优质护理模式下传染科护士职业倦怠调查

Survey and analysis of job burnout of nurses in infectious disease units in the implementation of high quality nursing service

目的:了解优质护理模式下传染科护士职业倦怠情况,为针对性干预提供参考。方法:采取MBI量表中文版(NBS)对我院128名临床一线传染科护士在优质护理服务活动中职业倦怠情况进行调查。结果:优质护理模式下,护士情感衰竭(EE)、去人格化(DP)和个人成就感丧失(PA)3个维度得分分别为(10.21±2.268)分、(9.67±1.981)分、(10.26±2.473)分;中度倦怠与高度倦怠检出率分别为EE 66.41%、14.06%,DP 59.38%、10.15%,PA 58.60%、14.84%;EE、DP、PA严重程度均显著高于杭州地区常模(P<0.01)。调查显示不同传染病科室、职称、工龄及年龄之间的护士职业倦怠水平存在显著性差异(P<0.05)。结论:优质护理模式下传染科护士职业倦怠程度显著高于传统护理模式下职业倦怠程度;年龄及工龄较长、职称较高、风险性高、工作量大的科室,护士职业倦怠程度相比其他类别护士高,护理管理者应引起重视。

Objective： To investigate the situation of job burnout of nurses in infectious disease units in the implementation of high quality nursing service in order to provide reference for taking the targeted intervention. Methods： MBI scale in Chinese version was used to investigate the job burnout of 128 clinical nurses working in the infectious disease units in the implementation of the activities of high quality nursing service. Results： The scores of the three dimensions of emotional exhaustion（ EE）,depersonalization（ DP） and personal accomplishment（ PA） of the nurses were respectively 10. 21 ± 2. 268,9. 67 ± 1. 981 and 10. 26 ± 2. 473 points; the detection rate of moderate and high job burnout was respectively 66. 41% and 14. 06%（ EE）,59. 38% and 10. 15%（ DP）,58. 60% and 14. 84%（ PA）; the severity of EE,DP,PA were significantly more than the norm in the Hangzhou area（ P〈0. 01）. There was statistically significant difference in the comparison of job burnout between the nurses with different professional title,length of service,ages and in the different units. Conclusion： The job burnout is more serious in the high quality nursing model than that in the traditional nursing model. The severity of job burnout changes with the change of professional title,length of service,ages,workload and risks of the units.