急诊科护士替代性创伤后成长的潜在类别及影响因素分析  

Latent classes and influencing factors of vicarious posttraumatic growth among emergency nurses

作　　者：胡安妮 朱宏梅[1] 韩江英[2] 葛刘娜 许敏[1] 荚娟华 Hu Anni;Zhu Hongmei;Han Jiangying;Ge Liuna;Xu Min;Jia Juanhua(Department of Emergency,the First Affiliated Hospital of Anhui Medical University,Hefei 230088,China;Department of Nursing,the First Affiliated Hospital of Anhui Medical University,Hefei 230088,China;Department of Emergency ICU,the First Affiliated Hospital of Anhui Medical University,Hefei 230088,China)

机构地区：[1]安徽医科大学第一附属医院急诊科,合肥230088 [2]安徽医科大学第一附属医院护理部,合肥230088 [3]安徽医科大学第一附属医院急诊ICU,合肥230088

出　　处：《中国实用护理杂志》2023年第35期2770-2776,共7页Chinese Journal of Practical Nursing

基　　金：安徽医科大学校科研基金项目(2022xkj297)。

摘　　要：目的了解急诊科护士替代性创伤后成长的潜在类别,并探讨其影响因素。方法采用便利抽样法于2022年3—5月选取安徽省20所公立综合医院的498名急诊科护士为调查对象,采用一般资料调查表和创伤后成长评定量表进行横断面调查,采用潜在类别分析对急诊科护士替代性创伤后成长进行分类,采用二元Logistic回归分析潜在类别的影响因素。结果急诊科护士替代性创伤后成长存在"高水平-高波动成长组"(24.1%,120/498)和"低水平成长组"(75.9%,378/498)2种潜在类别。二元Logistic回归分析显示,职称、平均月收入、自评健康状况是影响潜在类别的因素(均P<0.05)。结论急诊科护士替代性创伤后成长存在明显分类特征,护理管理者应根据其类别特点和影响因素,制订并实施针对性干预措施,以提高其替代性创伤后成长水平。Objective To investigate the latent classes and influencing factors of vicarious posttraumatic growth among emergency nurses.Methods Convenience sampling method was used to select the 498 emergency nurses of 20 public general hospitals in Anhui province as the survey objects.The general information questionnaire and Posttraumatic Growth Inventory were used to investigate.Latent class analysis was used to classify vicarious posttraumatic growth of emergency nurses,and the influencing factors of latent classes were analyzed by binary logistic regression.Results There were two latent classes of vicarious posttraumatic growth of emergency nurses including high growth-high fluctuation group(24.1%,120/498)and low growth group(75.9%,378/498).Binary logistic regression analysis showed that professional title,average monthly income and self-rated health status were the factors influencing the latent classes(all P<0.05).Conclusions There are obvious classification characteristics of vicarious posttraumatic growth among emergency nurses.Nursing managers should formulate and implement targeted intervention measures according to the classification characteristics and influencing factors to improve their vicarious posttraumatic growth level.

关 键 词：护士 急诊科 替代性创伤后成长 潜在类别分析 影响因素 

分 类 号：R47[医药卫生—护理学]