护士群体自我效能及疲劳与竞争态度的相关性

Correlation between serf-efficacy, fatigue and competitive attitude among nurses

目的研究护士群体竞争态度，分析自我效能及疲劳与竞争态度的相关性。方法使用一般资料问卷、一般自我效能感量表（GSES）、疲劳量表（FS-14）、竞争态度量表（CAS-C）对福州市某三甲医院796名护士进行调查，探讨护士群体的竞争性及其影响因素，及其与自我效能及疲劳的相关性。结果762名护士自我效能感平均为（2．47±0．54）分与国内常模（2．86±0．52）分相比，差异有统计学意义（t=-11．96，P〈0．01）。自我效能与良性竞争呈正相关（r=-0．231，P〈0．01）；自我效能与过度竞争未发现相关性（r=0．037，P〉0．01）；躯体疲劳、脑力疲劳与良性竞争呈负相关（r分别为-0．231，-0．149；P〈0．01）；躯体疲劳、脑力疲劳与过度竞争呈正相关（r分别为0．212，0．164；P〈0．01）。经多元逐步回归得到方程模型：Y良性竞争=17．892＋8．285自我效能-0．896躯体疲劳＋0．337过度竞争。Y过度竞争=17．597＋0．136良性竞争＋0．635躯体疲劳＋2．008自我效能。结论自我效能及疲劳与竞争态度有相关性，建议进行合理干预提高自我效能，降低疲劳程度，完善竞争系统的构建，增强良性竞争，减少过度竞争。

Objective To study the competitive attitude of nurses and analyse the correlation between self-efficacy, fatigue and competitive attitude. Methods Totals of 762 nurses in one Grade A hospital were investigated with the general information questionnaire, General Self-Efficacy Scale （ GSES）, Fatigue Scale （ FS14）, and competitive attitude scale. The competition of nurses and its influencing factors, and its correlation with self-efficacy, fatigue were explored. Results The average score of self-efficacy of nurses was （ 2.47± 0.54）, and that of the norm was （2.86 ± 0.52）, the difference was statistically significant （ t = - 11.96, P 〈 0.01 ）. Self-efficacy was positively correlated with benign competition（ r = -0. 231 ,P 〈0.01 ） and there was no significantly correlation with the over-competition （ r = 0. 037, P 〉 0.01 ）. Body fatigue and mental fatigue was negatively correlated with the benign competition （ r = - 0.231, - 0. 149, respectively; P 〈 0.01 ） and positively correlated with the over-competition （ r = 0. 212,0. 164, respectively ; P 〈 0.01 ）. Equation model via multiple regression was that：Ybenign competition = 17. 892 ＋ 8. 285 self-efficacy-0. 896body fatigue ＋ 0. 337 excessive competition;Yexcessive competition = 17. 597 ＋0. 136 benign competition ＋0. 635 body fatigue ＋ 2. 008 self- efficacy. Conclusions There is a correlation between self-efficacy, fatigue and competitive attitude, and the reasonable suggestions for improving intervention self-efficacy, reducing fatigue, perfecting competition system construction, enhancing benign competition and reducing excessive competition should be implemented.