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影响重症监护病房护理人员职业倦怠、压力水平及应对策略的因素。

Factors influencing burnout, stress levels, and coping strategies among nursing staff in intensive care units.

作者信息

Wudarczyk Beata, Krupa-Nurcek Sabina, Czapla Michał, Uchmanowicz Izabella

机构信息

Department of Nursing, Institute of Health Sciences, Collegium Medicum, University of Zielona Góra, Zielona Góra, Poland.

Department of Surgery, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland.

出版信息

Front Public Health. 2025 May 22;13:1530353. doi: 10.3389/fpubh.2025.1530353. eCollection 2025.

Abstract

INTRODUCTION

Professional burnout among nurses, particularly in intensive care units, is a significant issue affecting both healthcare professionals and patient care quality. It contributes to increased medical errors and diminished care standards. The objective of this study was to evaluate factors influencing professional burnout in nursing staff working in intensive care units.

METHODOLOGY

This quantitative study was conducted between March and November 2019 among nurses undergoing qualification and specialization training at the European Centre for Postgraduate Education in Wrocław. A total of 286 questionnaires were collected, with 282 valid responses after excluding incomplete questionnaires (1.4%). Standardized tools used included the Maslach Burnout Inventory (MBI), Perceived Stress Scale (PSS-10), and the Mini-COPE Stress Coping Inventory. Participation was anonymous and voluntary, with informed consent obtained from all respondents.

RESULTS

The study included 282 respondents, with women comprising 93.62% of the participants. The average burnout score based on the MBI was 39.78 out of 100 (SD = 20.7). According to the PSS-10, 43.26% of respondents experienced high stress, 36.88% medium stress, and 19.86% low stress. The Mini-COPE results indicated frequent use of Active Coping and Planning strategies, while strategies like Denial and Substance Use were used infrequently. Regarding life satisfaction (SWLS), 41.84% of participants had medium, 32.27% high, and 25.89% low life satisfaction.

CONCLUSION

Professional burnout among nursing staff is a multifaceted issue closely related to stress levels, coping mechanisms, and overall life satisfaction. Addressing burnout requires comprehensive approaches that consider these interrelated factors.

PRACTICAL IMPLICATIONS

To reduce burnout among ICU nurses, healthcare institutions should integrate routine stress assessments and provide structured support systems, such as resilience training and peer support programs. These interventions can enhance nurses' ability to manage stress, decrease emotional exhaustion, and ultimately improve the quality of care delivered to patients in high-stress environments like intensive care units.

摘要

引言

护士的职业倦怠,尤其是在重症监护病房,是一个影响医护人员和患者护理质量的重大问题。它会导致医疗差错增加和护理标准下降。本研究的目的是评估影响重症监护病房护理人员职业倦怠的因素。

方法

本定量研究于2019年3月至11月在弗罗茨瓦夫欧洲研究生教育中心接受资格和专业培训的护士中进行。共收集了286份问卷,排除不完整问卷(1.4%)后得到282份有效回复。使用的标准化工具包括马氏职业倦怠量表(MBI)、感知压力量表(PSS-10)和简易应对方式问卷。参与是匿名且自愿的,所有受访者均获得了知情同意。

结果

该研究包括282名受访者,其中女性占参与者的93.62%。基于MBI的平均倦怠得分在100分中为39.78分(标准差=20.7)。根据PSS-10,43.26%的受访者经历高压力,36.88%经历中等压力,19.86%经历低压力。简易应对方式问卷结果表明,积极应对和计划策略使用频繁,而否认和物质使用等策略使用较少。关于生活满意度(SWLS),41.84%的参与者生活满意度中等,32.27%高,25.89%低。

结论

护理人员的职业倦怠是一个多方面的问题,与压力水平、应对机制和整体生活满意度密切相关。解决倦怠问题需要综合考虑这些相互关联因素的方法。

实际意义

为减少重症监护病房护士的倦怠,医疗机构应纳入常规压力评估并提供结构化支持系统,如复原力培训和同伴支持计划。这些干预措施可提高护士管理压力的能力,减少情感耗竭,并最终改善在重症监护病房等高压力环境中为患者提供的护理质量。

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