手術室護士心理資本與職業(yè)倦怠現(xiàn)況及影響因素的研究
發(fā)布時間：2019-06-12 04:24
【摘要】：研究目的調(diào)查長春市三級甲等醫(yī)院手術室護士心理資本與職業(yè)倦怠現(xiàn)狀,分析兩者相關性以及影響手術室護士心理資本與職業(yè)倦怠的相關因素,為提高手術室護士心理資本水平,降低職業(yè)倦怠程度,改善手術室護理服務質(zhì)量提供科學依據(jù)。研究方法本研究采取方便抽樣法,選取2016年7月~2016年12月長春市3所三級甲等綜合性醫(yī)院320名手術室護士作為研究對象。研究工具主要包括:自行設計的一般資料調(diào)查表、護士心理資本量表和馬氏職業(yè)倦怠量表。使用Epi Data3.0軟件錄入問卷資料、建立數(shù)據(jù)庫,采用SPSS20.0軟件對數(shù)據(jù)進行統(tǒng)計學分析及處理。統(tǒng)計學方法包括:描述性分析、Kruskal-Wallis檢驗、Mann-Whitney U檢驗、Sperman相關分析和多元逐步回歸分析等。研究結果1.手術室護士心理資本均分為4.31±0.61,處于中等水平。心理資本各維度中位數(shù)得分由高到低分別是:樂觀為4.67(1.00),自我效能為4.50(1.17),希望為4.33(1.00),韌性為4.20(1.00)。2.手術室護士職業(yè)倦怠各維度中位數(shù)得分分別是:情感衰竭為21.00(13.00),處于中度倦怠水平;去人格化為3.00(6.00),處于輕度倦怠水平;個人成就感為37.00(10.00),處于中度倦怠水平。3.不同年齡、婚姻狀況、職稱、工作年限、層級、用工性質(zhì)的手術室護士在心理資本總分與樂觀維度得分差異有統(tǒng)計學意義(P0.05)。不同年齡、婚姻狀況、職稱、工作年限、層級、工作崗位、用工性質(zhì)的手術室護士在自我效能維度得分差異有統(tǒng)計學意義(P0.05)。不同年齡、職稱、工作年限、層級、用工性質(zhì)的手術室護士在希望與韌性維度得分差異有統(tǒng)計學意義(P0.05)。4.不同工作年限、層級、月收入的手術室護士在職業(yè)倦怠的情感衰竭維度得分差異有統(tǒng)計學意義(P0.05)。不同性別、婚姻狀況、年齡、職稱、工作年限、層級、工作崗位、用工性質(zhì)的手術室護士在職業(yè)倦怠的去人格化維度得分差異有統(tǒng)計學意義(P0.05)。不同學歷、工作年限的手術室護士在職業(yè)倦怠的個人成就維度得分差異有統(tǒng)計學意義(P0.05)。5.手術室護士心理資本及其各維度與情感衰竭、去人格化呈負相關(P0.05),與個人成就感呈正相關(P0.05)。6.對手術室護士職業(yè)倦怠各維度進行多元逐步回歸分析顯示,進入情感衰竭回歸方程的為希望和樂觀;進入去人格化回歸方程的為工作崗位、心理資本、韌性及職稱;進入個人成就回歸方程的為心理資本與學歷。研究結論:1.手術室護士心理資本處于中等水平,韌性水平最低,應關注手術室護士韌性水平的建設,增強該群體的抗挫折能力。2.手術室護士情感衰竭、個人成就感處于中度倦怠水平,去人格化處于輕度倦怠水平,在著重提升該群體的自信心和自我評價水平的基礎上,進一步降低去人格化程度。3.心理資本與職業(yè)倦怠存在相關關系,提高手術室護士心理資本水平,有助于降低職業(yè)倦怠程度。4.年齡、婚姻狀況、職稱、工作年限、層級、用工性質(zhì)是影響手術室護士心理資本總分與樂觀維度的主要因素。年齡、婚姻狀況、職稱、工作年限、層級、工作崗位、用工性質(zhì)是影響手術室護士自我效能維度的主要因素。年齡、職稱、工作年限、層級、用工性質(zhì)是影響手術室護士希望與韌性的主要因素。5.工作年限、層級、月收入、樂觀及希望是影響手術室護士情感衰竭維度的主要因素。其中,樂觀、希望與情感衰竭呈負相關。性別、年齡、婚姻狀況、職稱、工作年限、層級、用工性質(zhì)、工作崗位、心理資本和韌性是影響手術室護士去人格化維度的主要因素。其中,工作崗位、心理資本、韌性和職稱與去人格化呈負相關,巡回護士去人格化程度低于洗手護士。學歷、工作年限和心理資本是影響手術室護士個人成就維度的主要因素。
[Abstract]:The purpose of this study was to investigate the current situation of psychological capital and job burnout of the nurses in the operating room of the three-class hospital in Changchun, and to analyze the correlation between them and the related factors that affect the psychological capital and the job burnout of the nurses in the operating room. In order to improve the psychological capital level of the nurses in the operating room and reduce the job burnout, so as to provide a scientific basis for improving the service quality of the operating room The method of the study was to select 320 operating room nurses from July 2016 to December 2016 for 320 operating room nurses from July 2016 to December 2016 as the study object. The research tools mainly include: the self-designed general data questionnaire, the nurse's mental capital scale and the Markovian job burnout scale. The data of the questionnaire was entered by using the Epi Data3.0 software, and the data were analyzed and processed by using the SPSS10.0 software. The statistical methods included: descriptive analysis, Kruskal-Wallis test, Mann-Whitney U test, Sperman-related analysis, and multiple stepwise regression analysis. Study Results 1. The psychological capital of the nurses in the operating room is divided into 4.31 and 0.61, which is in the middle level. The median scores of each dimension of the psychological capital are: optimism is 4.67 (1.00), the self-efficacy is 4.50 (1.17), the hope is 4.33 (1.00) and the toughness is 4.20 (1.00). The median scores of the occupational burnout of the nurses in the operating room were: the emotional exhaustion was 21.00 (13.00), at the level of moderate burnout; the depersonalization was 3.00 (6.00), in the level of mild burnout; the personal accomplishment was 37.00 (10.00) and was in the level of moderate burnout. The difference between the total score of psychological capital and the score of the positive dimension of the nurses in the operating room with different age, marital status, professional title, working life, level and employment was statistically significant (P0.05). The difference in the self-efficacy dimension of the operating room nurses with different age, marital status, professional title, working life, level, post and employment was significant (P0.05). There was a significant difference in the scores of different age, professional title, working life, level and labor intensity (P0.05). There was a significant difference in the scores of different working years, the level and the monthly income of the operating room nurses in the emotional exhaustion of the job burnout (P0.05). Different sex, marital status, age, professional title, working life, level, job, and employment character of operating room nurses had a significant difference in the depersonalization