积极应对方式在手术室护士职业倦怠与工作投入间的中介作用  

Mediating role of active coping style between occupational burnout and work engagement among operating room nurses

作　　者：梁新慧 贾瑶 刘芳 胡梦依 姜雪 LIANG Xinhui;JIA Yao;LIU Fang;HU Mengyi;JIANG Xue(School of Nursing,Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712046,China;Department of Neurosurgery,The Second Affiliated Hospital of Air Force Medical University,Xi'an,Shaanxi 710038,China)

机构地区：[1]陕西中医药大学护理学院,陕西咸阳712046 [2]空军军医大学第二附属医院神经外科,陕西西安710038

出　　处：《职业与健康》2024年第15期2021-2025,共5页Occupation and Health

基　　金：军队护理创新与培育专项计划创新项目(2021HL041);一般(自主)项目(KJ2023C0KYD03)。

摘　　要：目的探讨手术室护士的积极应对方式、职业倦怠与工作投入间的相关性及积极应对方式在职业倦怠与工作投入间的中介效应。方法2023年4—8月,采用便利抽样法选取陕西省8所三级甲等医院380名手术室护士为调查对象,采用一般资料问卷、职业倦怠量表、简易应对方式量表和工作投入量表进行问卷调查,并对数据进行单因素分析、相关性分析及中介效应检验。结果手术室护士积极应对、职业倦怠及工作投入得分分别为(23.25±6.34)、(34.96±12.80)和(31.27±10.02)分。相关分析结果显示,手术室护士积极应对与职业倦怠呈负相关(r=-0.230,P<0.01)、工作投入与积极应对呈正相关(r=0.418,P<0.01)、工作投入与职业倦怠呈负相关(r=-0.417,P<0.01),积极应对在手术室护士职业倦怠与工作投入间起部分中介作用,效应占比14.85%。结论积极应对在手术室护士职业倦怠与工作投入间起部分中介作用,手术室护理管理者应重视这一中介效应,积极引导护士自身面对困难和问题时采取积极的应对措施,缓解工作带来的倦怠感,提升护士的工作投入度。Objective To explore the correlation between the positive coping style,occupational burnout and work engagement of operating room nurses,and the mediating effect of positive coping style between occupational burnout and work engagement.Methods From April to August 2023,380 operating room nurses from 8 grade-A tertiary hospitals in Shaanxi Province were selected by convenience sampling method to conduct questionnaire surveys using general information questionnaire,occupational burnout scale,simple coping style scale and work engagement scale,and the data were analyzed by univariate analysis,correlation analysis and mediating effect test.Results The scores of positive coping,occupational burnout and work engagement of operating room nurses were(23.25±6.34),(34.96±12.80)and(31.27±10.02)points,respectively.The results of correlation analysis showed that active coping among operating room nurses was negatively correlated with occupational burnout(r=-0.230,P<0.01),work engagement was positively correlated with positive coping(r=0.418,P<0.01),and work engagement was negatively correlated with occupational burnout(r=-0.417,P<0.05).The active coping of operating room nurses played a partial mediating role between occupational burnout and work engagement,accounting for 14.85%of the effect.Conclusion The active coping of operating room nurses plays a partial mediating role between occupational burnout and work engagement.Surgical room nursing managers should pay attention to this mediating effect,actively guide nurses to take proactive measures when facing difficulties and problems,alleviate the fatigue caused by work,and enhance their work engagement.

关 键 词：手术室 护士 积极应对方式 职业倦怠 工作投入 中介作用 

分 类 号：R181.31[医药卫生—流行病学]