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中国护士幸福感的潜在剖面分析及影响因素研究:一项横断面研究

Latent profile analysis and influence factor study of well-being among nurses in China: a cross-sectional study.

作者信息

Su Ping-Ping, Chen Si Man, Chang Feifei, Feng Haihuan, Feng Xiaoyu, Wen Liyun, Hu Hui, Ouyang Jianting, Wu Xiaobing

机构信息

Guangzhou Medical University, Guangzhou, Guangdong, China.

The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.

出版信息

BMJ Open. 2025 May 31;15(5):e095858. doi: 10.1136/bmjopen-2024-095858.

Abstract

OBJECTIVE

The present study employed latent profile analysis (LPA) to identify three distinct profiles of subjective well-being (SWB) among Chinese nurses. It further examined the factors influencing these profiles and aimed to provide a foundation for targeted interventions to enhance nurses'SWB.

DESIGN

A cross-sectional study was conducted between November 2023 and March 2024.

SETTING

Data were collected from three Class III Grade A hospitals in China.

PARTICIPANTS

A total of 2272 nurses were recruited for this study.

OUTCOME MEASURES

Data collection used a demographic questionnaire, the SWB Scale, the Nurse Job Satisfaction Scale and the Perceived Social Support Scale. LPA identified distinct SWB characteristics, and influencing factors were analysed using χ tests and multivariable logistic regression analysis.

RESULTS

Nurses' SWB was classified into three profiles: (1) (27.3%), (2) (41.1%) and (3) (31.6%). Multivariable regression analysis revealed significant associations of gender, age, years of experience, professional title, position, self-perceived health, social support and job satisfaction with these profiles (p<0.05).

CONCLUSION

Given the heterogeneity of nurses' SWB identified through LPA, healthcare institutions may design evidence-based interventions tailored to specific profiles (eg, high health concern-low well-being groups) and key predictors (eg, job satisfaction and social support) to promote sustainable well-being and reduce burnout risks.

摘要

目的

本研究采用潜在剖面分析(LPA)来识别中国护士主观幸福感(SWB)的三种不同类型。进一步探讨影响这些类型的因素,旨在为提高护士主观幸福感的针对性干预提供依据。

设计

2023年11月至2024年3月进行了一项横断面研究。

背景

数据收集自中国的三家三级甲等医院。

参与者

本研究共招募了2272名护士。

结果测量

数据收集使用了人口统计学问卷、主观幸福感量表、护士工作满意度量表和感知社会支持量表。潜在剖面分析确定了不同的主观幸福感特征,并使用χ检验和多变量逻辑回归分析来分析影响因素。

结果

护士的主观幸福感分为三种类型:(1) (27.3%),(2) (41.1%)和(3) (31.6%)。多变量回归分析显示,性别、年龄、工作年限、职称、职位、自我感知健康、社会支持和工作满意度与这些类型存在显著关联(p<0.05)。

结论

鉴于通过潜在剖面分析确定的护士主观幸福感的异质性,医疗机构可以设计基于证据的干预措施,针对特定类型(如高健康关注度-低幸福感群体)和关键预测因素(如工作满意度和社会支持)进行定制,以促进可持续的幸福感并降低职业倦怠风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb3e/12142114/778b46cb83a9/bmjopen-15-5-g001.jpg

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