二胎妊娠期护士角色压力现状及其影响因素分析
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摘要
目的:调查新疆维吾尔自治区乌鲁木齐市二胎妊娠期护士角色压力现状及其影响因素。方法:应用一般资料调查表、中文版护理人员角色冲突和角色模糊量表对乌鲁木齐市6所三级甲等综合医院152名二胎妊娠期护士进行横断面调查。结果:152名二胎妊娠期护士角色压力量表得分为(58.42±7.56)分;民族、科室、二胎妊娠期每月夜班数量、科室是否给予照顾是二胎妊娠期护士角色压力的影响因素。结论:新疆维吾尔自治区乌鲁木齐市二胎妊娠期护士的角色压力情况处于中等水平,护理管理者应增加科室人员配备,减轻二胎妊娠期护士的工作负荷,保证工作内容稳定,给予适当的照顾与支持,降低其二胎妊娠期间的角色压力。
Objective: To investigate the status and influence factors of' role stress of nurses in the second trimester of pregnancy in Urumqi, Xinjiang. Methods: A cross-sectional survey was conducted among 152 second-gestation nurses in 6 third-grade general hospitals in Urumqi, Xinjiang Uygur Autonomous Region using general information questionnaire,Chinese version of nursing staff role conflict and role fuzzy scale. Results: The scores of the stress scale among 152 secondpregnancy nurses were 58.42±7.56. The influencing factors were the number of night shifts each month, ethnic groups,department and support from the peer group. Conclusion: The role stress of pregnant nurses is at medium level. Nursing managers should reduce the workload and provide more support to the nurses during pregnancy.
Objective: To investigate the status and influence factors of' role stress of nurses in the second trimester of pregnancy in Urumqi, Xinjiang. Methods: A cross-sectional survey was conducted among 152 second-gestation nurses in 6 third-grade general hospitals in Urumqi, Xinjiang Uygur Autonomous Region using general information questionnaire,Chinese version of nursing staff role conflict and role fuzzy scale. Results: The scores of the stress scale among 152 secondpregnancy nurses were 58.42±7.56. The influencing factors were the number of night shifts each month, ethnic groups,department and support from the peer group. Conclusion: The role stress of pregnant nurses is at medium level. Nursing managers should reduce the workload and provide more support to the nurses during pregnancy.
引文
[1]吴杏菊.二胎怀孕护士的职业压力与社会支持的调查研究.广州:南方医科大学,2017.Wu XJ.Investugation of the occupational stress and the social support of second-child pregnant nurses.Guangzhou:Southern Medical University,2017.
[2]Haeday ME,Conway ME.Role theory:perspectives for health professionals.New York:Appleton Century Crofts,1978:354.
[3]丁晶晶,钱国强,李茹,等.护士角色压力、组织支持感与工作投入的关系研究.全科护理,2015,13(16):1477-1480.Ding JJ,Qian GQ,Li R,et al.A study on relationship among role stress,perceived organizational support and work engagement of nurses.Chinese General Practice Nursing,2015,13(16):1477-1480.
[4]曹文杰.角色压力、组织情感承诺与工作投入关系研究.杭州:浙江工商大学,2011.Cao WJ.Study on the relationship between role stress,organizational emotional commitment and job involvement.Hangzhou:Zhejiang Gongshang University,2011.
[5]梅花,张雅丽,孙青,等.中文版护理人员角色冲突和角色模糊量表的信效度研究.护理管理杂志,2015,15(1):3-5.Mei H,Zhang YL,Sun Q,et al.The reliability and validity of Chinese Version of Nurse's Role Conflict and Ambiguity Scale.Journal of Nursing Administration,2015,15(1):3-5.
[6]李翠兰.临床护士角色压力与社会支持的关系研究.护理管理杂志,2016,16(9):627-629.Li CL.Correlation research of role stress and social support of clinical nurses.Journal of Nursing Administration,2016,16(9):627-629.
[7]Hughes RG.Work stress and burnout among nurses:role of the work environment and working conditions/patient safety and quality:an evidencebased handbook for nurses.PubMed,2008.
[8]李克佳,廖淑梅,向桂萍.护士工作家庭冲突的研究进展.中华护理杂志,2011,46(8):834-836.Li KJ,Liao SM,Xiang GP.Advances in research on work and family conflict in nurses.Chinese Journal of Nursing,2011,46(8):834-836.
