Ye L Y, Fan C L, Wang L G, Tao T, Gao W B, Li Y H
Key Laboratory of Mental Health, Institute of Psychology, Chinese A cademy of Sciences, Beijing 100101, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2017 Oct 20;35(10):754-758. doi: 10.3760/cma.j.issn.1001-9391.2017.10.010.
To investigate the current status of job burnout in clinical nurses in a grade A tertiary hospitalin Shaoxing,China and related influencing factors. In October 2016, the Nursing Burnout Scale (NBS)was used for the investigation of 304 clinical nurses in a grade A tertiary hospital.The contents of the investigation included general data(including age,education background,working years,marital status, frequency of night shifts,professional title, and way of employment), characteristics of working environment,burnout, personality characteristics,coping strategy,and psychosomatic symptoms.SPSS 18.0 was used to conduct Pearson correlation analysis of the scores of each dimension of NBS. A multivariate regression analysis was performed with the demographic features of clinical nurses as the independent variable and the scores of each dimension of NBS as the dependent variable. Among the clinical nurses in this grade A tertiary hospital, the incidence rate of severe burnout was 74%.The Pearson correlation analysis showed that burnout,pessimistic personality,negative coping,and psychosomatic symptoms were positively correlated with working environment(=0.530,0.316,0.116,and 0.502); pessimistic personality and psychosomatic symptoms were positively correlated with burnout(=0.618 and 0.675); psychosomatic symptoms were positively correlated withpessimistic personality(=0.540); negative coping was negatively correlated with pessimistic personality(=-0.145).The multivariate linear regression analysis showed that department(Department of Internal Medicine or Department of Surgery,=-0.364 and -0.428)and frequency of night shifts(<6 times/month and 610 times/month,=0.199 and 0.256)were influencing factors for the score of working environment; department(Department of Internal Medicine or Department of Surgery, =-0.350 and -0.360)was an influencing factor for the score of burnout; 13 working years(=-0.238)was an influencing factor for the score of pessimistic personality; married state,13 working years,and department (Department of Internal Medicine or Department of Surgery)were influencing factors for the score of psychosomatic symptoms(=0.263,-0.301,-0.322,and -0.391). There is a high incidence rate of job burnout among clinical nurses in this grade A tertiary hospital,which is associated with burnout,working environment, pessimistic personality,and psychosomatic symptoms.Marital status,working years,department,and frequency of night shifts are major influencing factors for job burnout.
调查中国绍兴某三甲医院临床护士职业倦怠的现状及相关影响因素。2016年10月，采用护士职业倦怠量表（NBS）对某三甲医院304名临床护士进行调查。调查内容包括一般资料（包括年龄、学历、工作年限、婚姻状况、夜班频率、职称和聘用方式）、工作环境特征、职业倦怠、人格特征、应对策略和身心症状。采用SPSS 18.0对NBS各维度得分进行Pearson相关分析。以临床护士的人口学特征为自变量，NBS各维度得分作为因变量进行多元回归分析。在这家三甲医院的临床护士中，严重职业倦怠的发生率为74%。Pearson相关分析显示，职业倦怠、悲观人格、消极应对和身心症状与工作环境呈正相关（r = 0.530、0.316、0.116和0.502）；悲观人格和身心症状与职业倦怠呈正相关（r = 0.618和0.675）；身心症状与悲观人格呈正相关（r = 0.540）；消极应对与悲观人格呈负相关（r = -0.145）。多元线性回归分析显示，科室（内科或外科，β = -0.364和-0.428）和夜班频率（<6次/月和6 - 10次/月，β = 0.199和0.256）是工作环境得分的影响因素；科室（内科或外科，β = -0.350和-0.360）是职业倦怠得分的影响因素；工作年限≥13年（β = -0.238）是悲观人格得分的影响因素；婚姻状况、工作年限≥13年和科室（内科或外科）是身心症状得分的影响因素（β = 0.263、-0.301、-0.322和-0.391）。这家三甲医院临床护士职业倦怠发生率较高，与职业倦怠、工作环境、悲观人格和身心症状有关。婚姻状况、工作年限、科室和夜班频率是职业倦怠的主要影响因素。
