临床护士工作压力、思维抑制、情绪调节困难与情绪衰竭关系  

Relationship between emotional exhaustion and work stress,thought suppression,difficulties in emotion regulation in clinical nurses

作　　者：董越娟[1] 魏华[1] 陈妍[2] 丁敬艳[3] 王永革[4] DONG Yuejuan;WEI Hua;CHEN Yan;DING Jingyan;WANG Yongge(Surgical Teaching and Research Office,Henan Vocational College of Nursing,Anyang,Henan 455000,China;不详)

机构地区：[1]河南护理职业学院外科教研室,河南安阳455000 [2]福建省立医院护理部,福建福州350001 [3]河南省安阳地区医院护理部,河南安阳455000 [4]安阳市人民医院急诊科,河南安阳455000

出　　处：《中国职业医学》2023年第3期355-360,共6页China Occupational Medicine

基　　金：河南省高等学校重点科研项目(23B330006);河南省高校人文社会科学研究一般项目(2024-ZDJH-587)。

摘　　要：目的探讨临床护士情绪衰竭现状及其与工作压力、思维抑制、情绪调节困难的关系。方法采用抓取随机球方法,以河南省和福建省10个地级市共1159名临床护士为研究对象,采用《抑郁-焦虑-应激自评量表》《白熊抑制问卷》《简版情绪调节困难量表》《工作倦怠量表》分别调查其工作压力、思维抑制、情绪调节困难和情绪衰竭情况。结果临床护士工作压力、思维抑制、情绪调节困难和情绪衰竭得分分别为(23.5±3.8)、(47.4±6.5)、(54.1±7.2)和(11.7±4.2)分;其中有情绪衰竭者占40.0%。Bootstrap检验结果显示,工作压力正向影响临床护士的情绪衰竭[标准化偏回归系数(β)=0.42,95%置信区间(CI):0.36~0.44],工作压力可分别通过思维抑制的部分中介效应(β=0.16,95%CI:0.14~0.20)、情绪调节困难的部分中介效应(β=0.16,95%CI:0.14~0.19),以及思维抑制与情绪调节困难的链式中介效应(β=0.07,95%CI:0.04~0.09)影响临床护士的情绪衰竭。结论临床护士情绪衰竭症状较为普遍;工作压力可直接并可通过思维抑制和情绪调节困难的中介作用影响护士的情绪衰竭。Objective To explore the current status of emotional exhaustion among clinical nurses and its relationship with work stress,thought suppression,difficulties in emotion regulation.Methods A totally of 1159 clinical nurses from 10 cities in Henan Province and Fujian Province were enrolled as the research subjects using grabbing random balls method.And their status of work stress,thought suppression,difficulties in emotion regulation and emotional exhaustion were investigated by Depression-Anxiety-Stress Scale,White Bear Suppression Inventory,Brief Version of the Difficulties in Emotion Regulation Scale and Emotional Exhaustion Scale.Results The scores for work stress,thought suppression,difficulties in emotion regulation,emotional exhaustion were(23.5±3.8),(47.4±6.5),(54.1±7.2),(11.7±4.2),respectively.Among them,40.0%of nurses experienced emotional exhaustion.Bootstrap analysis results showed that work stress positively affected emotional exhaustion among clinical nurses[standardized partial regression coefficient(β)=0.42,95%confidence intervals(CI):0.36-0.44].Work stress affected emotional exhaustion through thought suppression(β=0.16,95%CI:0.14-0.20),dificulties in emotion regulation(β=0.16,95%CI:0.14-0.19),and the chain mediating role of thought suppression and difficulties in emotion regulation(β=0.07,95%Cl:0.04-0.09).Conclusion Emotional exhaustion symptoms are prevalent among clinical nurses.Work stress directly and indirectly influences thought suppression,difficulties in emotion regulation and emotional exhaustion of nurses.

关 键 词：工作压力 思维抑制 情绪调节困难 情绪衰竭 临床护士 中介效应 

分 类 号：R395[哲学宗教—心理学]