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护士职业倦怠的现状及影响因素:中国江苏省新冠肺炎常态化防控期间的横断面研究

Status and influencing factors of nurses' burnout: A cross-sectional study during COVID-19 regular prevention and control in Jiangsu Province, China.

作者信息

Mao Xiaofei, Hou Tianya, Wang Hao, Tang Yun, Ni Chunyan, Zhang Yulin, Zhang Jianguo, Deng Wenxi, Chen Liqing, Wang Xingxing, Li Ziqiang, Jia Yan, Dong Wei, Qian Xing

机构信息

Faculty of Psychology, Naval Medical University, Shanghai, China.

Department of Urology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.

出版信息

Glob Ment Health (Camb). 2024 Apr 15;11:e54. doi: 10.1017/gmh.2024.42. eCollection 2024.


DOI:10.1017/gmh.2024.42
PMID:38721485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11076924/
Abstract

BACKGROUND: Chinese nurses working with immense stress may have issues with burnout during COVID-19 regular prevention and control. There were a few studies investigating status of burnout and associated factors among Chinese nurses. However, the relationships remained unclear. OBJECTIVES: To investigate status and associated factors of nurses' burnout during COVID-19 regular prevention and control. METHODS: 784 nurses completed questionnaires including demographics, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Insomnia Severity Index, Impact of Event Scale-revised, Perceived Social Support Scale, Connor-Davidson Resilience Scale, General Self-efficacy Scale and Maslach Burnout Inventory. RESULTS: 310 (39.5%), 393 (50.1%) and 576 (73.5%) of respondents were at high risk of emotional exhaustion (EE), depersonalization (DP) and reduced personal accomplishment (PA). The risk of EE, DP and reduced PA were moderate, high and high. Nurses with intermediate and senior professional rank and title and worked >40 h every week had lower scores in EE. Those worked in low-risk department reported lower scores in PA. Anxiety, post-traumatic stress disorder (PTSD), self-efficacy and social support were influencing factors of EE and DP, while social support and resilience were associated factors of PA. CONCLUSION: Chinese nurses' burnout during COVID-19 regular prevention and control was serious. Professional rank and title, working unit, weekly working hours, anxiety, PTSD, self-efficacy, social support and resilience were associated factors of burnout.

摘要

背景:在新冠疫情常态化防控期间,承受巨大压力的中国护士可能会出现职业倦怠问题。此前有一些研究调查了中国护士的职业倦怠状况及其相关因素。然而,这些关系仍不明确。 目的:调查新冠疫情常态化防控期间护士职业倦怠的状况及其相关因素。 方法:784名护士完成了问卷调查,内容包括人口统计学信息、广泛性焦虑障碍量表-7、患者健康问卷-9、失眠严重程度指数、事件影响量表修订版、领悟社会支持量表、康纳-戴维森心理韧性量表、一般自我效能感量表和马氏职业倦怠量表。 结果:310名(39.5%)、393名(50.1%)和576名(73.5%)受访者分别存在高度情感耗竭、去人格化和个人成就感降低的风险。情感耗竭、去人格化和个人成就感降低的风险分别为中度、高度和高度。具有中级和高级专业职称且每周工作超过40小时的护士情感耗竭得分较低。在低风险科室工作的护士个人成就感得分较低。焦虑、创伤后应激障碍、自我效能感和社会支持是情感耗竭和去人格化的影响因素,而社会支持和心理韧性是个人成就感的相关因素。 结论:新冠疫情常态化防控期间中国护士的职业倦怠情况严重。专业职称、工作单位、每周工作时长、焦虑、创伤后应激障碍、自我效能感、社会支持和心理韧性是职业倦怠的相关因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8110/11076924/6b41bb4b9aea/S2054425124000426_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8110/11076924/6b41bb4b9aea/S2054425124000426_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8110/11076924/6b41bb4b9aea/S2054425124000426_fig1.jpg

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Status and influencing factors of nurses' burnout: A cross-sectional study during COVID-19 regular prevention and control in Jiangsu Province, China.

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[1]
The impact of perceived stress on job satisfaction among nurse managers: a moderated mediation model of job burnout and psychological capital.

BMC Nurs. 2025-7-21

[2]
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Front Psychiatry. 2025-6-13

[3]
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BMC Nurs. 2025-4-5

[4]
Occupational Burnout and Insomnia in Relation to Psychological Resilience Among Greek Nurses in the Post-Pandemic Era.

Behav Sci (Basel). 2025-1-24

[5]
Multidimensional perspectives on nurse burnout in China: a cross-sectional study of subgroups and predictors.

BMC Nurs. 2024-12-21

[6]
Psychological problems and related factors among primary healthcare staff in major cities in China during the COVID-19 pandemic.

Sci Rep. 2024-12-2

[7]
Impact of social support on PTSD : Chain mediating effects of insomnia and anxiety.

Glob Ment Health (Camb). 2024-10-24

本文引用的文献

[1]
PTSD of Chinese nurses in the normalisation of COVID-19 pandemic prevention and control: Prevalence and correlates.

J Glob Health. 2023-8-25

[2]
Impact of Insomnia on Burnout Among Chinese Nurses Under the Regular COVID-19 Epidemic Prevention and Control: Parallel Mediating Effects of Anxiety and Depression.

Int J Public Health. 2023

[3]
How Advanced Practice Nurses Can Be Better Managed in Hospitals: A Multi-Case Study.

Healthcare (Basel). 2023-3-7

[4]
Mental health status and its associated factors among female nurses in the normalization of COVID-19 epidemic prevention and control in China.

Front Public Health. 2022

[5]
The psychological outcomes of COVID-19 affected the pandemic-after risk perceptions of nurse clinicians: a latent profile analysis.

Glob Ment Health (Camb). 2022-3-8

[6]
How public health agencies communicate with the public on TikTok under the normalization of COVID-19: A case of 2022 Shanghai's outbreak.

Front Public Health. 2022

[7]
Evaluation of burnout among stay-behind healthcare workers during the current Omicron wave of COVID-19 in Taizhou, China.

Front Psychiatry. 2022-10-21

[8]
Burnout and post-traumatic stress disorder symptoms among medical staff two years after the COVID-19 pandemic in Wuhan, China: Social support and resilience as mediators.

J Affect Disord. 2023-1-15

[9]
Sleep and Professional Burnout in Nurses, Nursing Technicians, and Nursing Assistants During the COVID-19 Pandemic.

J Nurs Res. 2022-8-1

[10]
The Influence of Leadership Style and Nurse Empowerment on Burnout.

Nurs Clin North Am. 2022-3

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