南京市三级医院内科护士毅力、心理韧性对职业倦怠的影响

Influence of grit and mental toughness on job burnout of internal medicine nurses in tertiary hospitals in Nanjing City

目的探讨内科护士毅力、心理韧性对职业倦怠的影响,为降低职业倦怠提供参考依据。方法2022年5—7月,采用方便抽样法抽取南京市3家三级医院228名内科护士作为研究对象,采用毅力量表、心理韧性量表和职业倦怠量表进行问卷调查,并对数据进行分析。结果南京市3家三级医院内科护士毅力、心理韧性和职业倦怠得分分别为(32.46±4.82)、(81.78±14.26)和(58.47±11.32)分。不同年龄、工龄、职称、婚姻状况、月收入的内科护士毅力得分比较,差异均有统计学意义(均P<0.05);不同年龄、工龄、职称、婚姻状况及月收入的内科护士心理韧性得分比较,差异均有统计学意义(均P<0.05);不同年龄、工龄、职称及月收入的内科护士职业倦怠得分比较,差异均有统计学意义(均P<0.05)。内科护士毅力得分与心理韧性得分呈正相关,与职业倦怠得分呈负相关(均P<0.01);心理韧性得分与职业倦怠得分呈负相关(P<0.01)。分层回归分析结果显示,毅力、心理韧性均为内科护士职业倦怠的影响因素(均P<0.01),可解释内科护士职业倦怠总变异的33.1%。结论内科护士毅力和心理韧性与职业倦怠密切相关,提高毅力和心理韧性水平有利于降低职业倦怠水平。

Objective To explore the influence of grit and mental toughness of internal medicine nurses on job burnout,and provide reference for reducing job burnout.Methods From May to July 2022,228 internal medicine nurses from three tertiary hospitals in Nanjing City were selected by convenient sampling method as the research objects.A questionnaire survey was conducted using the strength of grit scale,mental toughness scale and job burnout scale,and the data was analyzed.Results The grit,mental toughness and job burnout score of internal medicine nurses in three tertiary hospitals in Nanjing City were(32.46±4.82),(81.78±14.26)and(58.47±11.32)points,respectively.The comparison of grit scores among internal medicine nurses of different ages,years of service,professional titles,marital status,and monthly income showed statistically significant differences(all P<0.05).The comparison of mental toughness scores among internal medicine nurses of different ages,years of service,professional titles,marital status,and monthly income showed statistical significance(all P<0.05).The comparison of job burnout scores among internal medicine nurses of different ages,years of service,professional titles,and monthly income showed statistical significance(all P<0.05).The grit score of internal medicine nurses was positively correlated with their mental toughness score,and negatively correlated with their job burnout score(both P<0.01).The score of mental toughness was negatively correlated with the score of job burnout(P<0.01).The results of stratified regression analysis showed that grit and mental toughness were the influencing factors of job burnout among internal medicine nurses,which could explain 33.1%of the total variation in job burnout among internal medicine nurses.Conclusion The grit and mental toughness of internal medicine nurses are closely related to job burnout.Improving the level of grit and mental toughness is beneficial for reducing the level of occupational burnout.