手术室护士压力性损伤管理自我效能的潜在剖面分析及其影响因素  

Potential profile analysis of self-efficacy in the management of stress injury in operating room nurses

作　　者：蒋维连 韦群梅 彭俊华 陈娟[4] 廖芯[5] 王秀梅 卢秀英 Jiang Weilian;Wei Qunmei;Peng Junhua;Chen Juan;Liao Xin;Wang Xiumei;Lu Xiuying(Department of Operation Room,the Second Affiliated Hospital of Guilin Medical University,Guilin 541199,China;Department of Operation Room,Guangxi International Zhuang Medicine Hospital,Nanning 530000,China;Department of Operation Room,the First People′s Hospital of Zunyi,the Third Affiliated Hospital of Zunyi Medical University,Zunyi 563000,China;Department of Operation Room,Qinghai Provincial People′s Hospital,Xining 810000,China;Department of Operation Room Nursing,West China Second Hospital of Sichuan University,Chengdu 610041,China;Department of Operation Room,Shanxi Norman Bethune Hospital(Shanxi Academy of Medical Sciences Tongji Shanxi Hospital),the Third Hospital of Shanxi Medical University,Taiyuan 030000,China;Department of Operation Room,Cancer Hospital Affiliated to University of Electronic Science and Technology of China,Sichuan Cancer Hospital,Chengdu 610041,China)

机构地区：[1]桂林医学院第二附属医院手术室,桂林541199 [2]广西国际壮医医院手术室,南宁530000 [3]遵义市第一人民医院暨遵义医科大学第三附属医院手术室,遵义563000 [4]青海省人民医院手术室,西宁810000 [5]四川大学华西第二医院手术室,成都610041 [6]山西白求恩医院(山西医学科学院同济山西医院)山西医科大学第三医院手术室,太原030000 [7]电子科技大学附属肿瘤医院·四川省肿瘤医院手术室,成都610041

出　　处：《中国实用护理杂志》2023年第27期2097-2104,共8页Chinese Journal of Practical Nursing

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2021014);广西壮族自治区卫生健康委员会自筹经费科研课题(Z-C20220967、Z20211056);桂林医学院第二附属医院临床基础能力提升项目(2023gyefylc020);山西省卫生健康委科研课题(2022114)。

摘　　要：目的了解手术室护士压力性损伤管理自我效能的潜在类别,分析不同类别的影响因素。方法采用横断面调查研究方法,2022年6—8月便利抽样法选取广西、四川、贵州、云南、山西、新疆、重庆12所三级甲等医院的469名手术室护士作为研究对象。采用一般资料调查表、主动性人格量表、关怀行为量表、变革型领导量表、护理临床决策量表和护士压力性损伤管理自我效能感量表进行调查。应用潜在剖面分析护士的压力性损伤管理自我效能,采用多元Logistic回归分析不同潜在类别的影响因素。结果手术室护士压力性损伤管理自我效能可分为3个潜在剖面:自我效能较差(23.9%,112/469)、自我效能中等(33.0%,155/469)、自我效能良好(43.1%,202/469)。主动性人格、关怀行为、变革型领导、护理临床决策及学历是手术室护士压力性损伤管理自我效能的影响因素(均P<0.05)。结论手术室护士压力性损伤管理自我效能有3个潜在剖面,护理管理者可依据不同护士特征给予针对性干预策略,以提高其自我效能。Objective To understand the potential categories of self-efficacy in stress injury management of nurses in operating room and analyze the characteristics of different categories of nurses.Methods A cross-sectional survey was conducted from June to August 2022.A total of 469 operating room nurses from 12 Grade A hospitals in Guangxi,Sichuan,Guizhou,Yunnan,Shanxi,Xinjiang and Chongqing were selected by convenient sampling method as subjects.General data questionnaire,proactive personality Inventory,Caring behavior Inventory,transformational leadership inventory,nursing clinical Decision scale and nurses stress injury management self-efficacy scale were used to investigate.Potential profile was used to analyze nurses'self-efficacy in stress injury management,and multiple Logistic regression was used to analyze different potential factors.Results The self-efficacy of nurses in the management of stress injury in operating room could be divided into three potential profiles:poor self-efficacy group(23.9%,112/469),medium self-efficacy group(33.0%,155/469)and good self-efficacy group(43.1%,202/469).Proactive personality,caring behavior,transformational leadership,nursing clinical decision-making and educational background were the factors influencing self-efficacy of operating room nurses in stress injury management(all P<0.05).Conclusions There are three potential profiles of self-efficacy in the management of stress injury in operating room nurses.Nursing managers can give targeted intervention strategies according to different characteristics of nurses to improve their self-efficacy.

关 键 词：护士 手术室护理 压力性损伤管理 自我效能 潜在剖面 影响因素 

分 类 号：R472.3[医药卫生—护理学]