中国急诊护士的述情障碍、社会支持、抑郁和职业倦怠：一项结构方程模型分析
Alexithymia, social support, depression, and burnout among emergency nurses in China: a structural equation model analysis.
作者信息
Pei Juhong, Wang Xinglei, Chen Haixia, Zhang Hongchen, Nan Ruiling, Zhang Jing, Dou Xinman
机构信息
The first clinical medical college, Lanzhou University, Lanzhou, Gansu, China.
School of Nursing, Lanzhou university, Lanzhou, China.
出版信息
BMC Nurs. 2021 Oct 10;20(1):194. doi: 10.1186/s12912-021-00702-3.
BACKGROUND
Several factors are associated with the incidence of burnout, including alexithymia, social support, and depression. The relative importance of these three key parameters as mediators of burnout, however, is not well understood. In addition, there have been few studies to date specifically examining the association between alexithymia and burnout among nurses in China.
PURPOSE
To evaluate the relationship of burnout with alexithymia, social support, and depression across emergency department nurses in China.
METHODS
This descriptive, cross-sectional survey was conducted using a convenience sampling methodology to survey nurses responsible for direct emergency care (n = 413) from 18 tertiary hospitals in Western, Eastern, Northern, and Southern China between May 2020 and June 2020. A structural equation modeling approach was then used to assess a hypothetical model wherein alexithymia both directly and indirectly affects burnout among emergency nurses via impacting the incidence of depression and perceived social support.
RESULTS
Results supported all driving hypotheses. Alexithymia was positive direct correlated with burnout (β = 0.35; P < 0.001) and depression (β = 0.50; P < 0.001), and exhibited a negative direct effect on social support (β = - 0.14; P = 0.041). Depression was associated with burnout, both directly (β = 0.24; P < 0.001) and indirectly (β = 0.15; P < 0.001) through its relationship with social support. Alexithymia was the factor most strongly associated with burnout, and it was able to affect burnout indirectly through depression and social support.
CONCLUSIONS
We found that among emergency nurses in China, alexithymia was correlated with burnout, depression, and social support. Alexithymia was the factor most strongly associated with burnout. These data suggest that providing better social support and alleviating alexithymia may decrease rates of burnout among emergency nurses.
背景
多种因素与职业倦怠的发生率相关，包括述情障碍、社会支持和抑郁。然而，这三个关键参数作为职业倦怠中介因素的相对重要性尚未得到充分理解。此外，迄今为止，在中国专门研究护士述情障碍与职业倦怠之间关联的研究较少。
目的
评估中国急诊科护士的职业倦怠与述情障碍、社会支持和抑郁之间的关系。
方法
本描述性横断面调查采用便利抽样方法，于2020年5月至2020年6月对来自中国西部、东部、北部和南部18家三级医院负责直接急诊护理的护士（n = 413）进行调查。然后采用结构方程模型方法评估一个假设模型，其中述情障碍通过影响抑郁发生率和感知社会支持，直接和间接地影响急诊护士的职业倦怠。
结果
结果支持所有驱动假设。述情障碍与职业倦怠呈正相关（β = 0.35；P < 0.001）和抑郁呈正相关（β = 0.50；P < 0.001），并对社会支持产生负向直接影响（β = -0.14；P = 0.041）。抑郁与职业倦怠直接相关（β = 0.24；P < 0.001），并通过其与社会支持的关系间接相关（β = 0.15；P < 0.001）。述情障碍是与职业倦怠关联最密切的因素，它能够通过抑郁和社会支持间接影响职业倦怠。
结论
我们发现，在中国的急诊护士中，述情障碍与职业倦怠、抑郁和社会支持相关。述情障碍是与职业倦怠关联最密切的因素。这些数据表明，提供更好的社会支持和缓解述情障碍可能会降低急诊护士的职业倦怠率。
Zotero 插件