连贯感对工作能力的影响：克罗地亚护士的横断面研究
Impact of Sense of Coherence on Work Ability: A Cross-sectional Study Among Croatian Nurses.
作者信息
Smrekar Martina, Zaletel-Kragelj Lijana, Franko Alenka
机构信息
University of Applied Health Sciences Zagreb, Mlinarska cesta 38, 10000 Zagreb, Croatia.
University of Ljubljana, Faculty of Medicine, Chair of Public Health, Zaloska 4, 1000 Ljubljana, Slovenia.
出版信息
Zdr Varst. 2022 Jun 28;61(3):163-170. doi: 10.2478/sjph-2022-0022. eCollection 2022 Sep.
INTRODUCTION
Aimed at preparing the basis for planning evidence-based public health measures for preservation/ improvement of nurses' work ability (WA), the objective was to assess the relationship between WA and sense of coherence (SOC).
METHODS
A cross-sectional study was conducted in 2018 among 713 nurses in Croatia. The association between poor WA index (PWAI) and SOC score (SOCS), adjusted for possible confounders, was determined by binary logistic regression analysis.
RESULTS
The results of univariate logistic regression analysis showed a statistically significant negative association between SOCS and PWAI (OR=0.977, 95% CI 0.968 - 0.986, p<0.001). The results of multivariate logistic analysis showed an even stronger statistically significant negative association between SOCS and PWAI (OR=0.966, 95% CI 0.954 - 0.977, p<0.001) when adjusted for confounders.
CONCLUSIONS
The present study suggested SOC as an important health promoting resource of nurses which might offer protection regarding work-related stress. Weak SOC could be an important explanatory factor of poor WA. Accordingly, improving SOC by implementing health promotion measures in nurses' workplace could be an important way to increase the WA among nurses.
引言
旨在为规划基于证据的公共卫生措施以保护/提高护士的工作能力（WA）奠定基础，目标是评估工作能力与连贯感（SOC）之间的关系。
方法
2018年对克罗地亚的713名护士进行了一项横断面研究。通过二元逻辑回归分析确定了调整可能混杂因素后的不良工作能力指数（PWAI）与连贯感得分（SOCS）之间的关联。
结果
单因素逻辑回归分析结果显示，SOCS与PWAI之间存在统计学显著的负相关（OR=0.977，95%CI 0.968 - 0.986，p<0.001）。多因素逻辑分析结果显示，调整混杂因素后，SOCS与PWAI之间的负相关更强，具有统计学显著性（OR=0.966，95%CI 0.954 - 0.977，p<0.001）。
结论
本研究表明，连贯感是护士重要的健康促进资源，可能对与工作相关的压力起到保护作用。连贯感薄弱可能是工作能力差的一个重要解释因素。因此，通过在护士工作场所实施健康促进措施来改善连贯感可能是提高护士工作能力的重要途径。
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