-1942,共5页Chinese Journal of Modern Nursing

摘　　要：目的调查手术室护士情绪劳动现状,并探讨其对专业生活品质的影响,以期为改善手术室护士身心健康,促进专科护士团队建设与发展提供参考.方法采用便利抽样法,选取2018年5—6月江西省4所综合性三级甲等医院的203名手术室护士,采用一般资料调查问卷、护士情绪劳动量表及护士专业生活品质量表对其情绪劳动现状进行问卷调查.结果手术室护士情绪劳动总均分为(3.68±0.55)分,3个维度得分由高到低为深层扮演(3.57±0.76)分、情绪表达(4.28±0.80)分、表层扮演(3.50±0.74)分.单因素分析结果显示,不同工龄的手术室护士表层扮演得分,不同年龄、职称、临床带教情况的到护士深层扮演得分,不同学历的手术室护士情绪表达得分,差异均有统计学意义(P<0.05).情绪劳动与专业生活品质的各因子之间存在着相关性,表层扮演对慈心满意(β=-0.317,P<0.01)有负向预测作用,对工作倦怠(β=0.337,P<0.01)、二次创伤(β=0.264,P<0.01)有正向预测作用;深层扮演对慈心满意(β=0.286,P<0.01)有正向预测作用,对工作倦怠(β=0.303,P<0.01)、二次创伤(β=0.281,P<0.01)有负向预测作用;情绪表达要求对慈心满意(β=0.191,P<0.05)有正向预测作用.多元线性回归分析显示,表层扮演、深层扮演、情绪表达要求是慈心满意的主要影响因素;表层扮演与深层扮演是工作倦怠、二次创伤的主要影响因素.结论手术室护士情绪劳动处于中等水平,最常采用的情绪劳动策略为深层扮演.情绪劳动的表层扮演、深层扮演和情绪表达要求均对专业生活品质有预测作用,管理者需重视对手术室护士情绪劳动的教育培训.Objective To explore the status quo of emotional labor in operation room nurses and to analyze its effects on quality of professional life,so as to provide a reference for improving physical and mental health of operation room nurses and driving the building and development of the specialized nurse team.Methods Totally 203 operation room nurses from 4 general ClassⅢGrade A hospitals in Jiangxi province from May to June 2018 were selected using convenient sampling,and the status quo of their emotional labor was investigated with the general information questionnaire,Nurse's Emotional Labor Scale and Nurse's Quality of Professional Life Scale.Results The total average score of emotional labor of the operation room nurses was(3.68±0.55),including(3.57±0.76)for deep acting,(4.28±0.80)for emotional expression and(3.50±0.74)for surface acting from high to low.Univariate analysis revealed that there was statistically significant difference in surface acting scores between operation room nurses with different length of service,in deep acting scores between operation room nurses with different age,professional title and clinical teaching and in emotional expression scores between operation room scores with different educational background(P<0.05).Emotional labor was correlated with the various factors of quality of professional life.Surface acting had negative predictive power for kindness satisfaction(β=-0.317,P<0.01),and positive predictive power for job burnout(β=0.337,P<0.01)and secondary trauma(β=0.264,P<0.01).Deep acting had positive predictive power for kindness satisfaction,and negative predictive power for job burnout(β=0.303,P<0.01)and secondary trauma(β=0.281,P<0.01).Emotional expression requirements had positive predictive power for kindness satisfaction(β=0.191,P<0.01).Multivariate linear regression analysis showed that surface acting,deep acting and emotional expression requirements were the main influencing factors to kindness satisfaction,and that surface acting and deep acting were the main in

关 键 词：护士 手术室 情绪劳动 专业生活品质 

分 类 号：R47[医药卫生—护理学]