dimension scores of job burnout (P0.05). There was a significant difference in the scores of the personal achievement dimension of the operating room nurses with different academic qualifications and working years in the job burnout (P0.05). The psychological capital of the nurses in the operating room and its dimensions were negatively correlated with the emotional exhaustion and depersonalization (P0.05). The multiple stepwise regression analysis of the occupational burnout of the nurses in the operating room shows that the regression equation of the emotional exhaustion is the hope and the optimism, and the regression equation of the depersonalization is the job, the psychological capital, the toughness and the professional title; The regression equation of personal achievement is the psychological capital and the degree of education. Study conclusion:1. The psychological capital of the nurse in the operating room is at the middle level, the level of the toughness is the lowest, attention should be paid to the construction of the toughness level of the nurse in the operating room, and the anti-setback ability of the group is enhanced. In the operating room, the nurses' emotional exhaustion, the personal accomplishment is at the level of the moderate burnout, the depersonalization is at the level of the mild burnout, and the degree of depersonalization is further reduced on the basis of focusing on the improvement of the self-confidence and the self-evaluation level of the group. The relationship between the psychological capital and the job burnout is related to the improvement of the psychological capital level of the nurses in the operating room, which can help to reduce the job burnout. Age, marital status, professional title, working life, level and employment property are the main factors that affect the total score and optimistic dimension of the psychological capital of the nurses in the operating room. Age, marital status, professional title, working life, level, post and employment are the main factors that affect the self-efficacy dimension of the operating room nurses. Age, job title, working life, level, employment nature are the main factors that affect the hope and toughness of the operating room. The working life, the level, the monthly income, the optimism and the hope are the main factors that affect the emotional exhaustion of the nurses in the operating room. There is a negative correlation between optimism and hope and emotional exhaustion. Sex, age, marital status, professional title, working life, level, employment nature, post, psychological capital and toughness are the main factors that affect the depersonalization dimension of the nurses in the operating room. Among them, the job, the psychological capital, the toughness and the professional title are negatively correlated with depersonalization, and the degree of depersonalization of the circuit nurse is lower than that of the hand-washing nurse. Education, working life and psychological capital are the main factors that affect the personal achievement dimension of the nurses in the operating room.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R47
本文編號：2497727
[Abstract]:The purpose of this study was to investigate the current situation of psychological capital and job burnout of the nurses in the operating room of the three-class hospital in Changchun, and to analyze the correlation between them and the related factors that affect the psychological capital and the job burnout of the nurses in the operating room. In order to improve the psychological capital level of the nurses in the operating room and reduce the job burnout, so as to provide a scientific basis for improving the service quality of the operating room The method of the study was to select 320 operating room nurses from July 2016 to December 2016 for 320 operating room nurses from July 2016 to December 2016 as the study object. The research tools mainly include: the self-designed general data questionnaire, the nurse's mental capital scale and the Markovian job burnout scale. The data of the questionnaire was entered by using the Epi Data3.0 software, and the data were analyzed and processed by using the SPSS10.0 software. The statistical methods included: descriptive analysis, Kruskal-Wallis test, Mann-Whitney U test, Sperman-related analysis, and multiple stepwise regression analysis. Study Results 1. The psychological capital of the nurses in the operating room is divided into 4.31 and 0.61, which is in the middle level. The median scores of each dimension of the psychological capital are: optimism is 4.67 (1.00), the self-efficacy is 4.50 (1.17), the hope is 4.33 (1.00) and the toughness is 4.20 (1.00). The median scores of the occupational burnout of the nurses in the operating room were: the emotional exhaustion was 21.00 (13.00), at the level of moderate burnout; the depersonalization was 3.00 (6.00), in the level of mild burnout; the personal accomplishment was 37.00 (10.00) and was in the level of moderate burnout. The difference between the total score of psychological capital and the score of the positive dimension of the nurses in the operating room with different age, marital status, professional title, working life, level and employment was statistically significant (P0.05). The difference in the self-efficacy dimension of the operating room nurses with different age, marital status, professional title, working life, level, post and employment was significant (P0.05). There was a significant difference in the scores of different age, professional title, working life, level and labor intensity (P0.05). There was a significant difference in the scores of different working years, the level and the monthly income of the operating room nurses in the emotional exhaustion of the job burnout (P0.05). Different sex, marital status, age, professional title, working life, level, job, and employment character of operating room nurses had a significant difference in the depersonalization dimension scores of job burnout (P0.05). There was a significant difference in the scores of the personal achievement dimension of the operating room nurses with different academic qualifications and working years in the job burnout (P0.05). The psychological capital of the nurses in the operating room and its dimensions were negatively correlated with the emotional exhaustion and depersonalization (P0.05). The multiple stepwise regression analysis of the occupational burnout of the nurses in the operating room shows that the regression equation of the emotional exhaustion is the hope and the optimism, and the regression equation of the depersonalization is the job, the psychological capital, the toughness and the professional title; The regression equation of personal achievement is the psychological capital and the degree of education. Study conclusion:1. The psychological capital of the nurse in the operating room is at the middle level, the level of the toughness is the lowest, attention should be paid to the construction of the toughness level of the nurse in the operating room, and the anti-setback ability of the group is enhanced. In the operating room, the nurses' emotional exhaustion, the personal accomplishment is at the level of the moderate burnout, the depersonalization is at the level of the mild burnout, and the degree of depersonalization is further reduced on the basis of focusing on the improvement of the self-confidence and the self-evaluation level of the group. The relationship between the psychological capital and the job burnout is related to the improvement of the psychological capital level of the nurses in the operating room, which can help to reduce the job burnout. Age, marital status, professional title, working life, level and employment property are the main factors that affect the total score and optimistic dimension of the psychological capital of the nurses in the operating room. Age, marital status, professional title, working life, level, post and employment are the main factors that affect the self-efficacy dimension of the operating room nurses. Age, job title, working life, level, employment nature are the main factors that affect the hope and toughness of the operating room. The working life, the level, the monthly income, the optimism and the hope are the main factors that affect the emotional exhaustion of the nurses in the operating room. There is a negative correlation between optimism and hope and emotional exhaustion. Sex, age, marital status, professional title, working life, level, employment nature, post, psychological capital and toughness are the main factors that affect the depersonalization dimension of the nurses in the operating room. Among them, the job, the psychological capital, the toughness and the professional title are negatively correlated with depersonalization, and the degree of depersonalization of the circuit nurse is lower than that of the hand-washing nurse. Education, working life and psychological capital are the main factors that affect the personal achievement dimension of the nurses in the operating room.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R47
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