CAJ | 학술논문

目的：探讨急重症护士群体工作压力、自尊、工作成就感之间的路径关系。方法采用便利抽样的方法，对265名急诊和重症监护室护士进行问卷调查。问卷主要包括一般资料问卷、护士职业倦怠调查表、自尊量表、护士压力源量表。结果共发放问卷265份，收回有效问卷255份，有效率为96.2％。年资1年、2～5年、5年以上护士工作方面压力评分分别为（3．03±0．40），（3．12±0．54），（3．06±0．39）分，差异有统计学意义（F＝23．534，P＝0．00）；年资1年、2～5年、5年以上护士自尊评分分别为（19．87±2．17），（20．19±1．98），（18．93±2．87）分，差异有统计学意义（F＝21．391，P＝0．00）；年资1年、2～5年、5年以上护士个人成就感评分分别为（4．18±1．64），（4．25±1．43），（4．20±1．63）分，差异有统计学意义（F＝18．733，P＝0．00）。急重症护士的工作成就感和工作压力各方面之间呈负相关（r＝-0．317，-0．271，-0．211，-0．231，-0．356；P＜0．05），与自尊呈正相关（r＝0．357，P＜0．01）。自尊在压力和工作成就感之间呈不完全中介效应，模型的拟合指数为χ2/df＝1．244，P＝0．305，RMSEA＝0.019，NFI＝0．977，RFI＝0．984，IFI＝0．987，TLI＝0．960，CFI＝0．937。结论急重症护士群体自尊在工作压力对工作成就感的作用之间中介效应显著。
목적：탐토급중증호사군체공작압력、자존、공작성취감지간적로경관계。방법채용편리추양적방법，대265명급진화중증감호실호사진행문권조사。문권주요포괄일반자료문권、호사직업권태조사표、자존량표、호사압력원량표。결과공발방문권265빈，수회유효문권255빈，유효솔위96.2％。년자1년、2～5년、5년이상호사공작방면압력평분분별위（3．03±0．40），（3．12±0．54），（3．06±0．39）분，차이유통계학의의（F＝23．534，P＝0．00）；년자1년、2～5년、5년이상호사자존평분분별위（19．87±2．17），（20．19±1．98），（18．93±2．87）분，차이유통계학의의（F＝21．391，P＝0．00）；년자1년、2～5년、5년이상호사개인성취감평분분별위（4．18±1．64），（4．25±1．43），（4．20±1．63）분，차이유통계학의의（F＝18．733，P＝0．00）。급중증호사적공작성취감화공작압력각방면지간정부상관（r＝-0．317，-0．271，-0．211，-0．231，-0．356；P＜0．05），여자존정정상관（r＝0．357，P＜0．01）。자존재압력화공작성취감지간정불완전중개효응，모형적의합지수위χ2/df＝1．244，P＝0．305，RMSEA＝0.019，NFI＝0．977，RFI＝0．984，IFI＝0．987，TLI＝0．960，CFI＝0．937。결론급중증호사군체자존재공작압력대공작성취감적작용지간중개효응현저。
Objective To explore the path relationship of working stress , self-esteem and the sense of achievement for acute critical care nurses .Methods Using the method of convenient sampling , a questionnaire survey was conducted on 265 emergency nurses and ICU nurses . The questionnaire included general information , nurse burnout scale , self-esteem scale and nurse stress scale .Results Totals of 265 questionnaires were distributed, and 255 questionnaires were returned , with an effective rate of 96.2%.The scores of stress scale for nurses who worked for one year , two-five years and over five years were (3.03 ±0.40), (3.12 ± 0.54) and (3.06 ±0.39), respectively.There was a significant difference among groups (F=23.534,P=0.00).The scores of self-esteem for nurses who worked for one year , two-five years and over five years were (19.87 ±2.17), (20.19 ±1.98) and (18.93 ±2.87), with a statistically significant difference (F=21.391, P=0.00) .The scores of working achievement for nurses who worked for one year , two-five years and over five years were (4.18 ±1.64), (4.25 ±1.43) and (4.20 ±1.63), and the difference was significant (F =18.733, P=0.00).There was a negative correlation between the critical nurses'working achievement and working stress (r=-0.317, -0.271, -0.211, -0.231, -0.356, respectively;P <0.05), and the working achievement and the self -esteem was positively related (r=0.357,P<0.01).The self-esteem was not completely intermediary between working stress and working achievement , and the indexes of model fitting were χ2/df=1.244,P=0.305, RMSEA=0.019, NFI=0.977, RFI=0.984, IFI=0.987, TLI=0.960, CFI=0.937.Conclusions Self-esteem plays a significant intermediary role between working stress and working achievement for acute and critical care nurses .