南充市5所三级甲等医院ICU护士工作疲劳现状与工作场所不文明行为及敬业度的相关性研究  

Study on current status of work fatigue among ICU nurses in five tertiary grade A hospitals in Nanchong City and its correlation with uncivilized behavior and dedication in the workplace

作　　者：李琼华[1] 张红英[1] LI Qionghua;ZHANG Hongying(Department of Critical Medicine,Affiliated Hospital of North Sichuan Medical College,Sichuan Nanchong,637000,China)

机构地区：[1]川北医学院附属医院重症医学科,四川南充637000

出　　处：《职业与健康》2024年第2期210-214,共5页Occupation and Health

基　　金：四川省科技厅项目(2019JDR0125)。

摘　　要：目的 调查南充市三级甲等医院重症监护室(intensive care unit,ICU)护士工作场所不文明行为、敬业度与工作疲劳现状,并分析工作疲劳的影响因素。方法 采用便利抽样法,于2022年6—8月选取南充市5所三级甲等医院274名ICU护士为调查对象。采用一般资料调查表、工作场所不文明行为量表、敬业度量表和工作疲劳量表开展调查,采用SPSS 21.0统计软件进行数据分析。结果 南充市三级甲等医院ICU护士工作场所不文明行为得分为(24.15±8.53)分,敬业度得分为(32.72±7.26)分,工作疲劳得分为(46.90±16.27)分。不同性别、文化水平、合同类型、月均收入、ICU工作年限、每周工作时长、睡眠质量及是否患慢性病的ICU护士工作疲劳得分比较,差异均有统计学意义(均P<0.05)。相关性分析显示,三级甲等医院ICU护士工作场所不文明行为得分与敬业度得分呈负相关(P<0.05),与工作疲劳得分呈正相关(P<0.05);敬业度得分与工作疲劳得分呈负相关(P<0.05)。多元线性回归分析,性别、合同类别、ICU工作年限、每周工作时长及工作场所不文明行为及敬业度是ICU护士工作疲劳的主要影响因素(均P<0.05),共解释总变量的71.2%。结论 南充市三级甲等医院ICU护士受多种因素影响,工作疲劳水平较高,其中工作场所不文明行为和敬业度是其重要影响因素。护理管理者应从多方面采取针对性干预措施改善护士身心健康,降低工作场所不文明行为发生,提高工作敬业度。Objective To investigate the current situation of uncivilized behavior,engagement and work fatigue of ICU nurses in Nanchong tertiary first-class hospitals,and analyze the influencing factors of work fatigue.Methods Totally 274 ICU nurses from 5 tertiary hospitals in Nanchong from June to August 2022 were selected by convenience sampling method.The general information questionnaire,workplace uncivilized behavior scale,engagement scale and work fatigue scale were used to investigate,and SPSS 21.0 statistical software was used for data analysis.Results The score of uncivilized behavior in the workplace of ICU nurses in tertiary grade A hospitals was(24.15±8.53)points,the score of engagement was(32.72±7.26)points,and the score of work fatigue was(46.90±16.27)points.There were statistically significant differences in the scores of ICU nurses with different gender,education level,contract type,average monthly income,ICU working years,weekly working hours,sleep quality and whether they had chronic diseases(all P<0.05).The correlation analysis showed that the score of uncivilized behavior in the workplace was negatively correlated with the score of engagement(P<0.05),and positively correlated with the score of work fatigue(P<0.05).The score of engagement was negatively correlated with the score of work fatigue(P<0.05).Multiple linear regression analysis showed that gender,contract type,ICU working years,working hours per week,uncivilized behavior and engagement in the workplace were the main influencing factors of ICU nurses'work fatigue(all P<0.05),accounting for 71.2%of the total variables.Conclusions ICU nurses in tertiary grade A hospitals are affected by many factors,and the level of work fatigue is high,among which uncivilized behavior and engagement in the workplace are important factors.Nursing managers should take targeted intervention measures in many aspects to improve nurses'physical and mental health,reduce the occurrence of uncivilized behavior in the workplace,and improve work engagement.

关 键 词：重症监护室 护士 工作疲劳 工作场所不文明 敬业度 影响因素 

分 类 号：R181.31[医药卫生—流行病学]