护士功能性躯体症状与职业倦怠的关系

Relationship between functional somatic symptom and burnout in nurses

目的:探究护士单一和累积的功能性躯体症状与职业倦怠的关系。方法:采用多阶段分层随机抽样的方法,选取山东省4家三级甲等医院的760名护士,进行间隔1年2次评估(T1和T2)。采用躯体亚健康症状自评量表(SC-SHs-Q)和中文版M氏职业倦怠量表(MBI)评估功能性躯体症状和职业倦怠水平。使用多重线性回归探究在T1时护士的功能性躯体症状单一类型、单一症状严重程度和累积症状数与T2时职业倦怠的关系。结果:护士T1疲劳感觉增加,T2职业倦怠也增加(β=0.07);与T1无疲劳感觉的护士相比,严重疲劳感觉护士T2的职业倦怠增加(β=0.09);与T1未经历任何种类严重功能性躯体症状的护士相比,经历超过两种及以上严重功能性躯体症状护士T2的职业倦怠增加(β=0.08)。结论:不同类型、严重程度和累积症状数的功能性躯体症状与护士职业倦怠相关。

Objective:To explore the relationship between functional somatic symptom and burnout in nurses.Methods:By multi-stage stratified random sampling,760 nurses from 4 tertiary hospitals in Shandong were recruited and evaluated twice with an interval of one year(T1 and T2).The Somatic Complaints of Subhealth Status Questionnaire and Chinese Maslach Burnout Inventory were used to evaluate functional somatic symptom and burnout,respectively.Multiple linear regression was used to explore the unique(types and severity)and cumulative relation of functional somatic symptom to burnout.Results:Fatigue(β=0.07)in T1 was significantly associated with burnout in T2.Compared with nurses with no fatigue symptom in T1,those who had serious fatigue experienced a higher level of burnout(β=0.09)in T2.Compared with nurses who did not have any serious functional somatic symptom in T1,those who two or more kinds of functional somatic symptom experienced a higher level of bumout(β=0.08)in T2.Conclusion:It suggests that specific type,severity of each type,and the cumulative num-ber of functional somatic symptom may be associated with burnout in nurses.