二胎产后返岗护士工作压力现状及其影响因素分析  

Work stress of nurses returning to work after the second childbirth and its influencing factors

作　　者：林建龙[1] 林雁娟[2] 陈存荣[1] 王青[1] 吴敏玲[3] 胡荣[4] LIN Jianlong;LIN Yanjuan;CHEN Cunrong;WANG Qing;WU Minling;HU Rong(Intensive Care Unit,Fujian Medical University Union Hospital,Fuzhou,350000,China)

机构地区：[1]福建医科大学附属协和医院重症医学科,福州市350000 [2]福建医科大学附属协和医院护理部,福州市350000 [3]福建医科大学附属协和医院消化内科,福州市350000 [4]福建医科大学护理学院,福州市350000

出　　处：《中国护理管理》2020年第10期1523-1527,共5页Chinese Nursing Management

基　　金：国家临床重点专科建设项目(国卫办医函〔2013〕544号)。

摘　　要：目的:调查二胎产后返岗护士的工作压力及其感知到的护士群体同事支持水平,分析二胎产后返岗护士工作压力的影响因素。方法:采用便利抽样方法,抽取福州市3家三级甲等综合性医院工作的167名二胎产后返岗护士。采用一般资料问卷、中国护士工作压力源量表及护士群体同事支持量表进行问卷调查。结果:①二胎产后返岗护士工作压力总分为(71.54±24.89)分,各维度中按条目均分压力强度水平从高到低依次为:时间分配及工作量[(2.12±0.80)分]、护理专业及工作[(2.10±0.74)分]、病人护理[(2.05±0.76)分]、管理及人际关系[(1.97±0.76)分]、工作环境及仪器设备[(1.96±0.74)分]。二胎产后返岗护士感受到的护士群体同事支持总分为(67.50±27.51)分,感知到的同事支持水平高于护理管理者支持水平,差异有统计学意义(P<0.05)。②多元逐步回归分析显示,二胎产后返岗护士工作压力受群体同事支持得分、返岗时间、是否值夜班、每周平均工作时长影响(P<0.05)。结论:二胎返岗护士工作压力呈中度水平。针对其主要影响因素,建立科学合理的护理排班制度,提供更多支持及情感关注,合理安排工作量,保证护理质量和患者安全。Objective:To investigate the work stress of nurses returning to work after the second childbirth and its influencing factors as well as the peer support system for them.Methods:167 nurses returning to work after the second childbirth from 3 tertiary general hospitals in Fuzhou were recruited through convenient sampling and investigated using questionnaires including the general information questionnaire,Chinese Nursing Job Stress Inventory and Peer Support Scale.Results:(1)The total score of the work stress of nurses investigated was(71.54±24.89).The average score of the five dimension from high to low was:workload and time distribution(2.12±0.80),nursing profession and working property(2.10±0.74),patient care(2.05±0.76),management and interpersonal relations(1.97±0.76)and working environment and equipment(1.96±0.74).The score of peer support for nurses after the second childbirth was(67.50±27.51)and the support from peer colleagues was stronger than that of nursing managers with the difference being statistically significant(P<0.05).(2)Multivariate stepwise regression analysis showed that peer support,the time of return-to-work,night shift rotation,social competence and average working hours per week were statistically significant influencing factors of work stress(P<0.05).Conclusion:The work stress of nurses returning to work after the second childbirth is in the medium.It is important to take measures focusing on the influencing factors to establish a reasonable nurse scheduling system to adjust their workload,and provide more support both physical and emotional to ensure quality nursing service and patient safety.

关 键 词：护士 二胎 产后返岗 工作压力 同事支持 

分 类 号：R47[医药卫生—护理学]