文献类型：期刊文献

中文题名：职业暴露对护士职业倦怠的影响

英文题名：Effect of occupational exposure on job burnout in nurses

作者：章雷钢[1];金婷婷[2];周尧英[2];俞建娣[2];俞飞云[2]

机构：[1]绍兴文理学院教师教育学院,312000;[2]绍兴市人民医院重症监护室

年份：2017

卷号：35

期号：3

起止页码：209

中文期刊名：中华劳动卫生职业病杂志

外文期刊名：Chinese Journal of Industrial Hygiene and Occupational Diseases

收录：CSTPCD、、CSCD_E2017_2018、Scopus、CSCD、PubMed

语种：中文

中文关键词：护士;职业暴露;负性情绪;主管支持;厌倦,职业性

外文关键词：Nurse;Occupational exposure;Negative emotion;Supervisor support;Burnout,professional

中文摘要：目的 探讨职业暴露对护士职业倦怠的影响机制,分析负性情绪在职业暴露与职业倦怠间的中介作用以及主管支持对职业暴露与负性情绪的调节作用.方法 于2015年9至12月,采用简单随机抽样法选取浙江省6所三级医院543名护士进行调查.调查问卷包括职业暴露风险问卷、负性情绪问卷、主管支持问卷和职业倦怠问卷.结果 护士职业暴露风险指数总均分为（11.43±7.19）分、情绪衰竭为（3.19±1.24）分、工作低成就感为（3.02±1.21）分、工作冷漠感为（2.24±1.06）分.护士不同性别（t=2.61）和工作年限（F=4.49）的职业暴露得分差异均有统计学意义（P＜0.01）;不同性别护士的情绪衰竭（t=5.25）和工作低成就感（t=-3.48）得分上差异均有统计学意义（P＜0.001）.职业暴露对负性情绪、情绪衰竭、工作冷漠感和工作低成就感均有正向作用（β=0.41、0.47、0.42、0.17,P＜0.05）;负性情绪在职业暴露与情绪衰竭、工作冷漠感间具有部分中介作用,占总效应比值分别为30.5％、37.1％（P＜0.05）;负性情绪在职业暴露与工作低成就感间具有完全中介作用（β=0.08,P＞0.05）;主管支持负向调节职业暴露与负性情绪的正向作用（F=21.73,P＜0.001）.结论 护士职业暴露对职业倦怠有直接正向作用,并通过负性情绪间接影响职业倦怠,主管支持可以缓解护士职业暴露对负性情绪的消极影响.

外文摘要：Objective To investigate the effect of occupational exposure on job burnout in nurses,and to analyze the mediating effect of negative emotion between occupational exposure and job burnout and the regulatory effect of supervisor support on occupational exposure and negative emotion.Methods From September to December,2015,simple random sampling was used to select 543 nurses from six tertiary hospitals in Zhejiang Province,China.The questionnaires consisted of occupational exposure risk questionnaire,negative emotion questionnaire,supervisor support questionnaire,and job burnout questionnaire.Results The total score of occupational exposure risk in nurses was 11.43±7.19;the score of emotional exhaustion was 3.19±1.24,the score of low sense of personal accomplishment was 3.02±1.21,and the score of sense of working indifference was 2.24± 1.06.There were significant differences in occupational exposure score between nurses with different sexes（t=2.61,P〈0.01） and working years （F=4.49,P〈0.01）.There were significant differences in the scores of emotional exhaustion and low sense of personal accomplishment in nurses with different sexes （t=5.25,P〈0.001） and working years （t=-3.48,P〈0.01）.Occupational exposure had positive effects on negative emotion （β=0.41,P〈0.05）,emotional exhaustion （β=0.47,P〈0.05）,sense of working indifference （β=0.42,P〈0.05）,and low sense of personal accomplishment （β=0.17,P〈0.05）.Negative emotion had a partial mediating effect between occupational exposure and emotional exhaustion（total effect size 30.5%,P〈0.05） and between occupational exposure and sense of working indifference （total effect size 37.1%,P〈0.05）.Negative emotion had a complete mediating effect between occupational exposure and low sense of personal accomplishment （β=0.08,P〉0.05）.Supervisor support negatively regulate the effects of occupational exposure and negative emotion（F=21.73,P〈0.001）.Conclusion In nurses,occupational exposure has a direct positive effect on job burnout and indirectly influences job burnout via negative emotion.Supervisor support can reduce the negative impact of occupational exposure on negative emotion.