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作 者:金曼 王佳琳[1] 曾丽 谢婉青 唐萍 袁中清 JIN Man;WANG Jia-lin;ZENG Li;XIE Wan-qing;TANG Ping;YUAN Zhong-qing
出 处:《中华护理教育》2022年第4期352-359,共8页Chinese Journal of Nursing Education
基 金:成都医学院四川应用心理学研究中心资助项目(CSXL-21102)。
摘 要:目的系统评价我国护士的专业生活品质。方法检索PubMed、Cochrane Library、Web of Science、Embase、CINAHL、PsycINFO、中国知网、中国生物医学文献服务系统、万方和维普数据库,收集2020年12月前发表的有关护士专业生活品质的文献。根据JBI循证卫生保健中心推荐的横断面研究评价标准对符合纳入标准的文献进行质量评价,使用Stata 16.0软件进行Meta分析。结果共纳入横断面研究文献23篇,总样本为10681名护士。结果显示,护士专业生活品质共情满意、倦怠、二次创伤3个维度得分分别为32.51[95%CI(32.08,32.94)]、25.81[95%CI(25.04,26.57)]、25.77[95%CI(24.93,26.61)]。亚组分析显示,在共情满意维度,身体健康和工作满意度高的护士共情满意得分更高;在倦怠维度,大专和本科学历(与硕士及以上相比)、离异及其他(与未婚和已婚相比)、身体状况异常和工作满意度低的护士得分更高;二次创伤维度各亚组间差异没有统计学意义。结论我国临床护士的共情满意、倦怠和二次创伤处于中度水平。护理管理者应重视护士身心健康,提升护士工作满意度,提高护士专业生活品质。Objective To systematically review the professional quality of life among Chinese nurses.Methods PubMed,Cochrane Library,Web of Science,Embase,CINHAL,PsycINFO,CNKI,SinoMed,Wanfang and VIP databases were searched to collect articles on nurses'professional quality of life published before December 2020.The articles that met the inclusion criteria was evaluated according to the evaluation criteria of cross-sectional study recommended by JBI.Meta-analysis was performed by Stata 16.0 software.Results A total of 23 articles involving 10681 nurses were included.The Meta-analysis showed that scores of compassion satisfaction,burnout,and secondary trauma three dimensions of professional quality of life were 32.51[95%CI(32.08,32.94)],25.81[95%CI(25.04,26.57)],and 25.77[95%CI(24.93,26.61)],respectively.Subgroup analysis showed that in compassion satisfaction dimension,nurses with higher job satisfaction and better health scored higher.For the burnout dimension,nurses with abnormal health and lower job satisfaction scored higher.Compared with those with master degree or above,nurses with associate and bachelor degrees scored higher.Divorced nurses scored higher in burnout dimension than unmarried and married nurses.For the secondary trauma dimension,the differences among groups were not statistically significant.Conclusion The compassion satisfaction,burnout and secondary trauma of clinical nurses in China are at moderate level.Nursing managers should pay more attention to nurses'physical and mental health,and improve their professional life quality as well as job satisfaction.
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