血透专科护士压力负荷现状与职业获益感的相关性

Correlation between the stress load of hemodialysis specialist nurses and their occupational sense of benefit

目的调查血透专科护士压力负荷的现状及影响因素,并分析与职业获益感的相关性,为血透专科护士减轻压力负荷,提高职业获益感提供参考依据,进而为患者提供优质护理。方法采用便利抽样法抽取2021年3月~4月四川省三所三甲综合性医院的119名血透专科护士及119名肾内科病房护士为研究对象,采用压力负荷量表与职业获益感量表进行问卷调查,并对两组调查结果进行对比分析。结果独立样本t检验结果显示,血透专科护士与肾内科病房护士压力负荷总分(3.00±1.26、2.70±1.24)分,事件负荷维度(3.49±1.15、3.16±1.23)分、个体脆弱性维度(2.59±0.60、2.31±1.11)分,差异有统计学意义(均P<0.05);线性回归分析结果显示,血透专科护士年龄、职称是压力负荷的影响因素(P<0.05);血透专科护士与肾内科病房护士职业获益感得分为(4.19±0.62、4.23±0.84)分,其中正向职业感知、良好的护患关系、亲友认同、团队归属感、自身成长各维度得分为(4.07±0.62、4.33±0.49、4.04±0.75、4.21±0.75、4.28±0.50;4.10±0.83、4.30±0.83、4.01±0.93、4.28±0.72、4.36±0.74)分;Pearson相关性分析结果显示,血透专科护士压力负荷与护士执业获益感呈显著负相关(r=0.280,P<0.05)。结论血透专科护士压力负荷与护士职业获益感均处于中等水平,血透专科护士的压力负荷高于肾内科病房护士,且受年龄、职称的影响,临床实践中应注重血透护士的心理健康,并提升其血透护士的职业获益水平,进而提高护理质量,使患者更大获益。

Objective The current situation and influencing factors of the stress load of hemodialysis nurses were investigated,and the correlation between the stress load and the sense of professional benefit was analyzed,so as to provide reference basis for the reduction of the stress load and the improvement of the sense of professional benefit of hemodialysis nurses,and then to provide quality care for patients.Methods The convenience sampling method was adopted to select 119 hemodialysis nurses and 119 nephrology ward nurses from three Grade A general hospitals in Sichuan province from March to April 2021 as the research objects.The stress load scale and the occupational benefit scale were used for the questionnaire survey.Results T-test results of independent samples showed that total stress load score of hemodialysis nurses and nurses in nephrology ward was(3.00±1.26,2.70±1.24),event load dimension was(3.49±1.15,3.16±1.23),individual vulnerability dimension was(2.59±0.60,2.31±1.11).The differences were statistically significant(t=2.666,2.627,2.324,P<0.05).The results of linear regression analysis showed that the age and professional title of hemodialysis specialist nurses were the influencing factors of stress load(P<0.05).The score of professional benefit of hemodialysis specialist nurses and nephrology ward nurses was(4.19±0.62,4.23±0.84).The scores of positive occupational perception,good nursery-patient relationship,family and friends identification,team belonging,and self-growth were(4.07±0.62,4.33±0.49,4.04±0.75,4.21±0.75,4.28±0.50;4.10±0.83,4.30±0.83,4.01±0.93,4.28±0.72,4.36±0.74).Pearson correlation analysis showed that there was a significant negative correlation between the pressure load of hemodialysis specialist nurses and the perceived benefit of nurses'practice(r=0.280,P<0.05).Conclusion Pressure load and career benefit of hemodialysis nurses were both in the medium level.The pressure load of hemodialysis health nurses is higher than the renal medicine ward nurses,and is subject to the influence of age and job title.Paying attention to the psychological health of hemodialysis nurses in clinical practice,and enhancing the level of the hemodialysis nurse career benefit can improve the quality of nursing,in turn,enable patients to a greater benefit.