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波兰住院精神科病房精神科护士的连贯感与职业倦怠之间的关系:一项横断面研究

The Relationship Between Sense of Coherence and Occupational Burnout Among Psychiatric Nurses: A Cross-Sectional Study in Inpatient Psychiatric Wards in Poland.

作者信息

Kołodziej Kinga, Wilczek-Rużyczka Ewa, Majda Anna

机构信息

Department of Theory and Fundamentals of Nursing, Institute of Nursing and Midwifery Faculty of Health Sciences, Jagiellonian University Collegium Medicum, Michałowskiego 12 St., 31-126 Cracow, Poland.

Faculty of Psychology, SWPS University, al. Jana Pawła II 39A, 31-864 Cracow, Poland.

出版信息

Nurs Rep. 2025 Sep 4;15(9):320. doi: 10.3390/nursrep15090320.

Abstract

: Sense of coherence constitutes a significant personal resource that underpins the harmonious professional functioning of nurses employed in psychiatric inpatient wards. It serves as a protective factor, enabling effective coping with the psychophysical burden arising from a demanding and stress-inducing work environment, while also supporting the maintenance of a high level of job satisfaction. Regular assessment of the sense of coherence among psychiatric nursing staff is essential for the early identification of individuals at risk of developing occupational burnout. The aim of the present study was to determine the relationship between the level of sense of coherence and the degree of occupational burnout among nurses working in inpatient psychiatric units. : The study employed a cross-sectional design and utilized standardized psychometric instruments, including The Sense of Coherence Questionnaire (SOC-29) to assess the level of coherence, and the Maslach Burnout Inventory (MBI) to measure occupational burnout. Additionally, a self-developed questionnaire was used to collect sociodemographic data. The research was conducted in five psychiatric hospitals in Poland between January and June 2023. The sample consisted of 555 nurses (449 women and 106 men) employed in inpatient psychiatric wards. Statistical analyses included descriptive statistics, Pearson's correlation coefficients to examine relationships between variables, and multiple linear regression to identify predictors of burnout dimensions. Significance level set at < 0.05. : The mean global sense of coherence score among psychiatric nurses was 124.68 (SD = 45.81), with manageability scoring highest among subscales (43.83, SD = 16.28). Average occupational burnout scores were emotional exhaustion 28.75 (SD = 16.39), depersonalization 13.55 (SD = 9.71), and reduced personal accomplishment 23.61 (SD = 11.11). Significant negative correlations were found between sense of coherence (and its components) and all burnout dimensions ( < 0.001). Manageability was the strongest predictor of lower emotional exhaustion (β = -0.73), depersonalization (β = -0.65), and reduced personal accomplishment (β = -0.65), while meaningfulness predicted depersonalization (β = 0.37, = 0.012). These results indicate that higher sense of coherence, especially manageability, is linked to reduced burnout among psychiatric nurses. : The study revealed significant negative associations between sense of coherence and all dimensions of occupational burnout, with manageability emerging as the strongest protective factor. Nurses with higher levels of sense of coherence reported lower emotional exhaustion, depersonalization, and reduced personal accomplishment. These findings highlight the importance of incorporating sense of coherence assessment into strategies for identifying individuals at increased risk of burnout.

摘要

连贯感是一种重要的个人资源,它支撑着精神科住院病房护士的和谐专业运作。它作为一种保护因素,能够有效应对由苛刻且压力大的工作环境所产生的身心负担,同时也有助于维持高水平的工作满意度。定期评估精神科护理人员的连贯感对于早期识别有职业倦怠风险的个体至关重要。本研究的目的是确定在住院精神科病房工作的护士的连贯感水平与职业倦怠程度之间的关系。

该研究采用横断面设计,并使用标准化心理测量工具,包括连贯感问卷(SOC - 29)来评估连贯感水平,以及马氏职业倦怠量表(MBI)来测量职业倦怠。此外,还使用了自行编制的问卷来收集社会人口学数据。该研究于2023年1月至6月在波兰的五家精神病医院进行。样本包括555名受雇于住院精神科病房的护士(449名女性和106名男性)。统计分析包括描述性统计、用于检验变量之间关系的皮尔逊相关系数,以及用于识别倦怠维度预测因素的多元线性回归。显著性水平设定为<0.05。

精神科护士的总体连贯感平均得分为124.68(标准差 = 45.81),其中可管理性在各子量表中得分最高(43.83,标准差 = 16.28)。职业倦怠的平均得分分别为情感耗竭28.75(标准差 = 16.39)、去个性化13.55(标准差 = 9.71)和个人成就感降低23.61(标准差 = 11.11)。连贯感(及其组成部分)与所有倦怠维度之间均存在显著负相关(<0.001)。可管理性是较低情感耗竭(β = -0.73)、去个性化(β = -0.65)和个人成就感降低(β = -0.65)的最强预测因素,而意义感可预测去个性化(β = 0.37, = 0.012)。这些结果表明,较高的连贯感,尤其是可管理性,与精神科护士倦怠程度的降低有关。

该研究揭示了连贯感与职业倦怠的所有维度之间存在显著负相关,可管理性是最强的保护因素。连贯感水平较高的护士报告的情感耗竭、去个性化和个人成就感降低程度较低。这些发现凸显了将连贯感评估纳入识别倦怠风险增加个体的策略中的重要性。

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