摘要
目的调查老年病房医疗护理员的职业倦怠发生现况,分析其影响因素。方法采用便利抽样法,选取2021年1—10月首都医科大学附属北京友谊医院老年病房在职医疗护理员200名为调查对象,采用问卷调查法现场收集资料,包括医疗护理员的性别、年龄、受教育程度、工作年限、照顾当前患者时间等一般资料;被照顾老人性别、年龄、体重指数(BMI)、日常生活活动能力、查尔斯合并症指数等综合评估资料。采用Maslach职业调查问卷(MBI-GS)的中文修订版调查在职医疗护理员职业倦怠情况。采用单因素和多因素Logistic回归分析老年病房医疗护理员职业倦怠的影响因素。结果纳入的200名医疗护理员中,符合职业倦怠判定标准者占49.00%(98/200),其中轻度倦怠者占64.29%(63/98),中度倦怠者占23.47%(23/98),重度倦怠者占12.24%(12/98);不同职业倦怠程度医疗护理员的工作年限、照顾当前患者时长、平均月收入、年工作时长、受家属尊重程度、工作满意度及是否经受过激越行为比较,差异有统计学意义(P<0.05);不同职业倦怠程度医疗护理员所照顾老年患者的年龄、视力状况、便秘状况、入院跌倒评分、入院压疮评分、工具性日常生活活动量表评分、日常生活活动能力量表评分及查尔斯合并症指数评分比较,差异有统计学意义(P<0.05)。Logistic回归分析发现,工作年限、平均月收入、年工作时长、受家属尊重程度、经受过激越行为及被照顾老人的视力状况、入院压疮评分、工具性日常生活活动量表评分、日常生活活动能力量表评分是老年病房医疗护理员职业倦怠发生的影响因素(P<0.05)。结论老年病房医疗护理员普遍存在职业倦怠状况,以轻度倦怠为主,并受自身工作年限、收入情况、年工作时长、受尊重程度及经受过激越行为影响。另外,所照顾患者的视力情况、压疮发生危险度、自我生活能力也是该人群职业倦怠发生的影响因素。
Objective To investigate the status quo and influence factors of job burnout among nursing assistants in geriatric ward.Methods From January to October 2021,a total of 200 nursing assistants were selected in geriatric ward of Beijing Friendship Hospital Affiliated to Capital Medical University by the convenient sampling method.Questionnaires were used to collect the general information of nursing assistants,such as gender,age,education level,working years,and time of taking care current elderly patients as well as the general information of the elderly patients,including gender,age,body mass index(BMI),activity of daily living,comorbidity index and so on.The Chinese version of the Maslach Occupational Questionnaire(MBI-GS)was used to investigate the status quo of job burnout among nursing assistants in geriatric ward.Univariate and multivariate Logistic regression were used to analyze the influencing factors of job burnout among nursing assistants in geriatric ward.Results Among 200 nursing assistants,the incidence of job burnout was 49.00%(98/200),including 64.29%(63/98)mild burnout,23.47%(23/98)moderate burnout,12.24%(12/98)severe burnout.There were significant differences in working years,the time of taking care current elderly patients,average monthly income,working hours in one year,degree of respect from family members,job satisfaction and whether they had experienced provocation behaviors among nursing assistants with different job burnout levels(P<0.05).There were significant differences in elderly patients'age,vision status,pressure sore score,Instrumental Activity of Daily Living(IADL)score,Activity of Daily Living(ADL)score among nursing assistants with different job burnout levels(P<0.05).Logistic regression analysis showed that working years,average monthly income,annual working hours,degree of respect from family members,experienced aggressive behavior,and visual status,pressure sore score,IADL score,ADL score of the elderly patients were the influencing factors of job burnout among nursing assistants in geriatric ward(P<0.05).Conclusions Nursing assistants in geriatric ward generally have job burnout,mainly mild burnout,and working years,average monthly income,annual working hours,degree of respect from family members,experienced aggressive behavior,and visual status,pressure ulcer score,IADL score and ADL score of the elderly patients were the influencing factors of job burnout.
作者
牛晓晨
张紫薇
彭菲
武力
Niu Xiaochen;Zhang Ziwei;Peng Fei;Wu Li(Medical Insurance Department,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China)
出处
《中华现代护理杂志》
2022年第35期4946-4953,共8页
Chinese Journal of Modern Nursing
基金
首都医科大学附属北京友谊医院院启动基金(yyqdkt2020-41)。
关键词
老年护理学
护理员
职业倦怠
老年病房
影响因素
Geriatric nursing
Nursing assistants
Job burnout
Geriatric ward
Influencing factors
