护士工作应激理论模型的构建

目的 构建和验证我国护士工作应激理论模型.方法 采用路径分析,对护士工作应激源、护士工作倦怠、自评心理症状、压力反应、生活事件、社会支持、应对方式之间的关系进行分析,验证护士工作应激理论模型.结果 护士工作应激源对护理人员的压力反应、工作倦怠感及心理症状的出现影响重大,影响程度从大到小依次为心理症状(决定系数为0.488)、工作倦怠感(决定系数为0.388)、压力反应(决定系数为0.341).护理人员的消极应对方式通过工作应激源对其压力反应、工作倦怠感及心理症状的产生有间接影响,对心理症状有直接影响,决定系数为0.233,此外,消极应对方式还通过对生活事件的影响(决定系数为0.249),影响工作应激源对应激反应、不良心理症状、工作倦怠感的作用.生活事件对护士工作应激产生的影响路径是两重的,一方面是通过与工作应激源(决定系数为0.343)协同作用以间接方式进行,另一方面是对护理人员工作应激不良反应直接产生压力反应(决定系数为0.163).社会支持通过生活事件(决定系数为-0.171)对应激源、应激适应结果产生影响.结论 所建立的护士工作应激源的理论模型得到了验证,可以用于解释护士工作应激作用的过程.

Establishment of Chinese nurse's work-stress model

Objective To establish Chinese nurses'work-stress model.Methods Make assessment with nurses stress source,working fatigue,self-assess psychology,press reaction,life events,social support etc.based on the path analysis,and validate the NSS model proposed.Results Nurses'NSS had significant effect on pressure reaction,working fatigue and psychological symptoms in ascending order.Nurses'passive style of dealing with NSS was a significant variable in the process of work stressor.since it could affect the maladjustment in three ways:affecting pressure reaction,fatigue,affecting the engenderment of ill psychological symptoms via NSS indirectly,and affecting life events and ill psychological symptoms directly.Life could events could affect NSS in two ways:affect maladjustment directly and coilaborate with NSS indirectly.Social support could affect NSS and the eonsequence of stress adaptation via life events.Conclusions Verified with the theory model and can be used to explain the process of nurse working stress.