急诊科护士正念自我照护分型及影响因素分析

Classification and influencing factors of mindful self-care among emergency nurses

目的调查急诊科护士正念自我照护现状,分析急诊科护士正念自我照护分型及影响因素。方法便利选取425名急诊科护士为研究对象,采用一般资料调查表、中文版简短正念自我照护量表、一般自我效能感量表和领悟社会支持量表进行调查。结果急诊科护士正念自我照护总分为(77.17±13.91)分,可分为消极正念自我照护型(8.9%)、中等正念自我照护型(44.9%)和积极正念自我照护型(46.1%)3个潜在剖面,其影响因素包括健康自评、领悟社会支持、自我效能感(均P<0.05)。结论急诊科护士正念自我照护整体处于中等水平,分为3个类别。护理管理者应重点关注消极正念自我照护型护士,制定基于环境和个人的针对性干预策略,加强急诊科护士的正念自我照护实践,从而帮助护士更好地应对高压的工作环境。

Objective To investigate the level of mindful self-care among emergency nurses,and to analyze its classification and inf-luencing factors.Methods A total of 425 emergency nurses were selected by convenience sampling method,then they were investigated by utilizing a general information questionnaire,the Chinese version of the Brief Mindful Self-care Scale,the General Self-efficacy Scale and the Perceived Social Support Scale.Results The total score of mindful self-care among emergency nurses was(77.17±13.91).Totally three profiles were identified:negative mindful self-care(8.9%),medium mindful self-care(44.9%)and positive mindful self-care(46.1%),its influencing factors included health self-evaluation,perceived social support and general self-efficacy(all P<0.05).Conclusion The mindful self-care among emergency nurses is at a medium level,which could be divided into three potential categories.Nursing managers should pay attention to the emergency nurses with negative mindful self-care,develop targeted intervention strategies based on environment and individuals,and strengthen the mindful self-care practice of emergency nurses,so as to help them cope with the high-pressure working environment better.