吴素云，李柏慧，蔡瑞卿，刘秋婵，刘龙珍

引用本文： 吴素云，李柏慧，蔡瑞卿，刘秋婵，刘龙珍.肿瘤医院护士生活质量和工作疲溃感相关性分析[J].全科护理,2021,19(8):1013-1016

摘要： 目的：调查肿瘤医院护士生活质量与工作疲溃感，并探究两者细分维度上的相关性,为肿瘤医院护士服务管理改善提供依据。方法：通过整体随机抽样对广州市某肿瘤专科医院168名护士进行问卷调查，调查内容包括一般资料调查表、世界卫生组织生存质量测定简表、摩斯腊克工作疲溃量表。结果：肿瘤医院护士生活质量4个维度中生理健康、心理健康、社会关系领域分值低于常模，差异有统计学意义（P＜0.01）；工作疲溃中的情绪疲溃感和工作冷漠感两个维度得分均显著高于常模,工作无成就感得分低于常模（P＜0.01）；肿瘤医院护士生活质量与工作疲溃感有相关性，其中情绪疲溃感与生理健康、心理健康、社会关系、周围环境维度呈负相关（P＜0.01）,工作冷漠感分别和生理健康、社会关系、心理健康、周围环境呈正相关（P＜0.05）;工作无成就感与生理健康、周围环境呈负相关（P＜0.05）。结论：肿瘤医院护士生活质量和工作疲溃感现状亟需改善，建议从职业培训和环境提升等多维度、多领域入手采取综合措施改善护理服务质量。

关键词： 肿瘤医院；生活质量；工作疲溃感；护理管理；相关性

作者简介： 吴素云，护师，本科，单位：510060，中山大学肿瘤防治中心；李柏慧、蔡瑞卿（通讯作者）、刘秋婵、刘龙珍单位：510060，中山大学肿瘤防治中心。

WU Suyun,LI Baihui,CAI Ruiqing,LIU Qiuchan,LIU Longzhen

Abstract To investigate the quality of life (QOL) and job burnout of nurses in cancer hospitals,and to explore the correlation between the two subdivision dimensions,to provide a basis for improving the service management of nurses in cancer hospitals.Methods:A questionnaire survey was conducted among 168 nurses in a cancer specialist hospital in Guangzhou through random sampling.The survey content included a general information questionnaire,The World Health Organization Quality of Life (WHOQOL)BREF,and Maslach Burnout Inventory (MBI).Results:The scores of physical health,mental health,and social relations in the four dimensions of QOL of nurses in cancer hospitals were lower than the norm,and the difference was statistically significant (P＜0.01).The scores of emotional exhaustion and depersonalization in the two dimensions of job burnout were significantly higher than the norm,and the score of personal accomplishment was lower than the norm (P＜0.01).The QOL of nurses in cancer hospitals was correlated with job burnout,among which emotional exhaustion was negatively correlated with physical health,mental health,social relations,and the surrounding environment (P＜0.01).The depersonalization was positively correlated with physical health,social relations,mental health,and the surrounding environment (P＜0.05);The personal accomplishment was negatively correlated with physical health and the surrounding environment (P＜0.05).Conclusions:The QOL and job burnout of nurses in cancer hospitals need to be improved urgently.Comprehensive measures should be taken to improve the quality of nursing service from multiple dimensions and fields such as vocational training and environmental improvement.

Keywords cancer hospital;quality of life;job burnout;nursing

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