儿科护士忍耐力水平现状及影响因素的路径分析  

Status quo and path analysis of influencing factors of tolerance level of pediatric nurses

作　　者：张纯静 郝丽 李冬梅[2] 石彩晓 Zhang Chunjing;Hao Li;Li Dongmei;Shi Caixiao(Department of Otolaryngology Head and Neck Surgery,Children's Hospital Affiliated of Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital,Zhengzhou 450018,China;School of Nursing and Health,Zhengzhou University,Zhengzhou 450000,China;Department of Nursing,Children's Hospital Affiliated of Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital,Zhengzhou 450018,China)

机构地区：[1]郑州大学附属儿童医院,河南省儿童医院,郑州儿童医院耳鼻咽喉头颈外科,郑州450018 [2]郑州大学护理与健康学院,郑州450000 [3]郑州大学附属儿童医院,河南省儿童医院,郑州儿童医院护理部,郑州450018

出　　处：《中华现代护理杂志》2022年第11期1467-1471,共5页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划(LHGJ20190894)。

摘　　要：目的探讨儿科护士忍耐力水平现状,分析自我效能感、社会支持以及应对方式对忍耐力的影响,并分析其影响路径。方法采用便利抽样法,于2021年2—4月选取郑州市3所三级甲等医院的240名儿科护士作为研究对象,采用忍耐力量表、自我效能感量表、社会支持评定量表和简易应对方式量表进行调查。采用AMOS 22.0软件建立结构方程模型。本研究共发放问卷240份,回收有效问卷229份,有效回收率为95.42%。结果229名儿科护士忍耐力量表总分为(80.37±11.47)分。路径分析模型显示,积极应对和消极应对均可直接影响忍耐力,而自我效能和主观支持不但可以直接影响忍耐力,还可以通过积极应对和消极应对的中介效应影响儿科护士忍耐力。结论儿科护士忍耐力处于较高水平,且自我效能感水平越高、主观支持程度越强、积极应对方式越多,儿科护士的忍耐力水平越高。因此建议护理管理者应加强儿科护士自我效能感、主观支持以及积极应对方式等内容的培训教育,以进一步提升儿科护士的忍耐力水平,进而提升护理质量。Objective To explore the status quo of tolerance level of pediatric nurses,analyze the effect of self-efficacy,social support and coping style on tolerance and analyze its influence path.Methods From February 2021 to April 2021,a total of 240 pediatric nurses from 3 ClassⅢGrade A hospitals in Zhengzhou were selected as the research objects by the convenient sampling method.The Tolerance Scale,Self-Efficacy Scale,Social Support Rating Scale and Simple Coping Style Scale were used to investigate.The structural equation model was established using AMOS 22.0 software.A total of 240 questionnaires were distributed in this study,and 229 valid questionnaires were recovered,with an effective recovery rate of 95.42%.Results The total score of Tolerance Scale of 229 pediatric nurses was(80.37±11.47).The path analysis model showed that both positive and negative coping could directly affect tolerance,while self-efficacy and subjective support could not only directly affect tolerance,but also affected tolerance of pediatric nurses through mediating effect of positive and negative coping.Conclusions Pediatric nurses have a high level of endurance.The higher the level of self-efficacy,the stronger the degree of subjective support,and the more positive coping styles,the higher the level of tolerance of pediatric nurses.Therefore,it is suggested that nursing managers should strengthen the training and education of self-efficacy,subjective support and positive coping styles of pediatric nurses,so as to further improve the tolerance level of pediatric nurses and improve the quality of nursing.

关 键 词：护士 儿科 忍耐力 自我效能感 主观支持 应对方式 路径分析 

分 类 号：R473.72[医药卫生—护理学]