急诊科护士述情障碍和抑郁对职业倦怠影响的路径分析

Path Analysis of Alexithymia and Depression on Job Burnout of Emergency Nurses

目的探讨急诊科护士述情障碍、抑郁、职业倦怠的路径关系,为专科护士培养及管理提供参考。方法便利抽样选取6省32所医院725名急诊科护士为研究对象,采用一般资料调查表、贝克抑郁自评量表、多伦多述情障碍量表和Maslach职业倦怠量表对其进行问卷调查和路径分析。结果急诊科护士述情障碍与抑郁和职业倦怠呈正相关(P<0.05),述情障碍对职业倦怠具有直接预测作用,路径系数为0.35;述情障碍通过抑郁对职业倦怠产生间接效应,路径系数为0.197;情感识别障碍因子对抑郁和职业倦怠效应值最大。结论护理管理者可通过提供针对性的述情障碍干预措施,降低急诊科护士的抑郁和职业倦怠水平。

Objective To explore the path relationships among alexithymia,depression,and job burnout of emergency nurses,and to provide references for the training and management of specialist nurses.Methods By convenience sampling method,725 emergency nurses in 32 hospitals from six provinces were selected and investigated by using the general information questionnaire,the Beck Depression Inventory,20-item Toronto Alexithymia Scale and the Maslach Burnout Inventory General Survey.Results Emergency nurses,alexithymia was positively correlated with depression and job burnout(P<0.05).Alexithymia had a direct predictive effect on job burnout with a path coefficient of 0.35,and it had an indirect effect on burnout through depression with a path coefficient of 0.197.The difficulties in identifying feelings had the largest effect on depression and job burnout.Conclusions Nursing managers can alleviate depression and job burnout of emergency nurses by providing targeted alexithymia interventions.