基于潜在剖面分析的肿瘤内科护士精神气候分类及其影响因素

Classification and influencing factors of spiritual climate of nurses in medical oncology based on latent profile analysis

目的:基于潜在剖面分析探讨肿瘤内科护士精神气候潜在类别及其影响因素。方法:采用便利抽样法,于2022年12月—2023年4月选取浙江省5所医院的178名肿瘤内科护士作为研究对象,采用一般资料调查表、中文版精神气候简式量表、护士职业应对自我效能量表对护士进行调查,采用潜在剖面分析识别肿瘤内科护士精神气候的类别,采用Pearson相关分析探讨精神气候与护士职业应对自我效能的关系,采用Logistic回归分析肿瘤内科护士精神气候影响因素。结果:肿瘤内科护士精神气候分为低水平组、相对波动组、高水平组3类,其与职业应对自我效能均呈正相关(P<0.01)。年龄、职称、工龄、平均月收入、职业应对自我效能是肿瘤内科护士精神气候的影响因素(均P<0.05)。结论:肿瘤内科护士精神气候有明显的类别特征,护理管理者应注重肿瘤内科护士的精神气候状况,根据其影响因素实施针对性措施,以提高肿瘤内科护士职业应对自我效能,改善整体精神气候。

Objective:To explore the potential classification of spiritual climate of nurses in medical oncology based on latent profile analysis and to analyze the influencing factors.Methods:A total of 178 nurses in medical oncology from 5 hospitals in Zhejiang province were selected as research subjects by convenience sampling method from December 2022 to April 2023.A general information questionnaire,Chinese version of the Spiritual Climate Scale,and Professional Coping Self⁃Efficacy Scale for Nurses were used to investigate nurses.Latent profile analysis was used to identify the classification of spiritual climate of nurses in medical oncology.Pearson correlation analysis was used to explore the relationship between spiritual climate and professional coping efficiency of nurse.And Logistic regression analysis was used to analyze the influencing factors of spiritual climate of nurses in medical oncology.Results:The spiritual climate of nurses in medical oncology was divided into 3 classifications,namely,low⁃level group,relatively fluctuating group,and high⁃level group.And the spiritual climate in the 3 classifications were all positively correlated with professional coping efficiency(P<0.01).Age,professional title,length of service,average monthly income,and professional coping self-efficacy were the influencing factors of the spiritual climate of nurses in medical oncology(all P<0.05).Conclusions:The spiritual climate of nurses in medical oncology has obvious classification characteristics.Nursing managers should pay attention to the spiritual climate status of nurses in medical oncology and implement targeted measures based on their influencing factors to improve their professional coping efficiency and overall spiritual climate.