[9]田小娟,刘霞.护理人员二胎妊娠期间心理压力源的质性研究.解放军护理杂志,2018,35(1):39-42.Tian X J,Liu X.A qualit ative st udy on psychological stressors of nursing staff in second pregnancy.Nursing Journal of Chinese People's Liberation Army,2018,35(1):39-42.
[10]张琼,舒玲,欧阳旭平,等.二胎妊娠期护士抑郁情绪影响因素病例对照研究.护理学报,2017,24(10):1-4.Zhang Q,Shu L,Ouyang XP,et al.Maternal depression of nurses in second pregnancy and its influence factors:a case-control study.Journal of Nursing,2017,24(10):1-4.
[11]马佩芬,史慧敏,金蕾,等,三级甲等医院ICU护士睡眠质量与焦虑情绪的相关性研究.护理管理杂志,2013,13(3):176-178.Ma PF,Shi HM,Jin L,et al.The correlational of nurses'sleep quality and anxiety in ICU of 3A-level hospital.Journal of Nursing Administration,2013,13(3):176-178.
[12]马琴,王淼.二胎护士孕期工作及家庭生活体验的质性研究.护理学杂志,2017,32(16):55-57.Ma Q,Wang M.Work and family life experience of pregnant nurses with a second child:a qualitative study.Journal of Nursing Science,2017,32(16):55-57.
[13]王雪,卜秀梅,董博,等.临床护士角色压力、组织支持感与工作投入的研究.护理研究,2013,27(34):3880-3882.Wang X,Bu XM,Dong B,et al.Research on role pressure,perceived organizational support and work engagement of clinical nurses.Chinese Nursing Research,2013,27(34):3880-3882.
[14]乔杰,龙晓宇,高江曼,等.人类生育力保护的机遇与挑战.中国实用妇科与产科杂志,2016(1):8-12.Qiao J,Long XY,Gao JM,et al.Opportunities and challenges of human fertility proctection.Chinese Journal of Practical Gynecology and Obstetrics,2016(1):8-12.
[15]张翠莲.高龄女性二胎生育力评估及助孕策略.中华实用诊断与治疗杂志,2016,30(12):1145-1148.Zhang CL.Assessment of fertility in older women with second child and strategies to assist pregnancy.Journal of Chinese Practical Diagnosis and Therapy,2016,30(12):1145-1148.
[16]祁梦君,张利霞,朱淑青,等.医务人员二胎生育意愿及相关影响因素的研究.当代护士(下旬刊),2017,24(4):37-39.Qi MJ,Zhang LX,Zhu SQ,et al.Study on medical workers'intention to have a second child and related factors.Today Nurses,2017,24(4):37-39.
[17]毛新敏,穆占俊,李榕,等.乌鲁木齐市孕妇剖宫产发生率及影响因素分析.中国妇幼保健,2012,27(31):4888-4890.Mao XM,Mu ZJ,Li R,et al.Analysis of the incidence of cesarean section and its influencing factors in Urumqi.Maternal&Child Health Care of China,2012,27(31):4888-4890.
[18]张丽娟,张海燕,曹耀茂,等.城乡汉族与哈萨克孕妇剖宫产率的对比研究.新疆医科大学学报,2006,29(11):1076-1078.Zhang LJ,Zhang HY,Cao YM,et al.The comparative research of the pregnant women's caesarean operation percentages of Han and Kazak in urban and rural areas.Journal of Xinjiang Medical University,2006,29(11):1076-1078.
[19]张轶岚,胡文娟,伯秋芳,等.二胎政策下高龄孕产妇分娩方案选择的影响因素及分娩知识知晓情况分析.中国妇幼健康研究,2017,28(7):866-867,886.Zhang YL,Hu WJ,Bo QF,et al.Influencing factors of delivery plan selection and knowledge of childbirth of elderly pregnant women under two children policy.Chinese Journal of Woman and Child Health Research,2017,28(7):866-867,886.
[20]颜秋兰,李秋萍,王璇.运用Roy适应模式管理孕期护士工作压力初探.护理研究,2011,25(28):2601-2602.Yan QL,Li QP,Wang X.Probe into applying Roy Adaptation Model to administrate job pressure of nurses in pregnancy.Chinese Nursing Research,2011,25(28):2601-2602.
