ICU护士工作家庭平衡、应对方式与主观幸福感的相关性研究

Relationship amongwork-family balance,coping styles andsubjective well-being in ICU nurses

目的调查ICU护士工作家庭平衡、应对方式与主观幸福感现状,探讨工作家庭平衡、应对方式对ICU护士主观幸福感影响,为临床ICU护士健康干预提供依据。方法采用整群抽样方法,抽取临床234名护士;运用主观幸福感量表测量护士主观幸福感,应用工作家庭平衡量表测量护士家庭平衡状况,采用简易应对方式量表调查护士应对方式;采用相关分析分析护士主观幸福感各维度与工作家庭平衡、应对方式各维度的相关性,采用线性多元逐步回归方法分析影响主观幸福感的因素。结果相关分析显示:侵扰家庭与主观幸福感对生活的满足和兴趣、精力、忧郁或愉快的心境、对情感和行为的控制、松弛和紧张维度成负相关(r<0,P<0.05),相关系数分布在-0.261^-0.127;侵扰工作与主观幸福感各维度成负相关(r<0,P<0.05),相关系数分布在-0.342^-0.127;消极应对与主观幸福感对生活的满足和兴趣、对健康的担心、精力、忧郁或愉快的心境、对情感和行为的控制维度成负相关(r<0,P<0.05),相关系数分布在-0.357^-0.157;促进家庭与主观幸福感对生活的满足和兴趣、对健康的担心、精力、对情感和行为的控制、松弛和紧张维度成正相关(r>0,P<0.05),相关系数分布在0.192~0.236;促进工作与主观幸福感各维度成正相关(r>0,P<0.05),相关系数分布在0.161~0.376;积极应对与主观幸福感对生活的满足和兴趣、对健康的担心、精力、忧郁或愉快的心境、对情感和行为的控制、松弛和紧张维度成正相关(r>0,P<0.05),相关系数分布在0.185~0.324。多元回归显示主观幸福感得分的影响因素有:职称、经济水平、有无子女、工作家庭平衡、应对方式。结论临床护士本身及管理者通过调整工作家庭平衡、提高应对方式水平,提高ICU护士主观幸福感。

Objective To discuss the relationship among the work-family balance, coping styles andsubjective well-being in ICU nurses,provide the basis for the health interventions of nurses. Methods Cluster sampling was used in the study, and 234 clinical nurses was included. Subjective well-being scale,work family balance scale and simple coping style questionnaire were used to survey the study objects. Results Correlation analysis showed that the family intrusionwas negatively correlated with items of satisfaction of life and interests, energy, sad or happy state, behavior and emotion control, relaxation and tension（ r 〈 0, P 〈 0.05 ）, with the correlation coefficient ranging from -0. 261 to -0. 127 ;the family intrusion was negatively correlated with items of subjective well-being（ r 〈 0 ,P 〈 0.05 ） ,with the correlation coefficient ranging from - 0.342 to - 0. 127. The negative copingwas negatively correlated with items of satisfaction of life and interests, worrying aboutheahh, energy, sad or happy state, behavior and emotion control （ r 〈 0, P 〈 0.05 ）, with the correlation coefficient ranging from -0.357 to -0. 157. The family facilitationwas positively correlated with items of satisfaction of life and interests, worrying abouthealth, worrying abouthealth, energy, behavior and emotion control, relaxation and tension（ r 〉 0, P 〈 0.05 ）, with the correlation coefficient ranging from 0.192 to 0. 236. The work facilitationwas positively correlated with items of Subjective well-being（ r 〉 0, P 〈 0. 05 ）, with the correlation coefficient ranging from 0. 161 to 0. 376. Positive copingwas positively correlated with items of satisfaction of life and interests, worrying abouthealth, worrying abouthealth, energy, behavior and emotion control, relaxation and tension （ r 〉 0, P 〈 0.05 ）, with the correlation coefficient ranging from 0. 185 to 0. 324. The multiple regression showed that the influence factors of subjective well-being scores were： title, economic level,children,work family balance and coping styles. Conclusion Clinical nurses and managers should adjust the work-family balance and improve the level of coping styles to improve the ICU nurses subjective well-being.