心血管内科护士职业紧张与职业倦怠状况调查研究

The investigation on occupational stress and job burnout situations and their correlate in cardiovascular nurses

目的:调查心血管内科护士职业紧张和职业倦怠状况,分析与内科其他各专科护士的差别,探讨职业紧张与职业倦怠之间的相关性,为医院护理临床岗位管理及护理绩效考核提供依据。方法:随机抽取西安市三级甲等综合性医院心血管内科护士188名作为观察组,从相同医院随机抽取来自内科其他各专科护士共300名作为对照组,应用OSI-R职业紧张量表和MBI职业倦怠量表收集资料进行统计学分析。结果:观察组护士职业紧张率为63.30%,对照组护士职业紧张率52.67%,经比较有统计学意义(P<0.05)。观察组护士职业倦怠率为71.81%,对照组护士职业倦怠率55.16%,经比较有统计学意义(P<0.05)。心血管内科护士和内科其他各专科护士的职业紧张与职业倦怠均呈正相关(P<0.01)。心血管内科护士职业紧张与职业倦怠r值为0.725,内科其他各专科护士职业紧张与职业倦怠r值为0.349,心血管内科护士的r值高于内科其他各专科护士的r值,表明心血管内科护士的相关性更高。结论:心血管内科护士职业紧张及职业倦怠均较内科其他各专科护士严重,职业紧张可能为职业倦怠的主要因素之一。

Objective：To investigate eccupationl stress and job burnout situations of cardiovascular nurses and other medical nurses,analyze their difference, explain their internal correlate,provide the basis for the management of clinical nursing positions and assessment of nurse performance. Methods：Randomby selected three A- level hospital in Xi＇an cardiovascular internal medicine nurse 188 as observation group,randomly selected from the same hospital from medicine other specialist nurses in a total of 300 as control group, application of OSI- R occupation stress scale and MBI occupation burnout questionnaire to collect data for statistical analysis. Results ：The nursing profession is tense rate of 63.30%, control group nurses occupational stress rate was 52.67%, compared was statistically significant （P 〈0.05）. The nurse burnout observation group was 71.81% ,the centre1 group nurse burnout rate was 55.16%, compared was statistically significant （ P 〈 0.05 ）. Department of cardiology, nurses and other internal medicine specialist nurses occupational stress and burnout were positively correlated （P 〈0. 01 ）. Cardiovascular medicine nurse occupational stress and burnout r - value was 0. 725 ,medicine other specialist nurses occupational stress and burnout r - value was 0. 349 ,the r - value of cardiovascular medicine nurses was higher than internal medicine specialist nurses ,it was showed that the cardiovascular more relevant to internal medicine nurses. Conclusion：The occupational stress and job burnout of nmse in cardiovascular department were more serious than ether specialist nurses,occupational stress may the one of the main factors of job burnout.