[21]刘玉玲.重症监护室护士角色压力现状及其影响因素研究.遵义:遵义医学院,2017.Liu YL.Study on the status of role stress and its influencing factors in icu nurses.Zunyi:Zunyi Medical Institute,2017.
[22]曹嫚,王新华,岳彩虹,等.传染病医院妇产科护士在全面放开二胎政策下的压力现状调查分析.中国实用护理杂志,2017,33(增刊):59-61.Cao M,Wang XH,Yue CH,et al.Investigation and analysis of the pressure of maternity nurses in infectious disease hospital under the two-child policy.Chinese Journal of Practical Nursing,2017,33(Suppl):59-61.
[23]刘文萍,魏丽丽,孙黎惠,等.三级甲等综合医院护士情绪管理现状及影响因素分析.中国护理管理,2018,18(6):791-795.Liu WP,Wei LL,Sun LH,et al.The current situation and influencing factors of emotional management of nurses in tertiary grade A hospital Chinese Nursing Management,2018,18(6):791-795.
[24]Bhaskar P,Paul V.Role stress among auxiliary nurses midwives in Gujarat,India.Health Services Research,2017(17):69.
[2]Haeday ME,Conway ME.Role theory:perspectives for health professionals.New York:Appleton Century Crofts,1978:354.
[3]丁晶晶,钱国强,李茹,等.护士角色压力、组织支持感与工作投入的关系研究.全科护理,2015,13(16):1477-1480.Ding JJ,Qian GQ,Li R,et al.A study on relationship among role stress,perceived organizational support and work engagement of nurses.Chinese General Practice Nursing,2015,13(16):1477-1480.
[4]曹文杰.角色压力、组织情感承诺与工作投入关系研究.杭州:浙江工商大学,2011.Cao WJ.Study on the relationship between role stress,organizational emotional commitment and job involvement.Hangzhou:Zhejiang Gongshang University,2011.
[5]梅花,张雅丽,孙青,等.中文版护理人员角色冲突和角色模糊量表的信效度研究.护理管理杂志,2015,15(1):3-5.Mei H,Zhang YL,Sun Q,et al.The reliability and validity of Chinese Version of Nurse's Role Conflict and Ambiguity Scale.Journal of Nursing Administration,2015,15(1):3-5.
[6]李翠兰.临床护士角色压力与社会支持的关系研究.护理管理杂志,2016,16(9):627-629.Li CL.Correlation research of role stress and social support of clinical nurses.Journal of Nursing Administration,2016,16(9):627-629.
[7]Hughes RG.Work stress and burnout among nurses:role of the work environment and working conditions/patient safety and quality:an evidencebased handbook for nurses.PubMed,2008.
[8]李克佳,廖淑梅,向桂萍.护士工作家庭冲突的研究进展.中华护理杂志,2011,46(8):834-836.Li KJ,Liao SM,Xiang GP.Advances in research on work and family conflict in nurses.Chinese Journal of Nursing,2011,46(8):834-836.
[9]田小娟,刘霞.护理人员二胎妊娠期间心理压力源的质性研究.解放军护理杂志,2018,35(1):39-42.Tian X J,Liu X.A qualit ative st udy on psychological stressors of nursing staff in second pregnancy.Nursing Journal of Chinese People's Liberation Army,2018,35(1):39-42.
[10]张琼,舒玲,欧阳旭平,等.二胎妊娠期护士抑郁情绪影响因素病例对照研究.护理学报,2017,24(10):1-4.Zhang Q,Shu L,Ouyang XP,et al.Maternal depression of nurses in second pregnancy and its influence factors:a case-control study.Journal of Nursing,2017,24(10):1-4.
[11]马佩芬,史慧敏,金蕾,等,三级甲等医院ICU护士睡眠质量与焦虑情绪的相关性研究.护理管理杂志,2013,13(3):176-178.Ma PF,Shi HM,Jin L,et al.The correlational of nurses'sleep quality and anxiety in ICU of 3A-level hospital.Journal of Nursing Administration,2013,13(3):176-178.
