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职业压力源的累积暴露与护士倦怠之间呈非线性关系,潜在的情绪调节因素也有影响。

A non-linear relationship between the cumulative exposure to occupational stressors and nurses' burnout and the potentially emotion regulation factors.

机构信息

a School of Nursing, Shandong University , Jinan , China.

出版信息

J Ment Health. 2018 Oct;27(5):409-415. doi: 10.1080/09638237.2017.1385740. Epub 2017 Oct 8.

DOI:10.1080/09638237.2017.1385740
PMID:28990445
Abstract

BACKGROUND

Stressful situations can increase the likelihood of nurses experiencing negative emotions, especially burnout.

AIMS

To explore the association of cumulative exposure to occupational stressors and emotion regulation strategies with nurses' burnout.

METHODS

Participants were 602 nurses from three general hospitals in Jinan, China. Social demographic characteristics, occupational stress, burnout, and emotion regulation strategies (cognitive reappraisal, expressive suppression, and rumination), were assessed.

RESULTS

Nearly 70% of nurses reported that they were burnt out. Those with a moderate level and high level of stressors were 3.203 times and 26.444 times more likely to have burnout, respectively (x = 62.732). Logistic regression revealed that nurses had higher cognitive reappraisal score (odds ratios (OR) = 0.941), scored lower for burnout. Those who had higher expressive suppression score (OR = 1.054), higher rumination score (OR = 1.037), and a higher level of stressors (OR = 2.779-18.259) scored higher for burnout. The results of sensitivity analysis were similar.

CONCLUSIONS

A non-linear relationship exists between the cumulative exposure to occupational stressors and nurses' burnout. Those who less frequently use cognitive reappraisal, more frequently use rumination and expressive suppression, and have a high level of stressors may be more likely to experience burnout.

摘要

背景

紧张的情况会增加护士体验负面情绪的可能性,尤其是职业倦怠。

目的

探讨职业压力源的累积暴露与情绪调节策略与护士职业倦怠的关系。

方法

参与者为来自中国济南三家综合医院的 602 名护士。评估社会人口统计学特征、职业压力、职业倦怠和情绪调节策略(认知重评、表达抑制和反刍)。

结果

近 70%的护士报告有倦怠感。中度和高度压力源的护士发生倦怠的可能性分别是 3.203 倍和 26.444 倍(x=62.732)。逻辑回归显示,护士的认知重评得分越高(比值比(OR)=0.941),倦怠得分越低。表达抑制得分越高(OR=1.054)、反刍得分越高(OR=1.037)、压力源水平越高(OR=2.779-18.259)的护士倦怠得分越高。敏感性分析的结果相似。

结论

职业压力源的累积暴露与护士职业倦怠之间存在非线性关系。那些较少使用认知重评、更多使用反刍和表达抑制、压力源水平较高的护士,可能更容易出现倦怠。

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