结核病护理人员心理一致感与职业倦怠及其相关性研究

The correlation between sense of coherence and job burnout among the tubercular nursing staffs

目的调查结核病护理人员心理一致感与职业倦怠水平，了解结核病临床护理人员心理一致感与职业倦怠的相关性。方法2017年3月1—15日，使用问卷星制成电子问卷（一般情况调查表、心理一致感量表、职业倦怠量表），对成都市公共卫生临床医疗中心156名护士进行问卷调查，回收有效问卷156份，有效回收率为IOO．oo0o；心理一致感与职业倦怠的相关性采用偏相关分析。结果心理一致感：156名护士中心理一致感总分为（60．33±12．38）分，价值感、理解能力、处理或管理能力这三个维度的得分分别为（4．70±1．09）分、（4．62±1．02）分、（4．61±1．10）分；其中，心理一致感低水平有91名（58．33％），中等水平有55名（35．26%），较高水平有10名（6．41％）。职业倦怠：156名护士中存在职业倦怠者有127名（81．41%），轻度者有5i名（32．69％），中度者有26名（16．67％），重度者有50名（32．05%）。从各个维度来分析，护士在情感耗竭维度的得分为（27．31±10．09）分，个人成就感的维度得分为（28．31±7．14）分，在去人格化的维度得分为（8．31±5．38）分。心理一致感与情感耗竭、去人格化呈负相关（r值分别为-0．64、-0．58，P〈0．001），和个人成就感呈正相关（r=0．58，P〈0．001）。结论结核病护理人员的职业倦怠情况严重，心理一致感与职业倦怠具有明显相关性；护士心理一致感水平越高，职业倦怠水平越低。

Objective To investigate the levels of nurses, and to understand the correlation between them. psychological coherence and job burnout among tubercular Methyls From March 1, 2017 to March 15, 2017, an electronic questionnaire （including general situation questionnaire, psychological coherence scale, and job burnout scale） was used to conduct questionnaire survey on 156 nurses from the Public Health Clinical Center of Chengdu. One hundred and fifty-six valid questionnaires were recovered, and the recovery rate was 100.00%. The correlation between sense of coherence and job burnout was analyzed by partial correlation analysis. Results Sense of coherence： for the 156 nurses, the total score was （60.33±12.38）, and the scores of three dimensions （i. e. sense of value, understanding ability, and processing or management ability） were （4. 70 ± 1.09）, （4. 62±1.02）, and （4. 61±1.10）, respectively. Among the 156 respondents, 91 （58.33%） nurses had a low level of psychological coherence, 55 （35. 26%） were at a medium level, and 10 （6.41%） were at a high level. Job burnout： of the 156 nurses, there were 127 （81.41%） nurses with job burnout： 51 （32.69%） with mild, 26 （16.67%） with moderate, and 50 （32.05%） with severe. As to the various dimensions, the scores of nurses were （27.31±10. 09） in the emotional exhaustion dimension, （28.31±7.14） in dimension of personal sense of accomplishment, and （8.31±5.38） in the dimension of depersonalization. Partial correlation analysis represented a negative correlation of psychological coherence with emotional exhaustion and depersonalization （r=-0.64, -0.58; P〈0. 001） and a positive correla- tion with personal sense of accomplishment （r=0.58, P〈0. 001）. Conclusion The lob burnout of tubercular nursing staffs is serious, and there is a significant correlation between sense of coherence and job burnout. The higher the level of the tubercular nurses＇ sense of coherence, the lower the level of job burnout.