广东省三级甲等医院妇产科护士工作成瘾、工作时间压力现状及影响因素分析  

Analysis on status and influencing factors of work addiction,working time pressure among nurses in department of obstetrics and gynecology in grade-A tertiary hospitals of Guangdong Province

作　　者：杨钻钻 宋嘉婷 黄黛苑 曹茁 黄绮华 YANG Zuanzuan;SONG Jiating;HUANG Daiyuan;CAO Zhuo;HUANG Qihua(Second Clinical Medical College,Guangzhou University of Traditional Chinese Medicine,Guangzhou Guangdong,510405,China;Nursing Department,Zhuhai Hospital of Guangzhou Provincial Hospital of Traditional Chinese Medicine,Zhuhai Guangdong,519000,China;Gynecology Department,Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou Guangdong,510120,China;Intensive Care Medicine Department,Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou Guangdong,510120,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广州省中医院珠海医院护理部,广东珠海519000 [3]广州中医药大学第二附属医院妇科,广东广州510120 [4]广州中医药大学第二附属医院重症医学科,广东广州510120

出　　处：《职业与健康》2023年第22期3055-3059,3066,共6页Occupation and Health

摘　　要：目的调查广东省三级甲等医院妇产科护士工作成瘾与工作时间压力现状并分析相关因素,探讨二者之间的关系,为促进妇产科护士的身心健康,提高护理服务质量提供参考。方法2021年5—8月,采取便利抽样法选取广东省三级甲等医院549名妇产科护士作为调查对象,采用一般资料调查表、工作成瘾量表和工作时间压力量表进行评估,并对数据进行分析。结果549名妇产科护士工作成瘾总分为(56.57±14.17)分,无工作成瘾者196人(35.7%),有工作成瘾者353人(64.3%),其中轻度工作成瘾者109人(19.9%),高度工作成瘾者244人(44.4%);工作时间压力总分为(16.60±4.99)分,无工作时间压力者37人(6.7%),低工作时间压力者256人(46.6%),高工作时间压力者256人(46.6%)。工作成瘾量表中保持忙碌维度最高[(13.75±3.47)分],专注工作和克制情绪次之。不同工作年限、第一学历、团队角色的妇产科护士工作成瘾得分比较,差异均有统计学意义(均P<0.05);不同婚姻状况、职务、工作年限、第一学历、团队角色的妇产科护士工作时间压力得分比较,差异均有统计学意义(均P<0.05)。妇产科护士的工作成瘾得分与团队角色呈正相关(r=0.108,P<0.05),工作时间压力得分与职务和角色均呈正相关(r=0.123、0.110,均P<0.01)。工作时间压力与工作成瘾互为显著正相关(均P<0.01),工作成瘾可解释工作时间压力41%的变异,反之亦然。结论广东省三级甲等医院妇产科护士工作成瘾与工作时间压力处于中等水平。管理者应重点关注工作年限较长、第一学历为本科、离异护士以及护士长、科研护士的身心健康,结合护士实际情况,合理安排工作岗位,促进护士身心健康,从而给患者提供高质量的护理服务。Objective To investigate the current situation of work addiction,working time pressure among nurses in department of obstetrics and gynecology in grade-A tertiary hospitals of Guangdong Province,analyze the relevant factors,explore the relationship between the two,and provide a reference for promoting the physical and mental health of obstetrics and gynecology nurses and improving the quality of nursing services.Methods From May to August 2021,549 nurses in department of obstetrics and gynecology in grade-A tertiary hospitals of Guangdong Province were selected as survey subjects by the convenient sampling method,and were evaluated by the general information questionnaire,work addiction scale and working time pressure scale,and the data were analyzed.Results The total score of work addiction among 549 obstetrics and gynecology nurses was(56.57±14.17)points,196(35.7%)had no work addiction,109(19.9%)had mild work addiction and 244(44.4%)had high work addiction.The total score of working time pressure was(16.60±4.99)points,37(6.7%)were under no working time stress,256(46.6%)were under low working time stress,and 256(46.6%)were under high working time stress.In the work addiction scale,the score of keeping busy was the highest[(13.75±3.47)points],followed by focusing on work and restraining emotions.There were statistically significant differences in work addiction scores among obstetrics and gynecology nurses with different working years,first degree and team role(all P<0.05),while there were statistically significant differences in the working time pressure scores of obstetrics and gynecology nurses with different marital status,position,working years,first degree and team role(all P<0.05).The work addiction score of obstetrics and gynaecology nurses was positively correlated with team role(r=0.108,P<0.05),and the working time stress score was positively correlated with job and role(r=0.123,0.110,both P<0.01).There were significant positive correlations between work time stress and work addiction(both P<0.01),th

关 键 词：妇产科护士 工作成瘾 工作时间压力 影响因素 

分 类 号：R181.31[医药卫生—流行病学]