ICU护士工作压力源、疲溃感与组织承诺的相关性研究

Study on the relationship among job stress, job burnout and organizational commitment in ICU nurses

目的：了解ICU护士的工作状况，探讨ICU护士工作压力源、疲溃感与组织承诺之间的关系。方法采用整群随机抽样方法，对山东省济南市5所综合性医院的233名在职ICU护士，通过护士工作压力源量表、工作疲溃感量表、组织承诺量表及护士一般情况调查表进行问卷调查。结果 ICU护士工作压力源与组织承诺呈显著负相关（r=-0.33，P＜0.01）；工作疲溃感与组织承诺呈显著负相关（r=-0.22，P＜0.01）。管理及人际关系方面的问题和个人工作无成就感与护士的情感承诺呈显著正相关（r=0.539，P＜0.01）；管理及人际关系方面的问题、情绪衰竭感和个人工作无成就感护士的继续承诺呈显著正相关（r=0.387，P＜0.01）；管理及人际关系方面的问题、护理专业及工作方面问题和情绪衰竭感对护士的规范承诺有显著预测力（r=0.458，P＜0.01）。结论 ICU护士的工作压力总体处于较高水平，提示管理者应设法消除引起护士工作压力的压力源，帮助护士减轻工作压力，缓解工作疲溃感。

Objective To investigate the current working status and explore the relationship among job stress, job burnout and organizational commitment in ICU nurses. Methods By using cluster random sampling method, 233 nurses from 5 general hospitals were selected to accept investigation by Commitment Questionnaire and Nurses' general situation questionnaire. Results The job stress and job burnout were both significant negatively correlated with organizational commitment (r=-0.33, P<0.01;r=-0.22, P < 0.01).The management issues and interpersonal relationships and decreased personal accomplishment both had significant impact on affective commitment and continuance commitment of ICU nurses (r=0.539, P < 0.01; r=0.387, P < 0.01). The management issues and interpersonal relationships, professional and career issues and emotional exhaustion had significant predictive power on normative commitment(r=0.458,P < 0.01). Conclusion It generally was in a higher level of job stress in ICU nurses, which indicates that hospital mangers should try to eliminate the causes ,assist them to reduce job stress and relieve the job burnout.