护士情绪耗竭在其职业紧张与恢复体验的中介效应  

Mediating effect of emotional exhaustion of nurses on occupational stress and recovery experience

作　　者：于颖[1] 王春丽[1] 李京[1] 雷雪雪[1] Yu Ying;Wang Chunli;Li Jing;Lei Xuexue(Department of Hepatobiliary and Pancreatic Surgery,the First Bethune Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院肝胆胰外科,长春130021

出　　处：《中华现代护理杂志》2020年第30期4239-4243,共5页Chinese Journal of Modern Nursing

摘　　要：目的:探讨护士情绪耗竭在职业紧张与恢复体验的中介效应,为临床护理管理提供参考。方法:2019年6—8月,采用方便抽样方法选取吉林大学第一医院临床注册护士为研究对象。采用职业紧张量表(OSI-R)、Maslach工作倦怠量表通用版(MBI-GS)的情绪耗竭分量表、恢复体验问卷(REQ)进行调查,分析临床护士工作紧张、情绪耗竭与恢复体验的相关性。本研究共发放问卷560份,回收有效问卷538份,有效回收率为96.1%。结果:538名临床护士OSI-R总分为(350.60±68.80)分,MBI-GS的情绪耗竭分量表总分为(22.65±7.05)分,REQ总分为(51.16±12.20)分。临床护士REQ总分及职业任务、个体紧张反应、个体应付资源维度得分与情绪耗竭分量表总分均有相关性(P<0.05)。职业紧张、情绪耗竭和恢复体验的关系模型显示,临床护士职业紧张对恢复体验的影响具有直接效应和间接效应。结论:护士职业紧张、情绪耗竭与恢复体验三者之间存在一定的相关性,情绪耗竭在职业紧张和恢复体验之间起中介作用。护理管理者应为临床护士提供良好的工作环境,减少临床护士职业紧张,降低情绪耗竭水平来提升护士恢复体验。Objective To explore the mediating effect of emotional exhaustion of nurses on occupational stress and recovery experience,so as to provide reference for clinical nursing management.Methods From June to August 2019,clinical registered nurses of the First BethuneHospital of Jilin University were selected as the research objects by convenient sampling method.Occupational Stress Inventory(OSI-R),emotional exhaustion subscale of Maslach Burnout Inventory-General Survey(MBI-GS)and Recovery Experience Questionnaire(REQ)were used to investigate and analyze the correlation between occupational stress,emotional exhaustion and recovery experience of clinical nurses.In this study,a total of 560 questionnaires were issued and 538 valid questionnaires were recovered,with an effective recovery rate of 96.1%.Results The total OSI-R score of 538 clinical nurses was(350.60±68.80),the emotional exhaustion subscale score of MBI-GS was(22.65±7.05)and the total score of REQ was(51.16±12.20).The occupational task,individual stress response and individual coping resource dimension scores of clinical nurses in REQ were all correlated with the total score of emotional exhaustion subscale(P<0.05),but negatively correlated with the total score of REQ(P<0.05).The relationship model of occupational stress,emotional exhaustion and experience recovery showed that occupational stress of clinical nurses had direct and indirect effects on experience recovery.Conclusions There is a certain correlation between occupational stress,emotional exhaustion and recovery experience of nurses,and emotional exhaustion plays a mediating role between occupational stress and recovery experience.Nursing managers should provide a good working environment for clinical nurses,reduce occupational stress of clinical nurses,and reduce the level of emotional exhaustion to improve recovery experience of nurses.

关 键 词：护士 职业紧张 情绪耗竭 恢复体验 中介效应 

分 类 号：R47[医药卫生—护理学]