资源视角下手术室护士工作-家庭行为角色冲突现状及影响因素分析  

The current status and influencing factors of work-family behavioral role conflict among Operating Room nurses from the resource perspective

作　　者：林子涵 史玉佳 张浩 冯然 Lin Zihan;Shi Yujia;Zhang Hao;Feng Ran(Department of Anesthesiology and Perioperative Medicine,Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou,450008,China;Department of Interventional Medicine,Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou,450008,China)

机构地区：[1]郑州大学附属肿瘤医院(河南省肿瘤医院)麻醉与围术期医学科,郑州450008 [2]郑州大学附属肿瘤医院(河南省肿瘤医院)介入科,郑州450008

出　　处：《中华现代护理杂志》2024年第13期1706-1712,共7页Chinese Journal of Modern Nursing

基　　金：河南省卫生健康委员会医学教育研究项目(Wjlx2020101)。

摘　　要：目的基于资源视角下探讨手术室护士的工作-家庭行为角色冲突现状,并采用Logistic回归和决策树模型分析其影响因素。方法采用便利抽样法,于2023年9—11月运用一般资料调查表、护士组织支持感问卷、家庭关怀指数问卷和工作-家庭行为角色冲突量表对河南省20所医院的1231名手术室护士进行调查。采用单因素分析、Logistic回归、决策树模型分析手术室护士工作-家庭行为角色冲突的影响因素。结果共回收问卷1231份,有效问卷1182份,问卷回收率为96.02%。2种模型均显示性别、有无子女、医院类型、组织支持感、家庭关怀是手术室护士工作-家庭行为角色冲突的影响因素(P<0.05)。Logistic回归与决策树模型受试者工作曲线的曲线下面积(AUC)分别为0.782和0.735,灵敏度分别为76.1%和65.9%,特异度分别为67.2%和74.1%。结论手术室护士工作-家庭行为角色冲突处于中等水平,受多种因素影响。Logistic回归和决策树模型均具有分类预测价值,其中Logistic回归模型的灵敏度较高,决策树模型的特异性较高,两者相互补充使用更具有临床意义。Objective To explore the current status of work-family behavioral role conflict among Operating Room nurses from the resource perspective and analyze its influencing factors using Logistic regression and decision tree models.Methods A convenience sampling method was used to survey 1231 Operating Room nurses from 20 hospitals in Henan Province from September to November 2023,utilizing a general information questionnaire,Survey of Nurse Perceived Organizational Support(SNPOS),Family APGAR Index(APGAR),and Work-Family Behavioral Role Conflict Scale(WFBRCS).Univariate analysis,Logistic regression,and decision tree model analyses were applied to identify factors affecting work-family behavioral role conflict among the Operating Room nurses.Results A total of 1231 questionnaires were retrieved,and 1182 were validly questionnaires,resulting in a retrieving rate of 96.02%.Both models identified gender,having children,hospital type,organizational support perception,and family care as influencing factors of work-family behavioral role conflict among the Operating Room nurses(P<0.05).The areas under the curve(AUC)for the receiver operating characteristic curves of the Logistic regression and decision tree models were 0.782 and 0.735,respectively,with sensitivities of 76.1%and 65.9%,and specificities of 67.2%and 74.1%,respectively.Conclusions The work-family behavioral role conflict among Operating Room nurses is at a moderate level and influenced by multiple factors.Both Logistic regression and decision tree models have predictive value for classification,with the Logistic regression model showing higher sensitivity and the decision tree model showing higher specificity.The complementary use of both models has more clinical significance.

关 键 词：横断面研究 手术室护士 工作-家庭行为角色冲突 组织支持感 家庭关怀 Logistic回归 决策树模型 

分 类 号：R47[医药卫生—护理学]