ICU护士隐性缺勤的潜在剖面分析及影响因素研究  

Latent profile analysis and influencing factors of presenteeism among ICU nurses

作　　者：李雨欣 吴际军 刘晓丽[3] 钟晓莉[2] 何琳[2] Li Yuxin;Wu Jijun;Liu Xiaoli;Zhong Xiaoli;He Lin(School of Nursing,North Sichuan Medical University,Nanchong 637000,China;Department of Nursing,Deyang People's Hospital,Deyang 618000,China;Intensive Care Unit,Deyang People's Hospital,Deyang 618000,China)

机构地区：[1]川北医学院护理学院,南充637000 [2]德阳市人民医院护理部,德阳618000 [3]德阳市人民医院重症医学科,德阳618000

出　　处：《中华现代护理杂志》2024年第21期2866-2873,共8页Chinese Journal of Modern Nursing

基　　金：四川医院管理和发展研究项目(SCYG2023-31)。

摘　　要：目的基于潜在剖面分析探讨ICU护士隐性缺勤类别,分析不同类别的影响因素,为制定针对性干预措施提供依据。方法采用便利抽样法,于2022年9—11月选取我国24个省、市、自治区的802名ICU护士为研究对象,采用一般资料调查问卷、健康生产力受损量表、领悟社会支持量表、工作家庭冲突量表对其进行调查。采用潜在剖面分析探讨ICU护士隐性缺勤类别,采用无序多分类Logistic回归分析探讨各个类别的影响因素。结果802名ICU护士隐性缺勤可分为3个剖面,分别为低隐性缺勤-正常应对组(28.8%)、中等隐性缺勤组(48.8%)、高隐性缺勤-工作受限组(22.4%)。无序多分类Logistic回归结果显示,身体健康状况、是否患有慢性病、过去1年是否遭受过工作场所暴力、领悟社会支持、工作家庭冲突是ICU护士隐性缺勤潜在类别的影响因素(P<0.05)。结论ICU护士隐性缺勤存在群体异质性,护理管理者应根据ICU护士隐性缺勤各类型特点,制定针对性的干预措施,降低ICU护士隐性缺勤率。Objective To explore the categories of presenteeism among ICU nurses based on latent profile analysis,analyze the influencing factors of different categories,and provide a basis for formulating targeted interventions.Methods Totally 802 ICU nurses from 24 provinces,municipalities,and autonomous regions in China were selected by convenience sampling between September and November 2022.Data were collected using a general information questionnaire,the Health and Work Performance Questionnaire(HPQ),the Perceived Social Support Scale(PSSS),and the Work-Family Conflict Scale(WFCS).Latent profile analysis was employed to identify categories of presenteeism among ICU nurses,and unordered multinomial Logistic regression was used to explore the influencing factors of each category.Results Presenteeism among the 802 ICU nurses could be classified into three profiles:low presenteeism-normal coping group(28.8%),moderate presenteeism group(48.8%),and high presenteeism-work limitation group(22.4%).Unordered multinomial logistic regression analysis revealed that physical health status,presence of chronic disease,exposure to workplace violence in the past year,perceived social support,and work-family conflict were influencing factors for the latent categories of presenteeism among ICU nurses(P<0.05).Conclusions There is heterogeneity in presenteeism among ICU nurses.Nursing managers should develop targeted interventions based on the characteristics of different types of presenteeism to reduce the rate of presenteeism among ICU nurses.

关 键 词：护士 ICU 隐性缺勤 潜在剖面分析 影响因素 

分 类 号：R47[医药卫生—护理学]