[12]马琴,王淼.二胎护士孕期工作及家庭生活体验的质性研究.护理学杂志,2017,32(16):55-57.Ma Q,Wang M.Work and family life experience of pregnant nurses with a second child:a qualitative study.Journal of Nursing Science,2017,32(16):55-57.
[13]王雪,卜秀梅,董博,等.临床护士角色压力、组织支持感与工作投入的研究.护理研究,2013,27(34):3880-3882.Wang X,Bu XM,Dong B,et al.Research on role pressure,perceived organizational support and work engagement of clinical nurses.Chinese Nursing Research,2013,27(34):3880-3882.
[14]乔杰,龙晓宇,高江曼,等.人类生育力保护的机遇与挑战.中国实用妇科与产科杂志,2016(1):8-12.Qiao J,Long XY,Gao JM,et al.Opportunities and challenges of human fertility proctection.Chinese Journal of Practical Gynecology and Obstetrics,2016(1):8-12.
[15]张翠莲.高龄女性二胎生育力评估及助孕策略.中华实用诊断与治疗杂志,2016,30(12):1145-1148.Zhang CL.Assessment of fertility in older women with second child and strategies to assist pregnancy.Journal of Chinese Practical Diagnosis and Therapy,2016,30(12):1145-1148.
[16]祁梦君,张利霞,朱淑青,等.医务人员二胎生育意愿及相关影响因素的研究.当代护士(下旬刊),2017,24(4):37-39.Qi MJ,Zhang LX,Zhu SQ,et al.Study on medical workers'intention to have a second child and related factors.Today Nurses,2017,24(4):37-39.
[17]毛新敏,穆占俊,李榕,等.乌鲁木齐市孕妇剖宫产发生率及影响因素分析.中国妇幼保健,2012,27(31):4888-4890.Mao XM,Mu ZJ,Li R,et al.Analysis of the incidence of cesarean section and its influencing factors in Urumqi.Maternal&Child Health Care of China,2012,27(31):4888-4890.
[18]张丽娟,张海燕,曹耀茂,等.城乡汉族与哈萨克孕妇剖宫产率的对比研究.新疆医科大学学报,2006,29(11):1076-1078.Zhang LJ,Zhang HY,Cao YM,et al.The comparative research of the pregnant women's caesarean operation percentages of Han and Kazak in urban and rural areas.Journal of Xinjiang Medical University,2006,29(11):1076-1078.
[19]张轶岚,胡文娟,伯秋芳,等.二胎政策下高龄孕产妇分娩方案选择的影响因素及分娩知识知晓情况分析.中国妇幼健康研究,2017,28(7):866-867,886.Zhang YL,Hu WJ,Bo QF,et al.Influencing factors of delivery plan selection and knowledge of childbirth of elderly pregnant women under two children policy.Chinese Journal of Woman and Child Health Research,2017,28(7):866-867,886.
[20]颜秋兰,李秋萍,王璇.运用Roy适应模式管理孕期护士工作压力初探.护理研究,2011,25(28):2601-2602.Yan QL,Li QP,Wang X.Probe into applying Roy Adaptation Model to administrate job pressure of nurses in pregnancy.Chinese Nursing Research,2011,25(28):2601-2602.
[21]刘玉玲.重症监护室护士角色压力现状及其影响因素研究.遵义:遵义医学院,2017.Liu YL.Study on the status of role stress and its influencing factors in icu nurses.Zunyi:Zunyi Medical Institute,2017.
[22]曹嫚,王新华,岳彩虹,等.传染病医院妇产科护士在全面放开二胎政策下的压力现状调查分析.中国实用护理杂志,2017,33(增刊):59-61.Cao M,Wang XH,Yue CH,et al.Investigation and analysis of the pressure of maternity nurses in infectious disease hospital under the two-child policy.Chinese Journal of Practical Nursing,2017,33(Suppl):59-61.
[23]刘文萍,魏丽丽,孙黎惠,等.三级甲等综合医院护士情绪管理现状及影响因素分析.中国护理管理,2018,18(6):791-795.Liu WP,Wei LL,Sun LH,et al.The current situation and influencing factors of emotional management of nurses in tertiary grade A hospital Chinese Nursing Management,2018,18(6):791-795.
[24]Bhaskar P,Paul V.Role stress among auxiliary nurses midwives in Gujarat,India.Health Services Research,2017(17):69.