广州市三级甲等医院骨科护士情绪劳动策略在睡眠质量与职业倦怠间的中介作用  

Mediating effect of emotional labor between sleep quality and job burnout of orthopedic nurses of grade-A tertiary hospitals in Guangzhou City

作　　者：郑萍萍 陈少华[2] ZHNEG Pingping;CHEN Shaohua(Second Clinical Medical College,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510006,China;Department of Spine Orthopaedics,Dade Road General Hospital,Guangdong Provincial Hospital 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510006 [2]广东省中医院大德路总院脊柱骨科,广东广州510120

出　　处：《职业与健康》2024年第14期1883-1888,共6页Occupation and Health

基　　金：广东省中医院中医药科学技术研究专项(YN2019HL07)。

摘　　要：目的探讨骨科护士睡眠质量、职业倦怠与情绪劳动之间的关系。方法采用便利抽样法,选取2022年10—12月广州市三级甲等医院321名骨科护士为研究对象。使用一般资料调查表、匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)、护士职业倦怠量表(maslach burnout inventory,MBI)和情绪劳动量表(emotionallabour question-naire,ELQ)进行问卷调查,并对数据进行分析。结果共纳入312名骨科护士,其职业倦怠得分为(78.86±18.05)分,职业倦怠发生率为60.5%;睡眠质量得分为(8.47±3.52)分,其中60.9%的护士存在睡眠质量问题;情绪劳动得分为(50.45±12.36)分。相关分析显示,情绪劳动、睡眠质量和职业倦怠三者之间均呈正相关(均P<0.01)。结构方程模型分析显示,骨科护士睡眠质量对职业倦怠有正向预测作用(直接效应为0.204),情绪劳动在职业倦怠与睡眠质量之间起部分中介作用,中介效应占总效应的54.0%。结论骨科护士睡眠质量、情绪劳动与职业倦怠密切相关,睡眠质量可以直接影响职业倦怠,也可通过情绪劳动的变化间接影响骨科护士的职业倦怠。因此,骨科护理管理者可通过调节情绪劳动来改善护士睡眠质量和职业倦怠感,让骨科护士有健康的身心投入到骨科患者的护理工作中,促进患者的快速康复。Objective To explore the relationship between sleep quality,occupational burnout,and emotional labor among orthopedic nurses.Methods From October to December 2022,321 orthopedic nurses of grade-A tertiary hospitals in Guangzhou City were selected as the research objects by convenient sampling method.The general information questionnaire,Pittsburgh sleep quality index(PSQI),Maslach burnout inventory(MBI)and emotional labor questionnaire(ELQ)were used for questionnaire survey,and the data were analyzed.Results A total of 312 orthopedic nurses were collected.The job burnout score of them was(78.86±18.05)points,and the prevalence of job burnout was 60.5%.The sleep quality score was(8.47±3.52)points,and 60.9%of nurses had sleep quality problems.The emotional labor score was(50.45±12.36)points.The correlation analysis showed that emotional labor,sleep quality and burnout were positively related(all P<0.01).The structural equation model analysis showed that the sleep quality of orthopedic nurses had a positive prediction effect on job burnout(the direct effect was 0.204),and emotional labor played a partial mediation role between job burnout and sleep quality,and the mediation effect accounted for54%of the total effect.Conclusions The sleep quality,emotional labor and job burnout of orthopedic nurses are closely related.The sleep quality can directly affect the job burnout,and can indirectly affect the job burnout of orthopedic nurses through emotional labor.Therefore,the orthopedic nursing managers can improve the sleep quality and job burnout of nurses by adjusting emotional labor,so that orthopedic nurses can have a healthy physical and mental commitment to the nursing work of orthopedic patients,and promote the rapid recovery of patients.

关 键 词：护士 睡眠质量 情绪劳动 职业倦怠 中介效应 

分 类 号：R181.31[医药卫生—流行病学]