完美主义、知觉压力和社会联结对临床护士工作沉浸感影响  

Influence of perfectionism,perceived stress,and social connectedness on work immersion of clinical nurses

作　　者：赵耀 吴心雨 伍丽华 廖源 李春[1] 闫语 李瑜[1] ZHAO Yao;WU Xinyu;WU Lihua;LIAO Yuan;LI Chun;YAN Yu;LI Yu(School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 511400,China)

机构地区：[1]广州中医药大学护理学院,广东广州511400

出　　处：《中国职业医学》2024年第6期671-676,共6页China Occupational Medicine

基　　金：2023年广东省护士协会科研项目(gdshsxh2023ms12);广东省哲学社学科学“十三五”规划2020年度学科共建项目(GD20XGL05);2022年广东省研究生教育创新计划项目(2022JGXM035)。

摘　　要：目的探讨完美主义对临床护士工作沉浸感的影响,并分析知觉压力和社会联结在其中的作用。方法采用便利抽样法,选择广州市3所三级甲等医院的646名临床护士为研究对象,采用中文版的《Frost多维完美主义量表》《知觉压力量表》《社会联结量表》《工作沉浸感量表》调查临床护士的完美主义、知觉压力、社会联结和工作沉浸感。结果临床护士完美主义、知觉压力、社会联结、工作沉浸感平均得分别为(80.3±12.6)、(42.5±8.3)、(88.1±16.8)和(42.5±8.3)分。知觉压力在完美主义和工作沉浸感间起部分中介作用,效应值为0.06,95%置信区间(CI)为(0.027~0.096),中介效应占总效应的21.6%;社会联结调节了完美主义影响工作沉浸感的前半路径和直接路径[标准化偏回归系数分别为-0.15、0.21,95%CI分别为(−0.210~−0.082)、(0.140~0.281),P值均<0.01]。结论完美主义可直接或间接影响临床护士工作沉浸感;知觉压力在其间存在部分中介作用,社会联结在其间存在调节作用。Objective To explore the influence of perfectionism on work immersion of clinical nurses,and to analyze the roles of perceived stress and social connection in the relationship between perfectionism and work immersion.Methods A total of 646 clinical nurses from three tertiary-A hospitals in Guangzhou City were selected as the research subjects using the convenience sampling method.The perfectionism,perceived stress,social connectedness,and work immersion of clinical nurses were assessed using the Chinese version of the Frost Multidimensional Perfectionism Scale,Perceived Stress Scale,Social Connectedness Scale and Work Immersion Scale.Results The average scores for perfectionism,perceived stress,social connectedness,and work immersion among the clinical nurses were(80.3±12.6),(42.5±8.3),(88.1±16.8),and(42.5±8.3)points,respectively.Perceived stress partially mediated the relationship between perfectionism and work immersion,with an effect value of 0.06 and 95%confidence interval(CI)of(0.027-0.096),accounting for 21.6%of the total effect.Social connectedness moderated the initial path and direct path which perfectionism affected work immersion[standardized partial regression coefficients were−0.15 and 0.21,and 95%CI were(−0.210-−0.082)and(0.140-0.281),respectively,both P<0.01].Conclusion Perfectionism may directly or indirectly affect the work immersion of clinical nurses,and perceived stress plays a partial mediating role,while social connectedness acts as a moderator in this relationship.

关 键 词：临床护士 完美主义 知觉压力 社会联结 工作沉浸感 相关性 中介作用 调节作用 

分 类 号：R135[医药卫生—劳动卫生]