护士儿童期不良经历与身心症状和职业倦怠关系  

Relationships among adverse childhood experiences,psychosomatic symptoms,and job burnout innurses

作　　者：余成 夏冬芬 裴依斐 张烜 曹枫林[1] YU Cheng;XIA Dongfen;PEI Yifei;Zhang Xuan;CAO Fenglin(School of Nursing and Rehabilitation,Shandong University,Jinan 250012,China;Jinan Maternity and Child Health Care Hospital,Jinan 250001)

机构地区：[1]山东大学护理与康复学院,济南250012 [2]济南市妇幼保健院,济南250001

出　　处：《中国心理卫生杂志》2025年第3期280-286,共7页Chinese Mental Health Journal

摘　　要：目的:探讨护士群体中儿童期不良经历与身心症状和职业倦怠的关系。方法:采用多阶段分层整群随机抽样选取1661例护士,通过1∶2的倾向性评分匹配方法平衡儿童期不良经历阳性组和阴性组人口学资料与工作相关特征,最后共有880例匹配成功(阳性组300例,阴性组580例)。使用线性回归探讨护士儿童期不良经历与身心症状(焦虑、抑郁、躯体症状)和职业倦怠的关系,并计算了平均干预效果(ATT)。结果:线性回归结果显示儿童期不良经历与焦虑症状得分、抑郁症状得分、躯体症状得分以及职业倦怠得分呈正向关联(B=1.68、2.67、2.89、5.90,ATT=1.64、2.58、2.82、5.96,均P<0.001),但与个体成就感不足得分的关系无统计学意义(P>0.05)。结论:相对于无儿童期不良经历的护士,有儿童期不良经历的护士可能有更严重的身心症状与职业倦怠。Objective:To explore the impact of adverse childhood experiences on psychosomatic symptoms and job burnout in the nursing population.Methods:Utilizing a multistage stratified cluster random sampling method,1661 nurses were selected.Through a 1:2 propensity score matching approach,demographic and work-related characteristics were balanced between the positive and negative groups of adverse childhood experiences.Finally,880 cases were successfully matched(positive group:300 cases,negative group:580 cases).Linear regression was employed to explore the relationship between nurses′adverse childhood experiences and psychosomatic symptoms(anxiety,depression,physical symptoms),as well as job burnout.The average treatment effect among the treated(ATT)was calculated.Results:Linear regression results revealed a significant positive association between adverse childhood experiences and scores for anxiety symptoms,depression symptoms,physical symptoms,and job burnout(B=1.68,2.67,2.89,5.90;ATT=1.64,2.58,2.82,5.96,Ps<0.001).However,there was no statistically significant association with scores for a sense of inadequacy in individual achievements(P>0.05).Conclusion:Nurses who have experienced childhood adverse experiences may exhibit more severe psychosomatic symptoms and job burnout compared to those who have not experienced such adversities during childhood.

关 键 词：儿童期不良经历 身心症状 职业倦怠 护士 倾向性得分匹配 

分 类 号：R192.6[医药卫生—卫生事业管理]