IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
British journal of hospital medicine Pub Date : 2025-03-26 Epub Date: 2025-03-18 DOI:10.12968/hmed.2024.0770
Xiuli Yang, Rong Yu, Huiling Zhao
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引用次数: 0

摘要

目的/背景 2019 年冠状病毒病(COVID-19)大流行给医护人员,尤其是护士带来了独特的压力。本研究探讨 COVID-19 防控工作停止后影响耳鼻喉科护士心理健康、压力感和职业倦怠的因素。方法 于 2023 年 1 月 20 日至 1 月 28 日对四川省 220 名耳鼻喉科护士进行横断面研究。研究采用一般信息问卷、护士工作场所心理健康问卷、中国知觉压力量表(CPSS-14)和马斯拉赫职业倦怠调查表(MBI-GS)收集数据。统计分析包括 Kruskal-Wallis 检验、Spearman 相关性分析和多元线性回归,以确定数据集中的重要因素和关系。结果 在发放的 220 份问卷中,218 份有效,回收率为 99.09%。调查对象包括 3 名男性(平均年龄:34.67 ± 12.39)和 215 名女性(平均年龄:35.63 ± 9.27)。心理健康平均得分为 128.10 ± 21.29,表明心理健康水平处于中等水平。CPSS-14 的平均得分为 37.42 ± 7.27,反映了中等程度的压力,而 MBI-GS 的得分则突显了不同程度的职业倦怠,尤其是情感衰竭(中位数 = 10.00)。Kruskal-Wallis 检验确定了影响心理健康、压力和职业倦怠的重要因素,包括家庭支持、COVID-19 检测状况、人员配备是否充足、护理危重病人的频率、团队合作满意度、工作满意度和辞职计划(P < 0.05)。斯皮尔曼相关分析显示,心理健康与压力(r = -0.525)和职业倦怠总分(r = -0.646;p < 0.01)之间存在显著的负相关。多元线性回归发现,情绪衰竭(β = -0.922)、个人成就感低(β = -0.623)和人员配备不足(β = -2.769)是心理健康的显著负向预测因素,而团队合作满意度(β = 5.516)和工作满意度(β = 5.032)与心理健康的改善呈正相关(p < 0.01)。结论 耳鼻喉科护士在后流行病时代面临着显著的心理健康挑战,其原因是压力和职业倦怠。解决人员短缺问题、促进团队合作和提高工作满意度是改善护士心理健康的关键策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Survey and Analysis of Mental Health among Otolaryngology Nurses Following the Conclusion of COVID-19 Prevention and Control Measures.

Aims/Background The coronavirus disease 2019 (COVID-19) pandemic placed unique pressures on healthcare workers, especially nurses. This study examines the factors influencing mental health, stress perception, and burnout among otolaryngology nurses after the cessation of COVID-19 prevention and control. Methods A cross-sectional study was conducted among 220 otolaryngology nurses in Sichuan province from 20 January to 28 January, 2023. Data were collected using a general information questionnaire, the Nurse Workplace Mental Health Questionnaire, the Chinese Perceived Stress Scale (CPSS-14), and the Maslach Burnout Inventory-General Survey (MBI-GS). Statistical analyses included the Kruskal-Wallis test, Spearman correlation analysis, and multiple linear regression to identify significant factors and relationships within the dataset. Results Of the 220 questionnaires distributed, 218 were valid, yielding a recovery rate of 99.09%. The cohort included 3 males (mean age: 34.67 ± 12.39) and 215 females (mean age: 35.63 ± 9.27). The average mental health score was 128.10 ± 21.29, indicating a moderate level of psychological well-being. The CPSS-14 average score was 37.42 ± 7.27, reflecting moderate stress, while MBI-GS scores highlighted varying levels of burnout, especially in emotional exhaustion (median = 10.00). The Kruskal-Wallis test identified significant factors affecting mental health, stress, and burnout, including family support, COVID-19 testing status, staffing adequacy, frequency of caring for critically ill patients, teamwork satisfaction, job satisfaction, and resignation plans (p < 0.05). Spearman correlation analysis revealed significant negative associations between mental health and stress (r = -0.525) and total burnout scores (r = -0.646; p < 0.01). Multiple linear regression identified emotional exhaustion (β = -0.922), low personal accomplishment (β = -0.623), and inadequate staffing (β = -2.769) as significant negative predictors of mental health, while teamwork satisfaction (β = 5.516) and job satisfaction (β = 5.032) were positively associated with improved mental health (p < 0.01). Conclusion Otolaryngology nurses experience notable mental health challenges in the post-pandemic era, driven by stress and burnout. Addressing staffing shortages, fostering teamwork, and enhancing job satisfaction are critical strategies to improve their psychological well-being.

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来源期刊
British journal of hospital medicine
British journal of hospital medicine 医学-医学:内科
CiteScore
1.50
自引率
0.00%
发文量
176
审稿时长
4-8 weeks
期刊介绍: British Journal of Hospital Medicine was established in 1966, and is still true to its origins: a monthly, peer-reviewed, multidisciplinary review journal for hospital doctors and doctors in training. The journal publishes an authoritative mix of clinical reviews, education and training updates, quality improvement projects and case reports, and book reviews from recognized leaders in the profession. The Core Training for Doctors section provides clinical information in an easily accessible format for doctors in training. British Journal of Hospital Medicine is an invaluable resource for hospital doctors at all stages of their career. The journal is indexed on Medline, CINAHL, the Sociedad Iberoamericana de Información Científica and Scopus.
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