手术室护士心理弹性现状及在工作厌倦和主观幸福感中的中介作用

Status quo of mental resilience in operating room nurses and its mediating role in job boredom and subjective well-being

目的 探讨河北省退役军人总医院和邢台市人民医院手术室护士心理弹性现状及心理弹性在工作厌倦和主观幸福感间的中介作用。方法 2020年1月—2021年1月,采用随机抽样法抽取河北省退役军人总医院和邢台市人民医院手术室140名护士为研究对象,分别采用心理弹性量表(Connor-Davidson resilience scale,CD-RISC)、护士工作厌倦问卷工作厌倦特征维度子量表、总体幸福感量表(general well-being schedule,GWB)评估手术室护士的心理弹性、工作厌倦情况和主观幸福感。结果 手术室护士CD-RISC评分为(59.46±6.35)分,工作厌倦量表评分为(31.43±3.54)分,GWB评分为(62.39±5.39)分。不同年龄、学历、婚姻状况、科室工作年限、职称、经济收入及人事关系的手术室护士心理弹性评分比较,差异均有统计学意义(均P<0.01);心理弹性与科室工作年限及GWB呈正相关(r=0.297、0.473,均P<0.05),与工作厌倦呈负相关(r=-0.073,P<0.05);心理弹性在工作厌倦和主观幸福感之间发挥中介作用,直接效应值为-0.53,间接效应值为-0.13,总效应值为-0.66。结论 河北省两所医院手术室护士工作厌倦程度较高,心理弹性和主观幸福感水平较低。医院管理者应对其采取充分的个性化干预,调动护士的职业兴趣和热情,提高其心理弹性以促进主观幸福感的提升,维持手术室护士的心理健康状态。

Objective To investigate the status quo of mental resilience in operating room nurses of Hebei Veterans General Hospital and Xingtai People’s Hospital and the mediating role of mental resilience in job boredom and subjective well-being.Methods From January 2020 to January 2021,140 nurses working in the operating room of the Hebei Veterans General Hospital and Xingtai People’s Hospital were collected by the random sampling method as the research objects.The Connor-Davidson resilience scale(CD-RISC),nurses’ job boredom questionnaire,sub-scale of work fatigue characteristics of nurses’ work fatigue questionnaire,general well-being schedule(GWB) were used respectively to assess the mental resilience,job boredom and subjective well-being of nurses.Results The score of CD-RISC,job boredom scale and GWB of operating room nurses was(59.46±6.35),(31.43±3.54) and(62.39±5.39)points,respectively.There were statistically significant differences in the mental resilience scores among nurses with different age,educational background,marital status,department working years,professional title,economic income and personnel relationship(all P<0.01).The mental resilience was positively correlated with years of working in the department and GWB(r=0.297,0.473,both P<0.05),and negatively correlated with job boredom(r=-0.073,P<0.05).The mental resilience played a mediating role between job boredom and subjective well-being,the direct effect value was-0.53,the indirect effect value was-0.13,and the total effect value was-0.66.Conclusions The job boredom degree of operating room nurses in two hospitals of Hebei Province is high,and the level of mental resilience and subjective well-being is low.The hospital administrator should take sufficient personalized intervention,through fully mobilize nurses’ professional interest and enthusiasm,improve mental resilience to promote the improvement of subjective well-being and maintain the mental health of nurses in operating room.