三级甲等医院护士希望现状及其影响因素研究

Survey of hope and its influencing factors among nurses in tertiary general hospitals

目的：了解三级甲等医院护士希望现状，并探讨其影响因素。方法采用横断面调查方法，应用自行编制的一般资料调查表、状态希望量表、护士工作压力源量表，对9家三级甲等医院1160名护士进行问卷调查。结果护士希望水平总分为（23.05±6.16）分；不同性别（t=2.045， P=0.004）、年龄（F=7.193，P=0.000）、婚姻状况（t=2.806，P=0.005）、工作年限（F=11.421，P=0.000）、科室（F=2.394，P=0.015）、收入（F=5.351，P=0.001）、参加业余活动情况（F=37.448，P=0.000）的护士希望得分差异均有统计学意义；护士希望与工作压力源呈负相关（r=-0.233，P=0.000）；Logistic回归结果显示，护士参加业余活动情况、工作年限、月收入、科室及护士的压力状况是其希望感的主要影响因素。结论护士希望状况应引起管理者的重视，根据其影响因素采取措施，帮助护士提升希望水平。

Objective To describe the status quo of hope among nurses in tertiary general hospitals and to explore its influencing factors. Methods A cross-sectional survey was conducted. The Hope Status Scale, the Nurse′s Job Stressor Scale and self-designed demographic questionnaire were delivered to 1 160 nurses from nine hospitals. Results The score of hope scale was 23.05 ± 6.16. Different gender (t=2.045, P=0.004), age (F=7.193, P=0.000), marital status (t=2.806, P=0.005), length of employment (F=11.421, P=0.000), department (F=2.394, P=0.015), monthly income (F=5.351, P=0.001), participate in extracurricular activities (F=37.448, P=0.000) reached a statistically significant level. A significantly negative correlation was found between hope and work stress of nurses (r=-0.233, P=0.000);Logistic regression results showed that participating in extracurricular activities, length of employment, monthly income, departments and job stressors were major influencing factors of hope state of nurses. Conclusions More attention should be paid to the improvement of nurse′s hope. According to the influencing factors of hope, measures should be taken to strengthen the level of hope.