在职注册护士职业倦怠及影响因素现况调查

目的：了解在职注册护士职业倦怠现状并探讨其主要影响因素。方法按浙江省28家医院注册护士总数的10%抽取1740名护士，进行Maslach职业倦怠调查量表调查；再按情绪耗竭、去个性化和职业效能3个维度分析，并对不同医院等级、年龄和护龄的护士进行比较。结果护士轻度倦怠占48.90%，中度倦怠占46.60%，重度倦怠占4.50%。三甲医院护士的职业倦怠总平均得分最高，为3.25±0.96；外科护士年龄30-40岁，护龄5年以上职业倦怠得分高于护龄5年以下者（ P〈0.05）。结论浙江省护士职业倦怠总体处于轻中度水平，医院等级、工龄是影响职业倦怠度的重要因素。

A cross-sectional study on job burnout and its influence factors among registered nurses

Objective This study aimed to investigate the status of job burnout among registered nurses in Zhejiang province and to analyze its main influential factors. Methods Maslach Burnout Inventory General Survey（ MBI-GS）was used to measure the job burnout situation of 1740 nurses selected from 28 hospitals. Three dimensions including emotional exhaustion,depersonalization and occupation efficacy were analyzed and compared among different stratifications of hospital,age and working years etc. Results The proportion of mild burnout,moderate burnout and severe burnout nurses was 48. 90%,46. 60% and 4. 50% respectively. The highest score（3. 25 ± 0. 96）of MBI -GS was found in Grade Three A general hospitals. Nurses of more than 5 years working experience,were surgical related,with a bachelor degree and aged 30 to 40 had higher scores than who were not（all P〈0. 05）. Multiple linear stepwise regression analysis showed that the main influence factors were hospital grade,working years and working passion（all P〈0. 05）. Conclusion The job burnout situation of nurses is mainly at mild to moderate level. The grade of hospital and the work experience are the main influential factors.