心血管内科护士心理负荷潜在类别及影响因素分析  

Latent classes of mental workload and related factors among cardiovascular nurses

作　　者：朱丽 孙国珍[2] 杨启航 周毅超 笃铭丽 ZHU Li;SUN Guo-zhen;YANG Qi-hang;ZHOU Yi-chao;DU Ming-li(Department of Cardiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Cardiology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,Jiangsu Province,China;Department of Nursing,Shanghai General Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200080,China)

机构地区：[1]复旦大学附属中山医院心内科,上海200032 [2]南京医科大学第一附属医院心血管内科,南京210029 [3]上海交通大学医学院附属第一人民医院护理部,上海200080

出　　处：《复旦学报（医学版）》2024年第6期908-914,共7页Fudan University Journal of Medical Sciences

基　　金：上海市临床重点专科项目(shslczdzk01701)。

摘　　要：目的调查心血管内科护士心理负荷的潜在类别,并分析其影响因素。方法于2023年6—7月用便利抽样法,以全国664名心血管内科护士作为研究对象,采用一般资料调查表、心理负荷指数量表、护理中断事件量表进行调查,采用潜在类别分析法和多因素Logistic回归分析护士心理负荷潜在类别及其影响因素。结果心血管内科护士存在低负荷组(25.90%)和高负荷组(74.10%)2个潜在类别;多因素Logistic回归分析显示,学历(OR=1.641,95%CI:1.036~2.598)、护理中断事件得分(OR=1.060,95%CI:1.044~1.076)、护士来源区域(OR=0.688,95%CI:0.542~0.874)是心血管内科护士心理负荷的影响因素。结论心血管内科护士心理负荷存在明显的分类特征,较高学历、中断事件发生频繁、来源于东部地区护士心理负荷较高。护理管理者需关注人力资源分配、优化流程以减少护理中断事件的发生。Objective To investigate the latent classes of mental workload and related factors among cardiovascular nurses.Methods A convenience sample of 664 cardiovascular nurses were surveyed from Jun to Jul 2023.General information questionnaire,the Nurse Workload Index Scale and the Nursing Interruption Event Scale were conducted in the investigation.Latent class analysis and multiple Logistic regression analysis were employed to analyze the latent classes of nurses’mental workload and its related factors.Results Two latent classes were identified,named low mental workload group(25.90%)and a high mental workload group(74.10%).Multiple Logistic regression analysis revealed that educational qualifications(OR=1.641,95%CI:1.036-2.598),nursing interruption event scores(OR=1.060,95%CI:1.044-1.076),and the region of nurses(OR=0.688,95%CI:0.542-0.874)were the influencing factors for cardiovascular nurses’mental workload.Conclusion There are obvious categorical characteristics of cardiovascular nurses’mental workload,nurses with higher education,frequent interruption events,and from the eastern region have higher mental workload.Nursing managers need to focus on human resource allocation and optimize processes to reduce the occurrence of nursing interruptions.

关 键 词：心理负荷 潜在类别 心血管内科 护理中断事件 

分 类 号：R192.6[医药卫生—卫生事业管理]