摘要
目的探讨肿瘤科护士职业倦怠感在姑息护理认知水平与护理态度间的中介作用。方法于2019年3-10月对陕西省3所专科医院和6所综合医院肿瘤科的380名注册护士,采用一般资料调查表、姑息护理知识问卷、Maslach职业倦怠感问卷、Bradley护理态度问卷进行调查。结果实际发放问卷380份,回收有效问卷365份,有效回收率为96.1%。肿瘤科护士姑息护理知识得分(11.04±2.16)分;职业倦怠感得分(72.62±4.16)分;护理态度得分(31.91±5.86)分。职业倦怠感与姑息护理认知水平呈负相关(r=-0.601,P<0.01);与护理态度亦呈负相关(r=-0.626,P<0.01)。职业倦怠感在姑息护理认知水平与护理态度之间的中介效应为0.138,占总效应的17.3%,且中介效应具有显著性(Z=5.625>1.96)。结论肿瘤科护士处于高度职业倦怠水平,其职业倦怠感在姑息护理认知水平与护理态度间起部分中介效应。医院可以通过提高护士的姑息护理认知水平、降低其职业倦怠感,来提升其对患者的姑息护理态度。
Objective To explore the mediating effect of job burnout on palliative nursing cognition level and nursing attitude of oncology nurses.Methods From March to October 2019,a total of 380 registered nurses from the department of oncology in 3 specialized hospitals and 6 general hospitals in Shaanxi Province were investigated by means of general information questionnaire,palliative care knowledge questionnaire,Maslach burnout questionnaire and Bradley nursing attitude questionnaire.Results A total of 380 questionnaires were actually issued and 365 valid questionnaires were collected,with an effective recovery rate of 96.1%.Palliative care knowledge score of oncology nurses was(11.04±2.16)points;the score of burnout was(72.62±4.16)points.Nursing attitude score was(31.91±5.86)points.There was a negative correlation between job burnout and cognitive level of palliative care(r=-0.601,P<0.01).There was also a negative correlation with nursing attitude(r=-0.626,P<0.01).The mediating effect of job burnout between the cognitive level of palliative care and nursing attitude was 0.138,accounting for 17.3%of the total effect,and the mediating effect was significant(Z=5.625>1.96).Conclusion Oncology nurses are at a high level of job burnout,and their job burnout plays a part of the mediating effect between the cognitive level of palliative care and nursing attitude.Hospitals can improve nurses′palliative care attitude towards patients by improving their cognitive level and reducing their sense of job burnout.
作者
安芳芳
荆朝侠
晁旭
李媛媛
AN Fangfang;JING Zhaoxia;CHAO Xu;LI Yuanyuan(School of Nursing,Shaanxi University of Chinese Medicine,Shaanxi Province,Xianyang712000,China;the Union Office of the Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Shaanxi Province,Xianyang712000,China;the Scientific Bureau of the Second Affiliated Hospital of Shaanxi University of Chinese Medicine712000,China)
出处
《中国医药导报》
CAS
2020年第25期156-159,共4页
China Medical Herald
基金
国家自然科学基金资助项目(81774132)
陕西省自然科学基础研究计划项目(2019JQ-871)
陕西省省级中医护理特色专科项目(陕中医药发[2014]29号)。
关键词
姑息护理
认知水平
职业倦怠
护理态度
中介效应
Palliative care
Cognitive level
Job burnout
Nursing attitude
Mediating effect
