护士职业性体力活动与工作疲溃感关系的研究

目的探讨护士职业性体力活动与工作疲溃感的相关性,为及时进行健康干预提供指导,为重症监护病房（ICU）合理的人员配置提供参考。方法连续性纳入综合ICU 2008年10月至2009年10月收治的符合纳入标准的病人125例（入院急诊手术病人42例占33.6%,择期手术病人12例占9.6%,重症非手术病人28例占22.4%,急诊重症非手术病人43例占34.4%）,采用重症监护护理评分系统测量31名护理人员（5个护理小组）的护理工作量,利用工作疲溃感量表分别测量小组制护理中5组护理人员压力反应,分析不同护理工作量对护理人员压力的影响。结果不同入科类型病人平均日护理工作量评分差异有统计学意义（F=40.53,P=0.00）;各护理小组平均日护理工作量评分差异有统计学意义（F=15.84,P=0.00）;各护理小组情绪疲溃感同护理工作量均成显著性正相关（r=0.963,P=0.002;r=0.949,P=0.004;r=0.970,P=0.000;r=0.911,P=0.011;r=0.886,P=0.019）,工作冷漠感同护理工作量无相关性（r=0.109,P=0.837;r=0.358,P=0.485;r=0.575,P=0.177;r=-0.253,P=0.809;r=-0.790,P=0.062）,部分组工作无成就感同护理工作量呈显著性正相关（r=0.624,P=0.168;r=0.953,P=0.003;r=0.810,P=0.027;r=0.803,P=0.054;r=0.145,P=0.785）。结论护士职业性体力活动与情绪疲溃感显著相关,与工作冷漠感、工作成就感相关性不显著。

Relationship between Occupational Physical Activity and Professional Burnout in Nurses

Objective To explore the relationship between the occupational physical activity and professional burnout in nurses,and to provide guidance for design of health intervention and reasonable human resource allocation in ICU.Methods A total of 125 patients,including 42 emergency surgery patients（33.6%）,12 selective surgery patients（9.6%）,28 no-surgical critically ill patients（22.4%） and 43 emergency critically ill patients（34.4%）,who met the inclusion criteria were admitted to the ICU between October 2008 and October 2009.Intensive care nursing scoring system was used to measure the nursing workload and professional burnout scale was used to detect the stress response in 31 members（5 groups）.The relationship between occupational physical activity and professional burnout was analyzed.Results There were significant differences in nursing workload among different patient groups（F=40.53,P=0.00）and among different nursing groups（F=15.84,P=0.00）.There was a significant positive correlation between emotional burnout and nursing workload in the 5 nursing groups（r=0.963,P=0.002;r=0.949,P=0.004;r=0.970,P 0.000;r=0.911,P=0.011;r=0.886,P=0.019,respectively）,but no correlation was found between alienation and nursing workload（r=0.109,P=0.837;r=0.358,P=0.485;r=0.575,P=0.177;r=-0.253,P=0.809;r=-0.790,P=0.062,respectively）.There was a significant positive correlation between the lack of a sense of accomplishment and nursing workload in the 5 nursing groups（r=0.624,P=0.168;r=0.953,P=0.003;r=0.810,P=0.027;r=0.803,P=0.054;r=0.145,P=0.785,respectively）.Conclusion Nurse occupational physical activity is positively correlated with emotional burnout,but not correlated with the alienation and the lack of a sense of accomplishment.