护患关系对临床护士职业倦怠的影响

Influence of nurse- patient relationship on job burnout of clinical nurses

目的:探讨护患关系对临床护士职业倦怠的影响,并提出相应的对策。方法:采用护士调查问卷和马氏职业倦怠量表(MBI-HSS)调查450名临床护士,分析不同护患关系对临床护士职业倦怠的影响。结果:影响护士职业倦怠检出率的因素是:护士执业环境自评状况、患者信任度、患者尊重度;影响各维度得分因素有:护士执业环境自评状况、患者信任度、患者尊重度、患者服务满意度,其中,执业环境自评好、患者信任度高、患者尊重度高的护士,情感衰竭、去人格化得分较低,职业倦怠程度轻(P<0.05);得分越高,其职业倦怠程度越重(P<0.05)。结论:护患关系是影响临床护士职业倦怠的重要因素,医院管理者应注重构建良好的护患关系和执业环境,从个体、组织、社会三个层面寻找积极的对策,从而预防和减少护士职业倦怠的发生。

Objective ：To explore the influence of nurse - patient relationship on job burnout of clinical nurses so as to put forward the corresponding countermeasures. Methods ：450 clinical nurses were investigated by using the general questionnaire for nurses and the job burnout inventory （ MBI - HSS ）. Results ： The factors influencing the detection rate of job burnout of nurses were ： the self - assessment of nurse＇s working environment,the degree of patient＇s trust and respect;the factors influencing the score of each dimension were：the self- assessment of nurse＇s working environment, the degree of patieut~ trust and respect and the patient＇s satisfaction with nursing service {P 〈 0.05 ） ; the higher the scores were, the heavier the degree of job burnout was （ P 〈 0.05 ）. Conclusion ：The nurse - patient relationship is one of important factors influencing job burnout of clinical nurses, so hospital managers should focus on building a good nurse - patient re- lationship and good working environment and looking for positive countermeasures from three aspects of individual,organization and society to prevent and reduce the occurrence of job burnout of nurses.