陕西省5所三级甲等医院临床夜班护士睡眠剥夺在情绪疲惫、离职意图之间的中介作用  

Mediating effects of sleep deprivation between emotional exhaustion and turnover intention in clinical night shift nurses of 5 grade-A tertiary hospitals in Shaanxi Province

作　　者：李子璇 段筱妍 LI Zi-xuan;DUAN Xiao-yan(School of Nursing,Shaanxi University of Chinese Medicine,Xianyang Shaanxi,712046,China;Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang Shaanxi,712099,China)

机构地区：[1]陕西中医药大学护理学院,陕西咸阳712046 [2]陕西中医药大学附属医院,陕西咸阳712099

出　　处：《职业与健康》2023年第1期43-48,54,共7页Occupation and Health

基　　金：陕西中医药大学附属医院2020年度院级科研项目(2020LCJ004)。

摘　　要：目的了解夜班护士睡眠剥夺、情绪疲惫、离职意图的现状,探讨夜班临床护士的睡眠剥夺在情绪疲惫与离职意图之间的中介关系。方法2022年3月选择陕西省5所三级甲等级医院394名临床夜班护士作为研究对象,采用自制一般资料表、离职倾向量表、情绪劳动量表和阿森斯失眠量表进行问卷调查,采用SPSS 26.0进行一般资料、相关和回归分析,采用AMOS 24.0进行中介效应分析。结果394名护士的睡眠剥夺总分为(7.24±6.14)分;情绪疲惫总分及各个维度得分分别为(46.35±9.55)分、表面表现(22.94±5.83)分、深层表现(12.75±3.64)分、自然表现(10.66±3.40)分;离职意图总分为(12.73±3.21)分。睡眠剥夺与情绪疲惫、离职意图之间均呈正相关(r=0.714、0.747,均P<0.01);睡眠剥夺在情绪疲惫和离职意图之间的中介效应占比为41.0%。结论394名临床夜班护士的睡眠剥夺发生率较高,情绪疲惫不仅会产生离职倾向,还可通过睡眠剥夺这一诱导因素加速其离职意图,同时睡眠剥夺在情绪疲惫和离职意图之间起到部分中介作用。管理部门应当合理化升级管理结构,重视夜班护士睡眠状况及情绪压力,降低其离职意愿。Objective To understand the current situation of sleep deprivation,emotional exhaustion and turnover intention of night shift nurses,and to explore the intermediary relationship of sleep deprivation between emotional exhaustion and turnover intention.Methods In March 2022,a total of 394 clinical night nurses from 5 grade-A tertiary hospitals were selected in this cross-sectional survey.They were investigated with the general data questionnaire,intent to leave scale,emotional labor scale,and athens insomnia scale.SPSS 26.0 was used for general data,correlation and regression analysis,and AMOS 24.0 was used for intermediary effect analysis.Results The total score of sleep deprivation in 394 nurses was(7.24±6.14)points,the total emotional fatigue score was(46.35±9.55)points,surface performance score was(22.94±5.83)points,deep performance score was(12.75±3.64)points,natural performance score was(10.66±3.40)points,and total turnover intention score was(12.73±3.21)points.There was a positive correlation between sleep deprivation and emotional exhaustion,turnover intention(r=0.714,0.747,both P<0.01).Sleep deprivation played an intermediary role between emotional exhaustion and turnover intention,which accounting for 41.0%.Conclusions The incidence of sleep deprivation between clinical night shift nurses is higher.Emotional exhaustion can induce turnover intention,also can accelerate turnover intention through the inducing factor of sleep deprivation.Meanwhile sleep deprivation plays a partial mediating role between emotional exhaustion and turnover intention.The management department should rationalize and upgrade the management structure,pay attention to the sleep status and emotional pressure of night shift nurses,and reduce their turnover intention.

关 键 词：夜班护士 睡眠剥夺 情绪疲劳 离职意图 中介分析 

分 类 号：R1813.1[医药卫生—流行病学]