CAJ | 학술논문

目的：分析新疆某三甲医院护士职业倦怠现状及其影响因素，以期为采取合理的干预措施提供科学依据。方法采用整群抽样的方法，抽取新疆某三甲医院内科、外科、门诊和其他科室工作1 a以上（含1 a）的女性护士688名，应用基本情况调查量表和职业倦怠问卷（CMBI）调查护士的一般情况、工作倦怠情况，比较不同工龄、不同学历、不同夜班频率护士职业倦怠水平的差异，并对影响职业倦怠的因素进行Logistic分析。结果688名护士中以汉族为主（641．％），工龄以＜5 a和5～15 a为主。不同工龄护士个人成就感降低、人格解体、情绪耗竭和工作倦怠总分差异有统计学意义（P ＜00．5）。不同学历水平护士人格解体、情绪耗竭、工作倦怠得分差异有统计学意义。不同夜班频率护士个人成就感降低、人格解体、情绪耗竭和工作倦怠得分差异具有统计学意义（P ＜00．5）。工龄和夜班频率是职业倦怠的影响因素。护理人员职业倦怠水平与国外M aslach常模比较差异有统计学意义（P ＜00．5）。结论职业倦怠受个体特征因素影响；多夜班工作是发生工作倦怠的危险因素，应当在个人层面加强自身应对和组织管理层面采取干预措施，降低工作倦怠的风险，提高护士职业健康水平。
목적：분석신강모삼갑의원호사직업권태현상급기영향인소，이기위채취합리적간예조시제공과학의거。방법채용정군추양적방법，추취신강모삼갑의원내과、외과、문진화기타과실공작1 a이상（함1 a）적녀성호사688명，응용기본정황조사량표화직업권태문권（CMBI）조사호사적일반정황、공작권태정황，비교불동공령、불동학력、불동야반빈솔호사직업권태수평적차이，병대영향직업권태적인소진행Logistic분석。결과688명호사중이한족위주（641．％），공령이＜5 a화5～15 a위주。불동공령호사개인성취감강저、인격해체、정서모갈화공작권태총분차이유통계학의의（P ＜00．5）。불동학력수평호사인격해체、정서모갈、공작권태득분차이유통계학의의。불동야반빈솔호사개인성취감강저、인격해체、정서모갈화공작권태득분차이구유통계학의의（P ＜00．5）。공령화야반빈솔시직업권태적영향인소。호리인원직업권태수평여국외M aslach상모비교차이유통계학의의（P ＜00．5）。결론직업권태수개체특정인소영향；다야반공작시발생공작권태적위험인소，응당재개인층면가강자신응대화조직관리층면채취간예조시，강저공작권태적풍험，제고호사직업건강수평。
Objective To investigate nurses′job burnout in a hospital and its influencing factors in order to provide a scientific basis for taking reasonable interventions .Methods 688 nurses who have been working more tan one year in different departments were sampled .They were given a general survey for their per-sonal information and background and a questionnaire for job burnout .The data was collected and analyzed by logistic method .Results Han nurses accounted for the main body in 688 female nurses (64 1.% ) .The working time is less than 5 years or from 5 years to 15 years .The influence factors of job burnout include working time ,educational level ,night shift frequency .The scores in job satisfaction ,sense of fulfillment , depersonalization ,emotional exhaustion and job burnout have statistical significance (P < 0 .05 ) . Conclusion Job burnout can be influenced by personal factors .Frequent night shifts may induce job burn-out .Both nurses and hospital managements should take some positive measures to reduce the occurrence of job burnout and to promote occupational health .