临床护士职业偏差行为与组织支持感、亚健康状态的相关性分析  

Analysis on the correlation between professional deviant behavior and organizational support,sub-health status of clinical nurses

作　　者：李森 王硕[2] 马俊杰[2] 范晓华 魏玉莲[3] LI Sen;WANG Shuo;MA Jun-jie;FAN Xiao-hua;WEI Yu-lian(School of Nursing,Binzhou Medical University,Binzhou Shandong,256600,China;Department of Emergency,Zibo Central Hospital,Zibo Shandong,250036,China;Department of Nursing,Zibo Central Hospital,Zibo Shandong,250036,China)

机构地区：[1]滨州医学院护理学院,山东滨州256600 [2]淄博市中心医院急诊科,山东淄博255036 [3]淄博市中心医院护理部,山东淄博255036

出　　处：《职业与健康》2023年第8期1066-1071,共6页Occupation and Health

摘　　要：目的了解临床护士职业偏差行为与组织支持感、亚健康状态现状,分析三者之间的相关性,为采取针对性干预措施提供依据。方法2021年10—11月采用方便抽样法,选取淄博市某三级甲等医院285名临床护士作为研究对象,采用一般资料调查表、护理人员职业偏差行为量表、组织支持感量表和亚健康状态评分标准对其进行调查,并对数据进行分析。结果临床护士职业偏差行为总分为(28.04±8.78)分,组织支持感总分为(109.67±24.89)分,亚健康状态总分为(6.73±0.30)分。职业偏差行为总分及其各维度得分与组织支持感总分及其各维度得分均呈显著负相关(r=-0.240~-0.454,均P<0.01),与亚健康状态总分均呈显著正相关(r=0.359~0.656,均P<0.01)。多元线性回归分析结果显示,性别、文化程度、平均月收入、所在科室及组织支持感及亚健康状态均是临床护士职业偏差行为的影响因素(均P<0.05)。结论护士职业偏差行为总体良好,应多关注男性、低学历、平均月收入低及急诊科和ICU的护士,采取相应措施营造良好的组织氛围以增强其组织支持感。积极关注其身心健康状况,以减轻或避免其职业偏差行为的发生,进而优化护理工作质量,构建和谐的护患关系。Objective To understand the status of professional deviant behavior,organizational support and sub-health status of clinical nurses,analyze the correlation among the three,and provide a basis for carrying out targeted interventions.Methods From October to November 2021,285 clinical nurses from a grade-A tertiary hospital in Zibo City were selected as the research object by using the convenient sampling method,were investigated by the general data questionnaire,the nursing staff occupational deviation behavior scale,the organizational support sense scale and the sub-health status scoring standard,and the data were analyzed.Results The total score of occupational deviation behavior of clinical nurses was(28.04±8.78)points,the total score of organizational support was(109.67±24.89)points and the total score of sub-health status was(6.73±5.13)points.The total score of occupational deviation behavior and scores of various dimensions were significantly negatively correlated with the total score of organizational support and scores of various dimensions(r=-0.240--0.454,all P<0.01),and significantly positively correlated with the total score of sub-health(r=0.359-0.656,all P<0.01).The results of multiple linear regression analysis showed that gender,education level,average monthly income,department and organizational support,and sub-health status were the influencing factors of clinical nurses'occupational deviation behavior(all P<0.05).Conclusions The occupational deviation behavior of nurses is generally good,and it is necessary to pay more attention to nurses of male,low education,low average monthly income,and nurses in emergency departments and ICU,take corresponding measures to create a good organizational atmosphere to enhance their sense of organizational support.It is necessary to actively pay attention to their physical and mental health,so as to reduce or avoid the occurrence of their occupational deviation behavior,and then optimize the quality of nursing work and build a harmonious nursing-patient relatio

关 键 词：护士 职业偏差行为 组织支持感 亚健康状态 

分 类 号：R181.31[医药卫生—流行病学]