夜班护理人员生活质量影响因素研究

目的 探讨夜班护理人员生活质量及其影响因素,为制定提高夜班护理人员生活质量的干预措施提供科学依据.方法 采用整群随机抽样的方法抽取某市三级甲等医院全体夜班护理人员做为调查对象,用世界卫生组织编制的生活质量测定量表(WHOQOL-BREF)中文版进行问卷调查,测定并评价其生活质量现状.结果 发放问卷398份,收回有效问卷385份,主观总体生活质量平均分为2.90分(满分为5分),主观总体健康状况平均分为2.64分(满分为5分),生活质量各领域得分分别为:生理领域(13.21±2.18)分、心理领域(13.38±2.28)分、社会关系领域(14.71±2.32)分、环境领域(11.36±2.31)分,各领域得分均低于常模,差异有统计学意义(P＜0.01).有序多分类logistic回归分析显示,生理领域的影响因素包括工作年限、睡眠时间、胃肠疾病、家庭和睦状况及饮食规律性;心理领域的影响因素包括家庭和睦状况及胃肠疾病;社会关系领域的影响因素包括工作性质、家庭和睦状况;环境领域的影响因素包括职称、睡眠时间、胃肠疾病和饮食规律性.结论 夜班护理人员的生活质量低于普通人群,应针对性地采取相应措施来提高夜班护理人员的生活质量.

Abstract：

Objective To explore the situation of quality of life ( QOL ) of nurses working in night shifts and the major factors influencing the QOL, and to provide scientific basis of the further effective intervention for the quality of life. Methods The nurses working in night shift were sampled randomly in Grade 3A-hospitals of Tianjin, and investigated using WHO Quality of Life-BREF Scale. Results Three hundred eighty five questionnaires were collected from 398 questionnaires. The average score of subjective QOL perception was 2.90 (the full score is 5), subjective health perception was 2.64 (the full score is 5). The score of physical domain of QOL was 13.21 ±2.18; psychological domain of QOL was 13.38 ±2.28; social domain of QOL was 14.71±2.32; environmental domain of QOL was 11.36±2.31, all of which were significantly lower than norm value (P<0.01). The results analyzed by ordinal logistic regression showed that the factors affecting physical domain of QOL were years of working experience, sleep time, gastrointestinal disorders, family harmony status and regular diet; the factors affecting psychological domain of QOL were family harmony status and gastrointestinal disorders; the factors affecting social domain of QOL were the nature of nursing work and family harmony status; the factors affecting environmental domain of QOL were job title, sleep time, gastrointestinal disorders and regular diet. Conclusion The QOL of nurses working in night shifts is lower than that of general people. The corresponding measures should be taken to raise the quality of life of nurses in night shifts.

Study on factors affecting the quality of life for nurses working in night shifts

Objective To explore the situation of quality of life ( QOL ) of nurses working in night shifts and the major factors influencing the QOL, and to provide scientific basis of the further effective intervention for the quality of life. Methods The nurses working in night shift were sampled randomly in Grade 3A-hospitals of Tianjin, and investigated using WHO Quality of Life-BREF Scale. Results Three hundred eighty five questionnaires were collected from 398 questionnaires. The average score of subjective QOL perception was 2.90 (the full score is 5), subjective health perception was 2.64 (the full score is 5). The score of physical domain of QOL was 13.21 ±2.18; psychological domain of QOL was 13.38 ±2.28; social domain of QOL was 14.71±2.32; environmental domain of QOL was 11.36±2.31, all of which were significantly lower than norm value (P<0.01). The results analyzed by ordinal logistic regression showed that the factors affecting physical domain of QOL were years of working experience, sleep time, gastrointestinal disorders, family harmony status and regular diet; the factors affecting psychological domain of QOL were family harmony status and gastrointestinal disorders; the factors affecting social domain of QOL were the nature of nursing work and family harmony status; the factors affecting environmental domain of QOL were job title, sleep time, gastrointestinal disorders and regular diet. Conclusion The QOL of nurses working in night shifts is lower than that of general people. The corresponding measures should be taken to raise the quality of life of nurses in night shifts.