养老机构安宁疗护护士专业生活品质及影响因素研究

The professional life quality and its influencing factors of hospice nurses in nursing facilities

目的对养老机构安宁疗护护士的专业生活品质状况进行调查,分析其影响因素。方法采用一般资料调查表、专业生活品质量表、心理弹性量表对25所医养结合型养老机构的216名安宁疗护护士进行问卷调查,并分析其专业生活品质的影响因素。结果养老机构安宁疗护护士专业生活品质量表中同情满足子量表得分为(35.81±6.09)分,倦怠子量表得分为(28.62±5.38)分,二次创伤子量表得分为(24.94±5.06)分。养老机构安宁疗护护士的婚姻状况、接受过安宁疗护培训、接受过团体心理辅导、安宁疗护工作被认可、心理弹性是同情满足的影响因素(R2=0.592,F=22.527,P<0.001);最高学历、婚姻状况、接受过团体心理辅导、工作负荷过重、心理弹性是二次创伤的影响因素(R2=0.257,F=12.066,P<0.001);婚姻状况、工作负荷过重、心理弹性是倦怠的影响因素(R2=0.272,F=8.545,P<0.001)。结论养老机构安宁疗护护士的专业生活品质较低,管理者可通过提升安宁疗护护士心理弹性,减轻其工作负荷,营造团结协作工作氛围,开展团体心理辅导等措施来改善其专业生活品质。

Objective To investigate the professional life quality of hospice nurses in nursing facilities,and to analyze its influencing factors.Methods A total of 216 hospice nurses in 25 nursing facilities were investigated by questionnaires including general demographic information sheet,Professional Quality of Life Scale and the 10-item Connor-Davidon Resilieme Scale.Results The scores of sympathy satisfaction,burnout and secondary trauma were(35.81±6.09),(28.62±5.38)and(24.94±5.06)respectively.Nurses'marriage status,receiving hospice training or not,implementing group psychological counseling or not,whether their work was recognized,and the psychological resilience were the influencing factors of sympathy satisfaction(R2=0.592,F=22.527,P<0.001).The influencing factors of secondary trauma included different highest educational background,marriage status,implementing group psychological counseling or not,heavy workload,and psychological resilience(R2=0.257,F=12.066,P<0.001).Marriage status,overwork and psychological resilience were the influencing factors of burnout(R2=0.272,F=8.545,P<0.001).Conclusion The quality of professional life of hospice nurses is low.Hospice nursing managers can improve the professional life quality of nurses by enhancing their psychological resilience,reducing their workload,culturing cooperative environment,and carrying out group psychological counselling.