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工作条件、职业压力和情商对中国护士慢性疲劳的影响:一项横断面研究。

Effects of job conditions, occupational stress, and emotional intelligence on chronic fatigue among Chinese nurses: a cross-sectional study.

作者信息

Huang Hao, Liu Li, Yang Shihan, Cui Xiaoxing, Zhang Junfeng, Wu Hui

机构信息

Department of Social Medicine, School of Public Health, China Medical University, Shenyang 110122, People's Republic of China.

Nicholas School of Environment, Duke University, Durham, NC 27708, USA.

出版信息

Psychol Res Behav Manag. 2019 May 13;12:351-360. doi: 10.2147/PRBM.S207283. eCollection 2019.

Abstract

Nurses are undertaking considerable emotional and physical work, which may lead to unrecoverable fatigue. This study aimed to evaluate the level of chronic fatigue and explore its associated factors among Chinese nurses in the hope of providing scientific evidence for fatigue-reduction strategies. This cross-sectional study was carried out in Liaoning Province, China in 2018. The study recruited 700 nurses and collected 566 effective respondents. Chronic fatigue, demographic factors, job conditions, and emotional intelligence were assessed through questionnaires. Chronic fatigue was assessed with the Fatigue Scale 11, occupational stress with the Effort-Reward Imbalance Questionnaire, and emotional intelligence with the Wong and Law Emotional Intelligence Scale. Hierarchical multiple regression was used to explore factors related to chronic fatigue and to test the moderating effect of emotional intelligence on the association between occupational stress and chronic fatigue. Simple slope analysis was conducted to visualize the interaction. The mean score of chronic fatigue among the Chinese nurses was 17.14±6.16. Being married, having long weekly work time, working night shifts, and discontent with the nurse-patient relationship were positively associated with chronic fatigue. Effort:reward ratio, overcommitment, and emotional intelligence were important factors related to chronic fatigue. Emotional intelligence played a moderating role in the relationship between the effort:reward ratio and chronic fatigue. When emotional intelligence was higher, the effect of the effort:reward ratio on chronic fatigue became weaker. Most nurses surveyed in China might have relatively high levels of chronic fatigue. Our results highlight the importance of interventions on these factors for the reduction of fatigue among nurses in China. Providing more opportunities and support and developing emotional intelligence are crucial strategies to reduce chronic fatigue among nurses in China.

摘要

护士们承担着大量的情感和体力工作,这可能会导致无法恢复的疲劳。本研究旨在评估中国护士的慢性疲劳水平,并探索其相关因素,以期为减轻疲劳的策略提供科学依据。这项横断面研究于2018年在中国辽宁省开展。该研究招募了700名护士,收集到566名有效受访者的数据。通过问卷调查对慢性疲劳、人口统计学因素、工作条件和情商进行评估。使用疲劳量表11评估慢性疲劳,用付出-回报失衡问卷评估职业压力,用王和Law情商量表评估情商。采用分层多元回归来探索与慢性疲劳相关的因素,并检验情商对职业压力与慢性疲劳之间关联的调节作用。进行简单斜率分析以直观呈现这种相互作用。中国护士的慢性疲劳平均得分为17.14±6.16。已婚、每周工作时间长、值夜班以及对护患关系不满与慢性疲劳呈正相关。付出与回报比、过度投入和情商是与慢性疲劳相关的重要因素。情商在付出与回报比和慢性疲劳之间的关系中起调节作用。当情商较高时,付出与回报比对慢性疲劳的影响就会减弱。在中国接受调查的大多数护士可能有相对较高水平的慢性疲劳。我们的研究结果凸显了针对这些因素进行干预对于减轻中国护士疲劳的重要性。提供更多机会和支持以及培养情商是减轻中国护士慢性疲劳的关键策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7099/6526330/34f8844c8e8f/PRBM-12-351-g0001.jpg

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