CAJ | 학술논문

目的：了解造血干细胞移植层流病房低年资护士工作中的主要压力源，分析职业压力与职业倦怠的相关性。方法采用护理人员压力源调查表和Maslach倦怠量表对造血干细胞移植层流病房62名低年资护士进行职业压力与职业倦怠的调查，对调查结果进行相关性分析。结果62名护士在感情衰竭、情感疏远、成就感缺乏各维度得分分别为（17．79±6．85），（13．25±9．65），（32．69±7．42）分，不同年龄护士工作倦怠各维度得分比较差异无统计学意义（F值分别为0．83，0．69，1．56；P＞0．05）；不同文化程度护士情感疏远维度得分比较差异有统计学意义（F＝10．32，P＜0．05）。前5位压力源为担心差错和事故、工作负荷大、待遇不满意、处于不良工作环境中、护理管理者的理解和支持不够；压力源与工作倦怠进行相关分析显示上述压力源均与感情衰竭均相关（r值分别为0．202，0．325，0．205，0．207，0．243；P＜0．05）；护理管理者的理解和支持不够与情感疏远、成就感缺乏有关（ r 值分别为0．321，-0．159；P＜0．05）。结论造血干细胞移植层流病房低年资护士存在的职业压力不容忽视，应加强人力资源管理，提高护士对工作压力源的认知及耐受力，营造良好的工作环境，提高护士的素质和社会地位。
목적：료해조혈간세포이식층류병방저년자호사공작중적주요압력원，분석직업압력여직업권태적상관성。방법채용호리인원압력원조사표화Maslach권태량표대조혈간세포이식층류병방62명저년자호사진행직업압력여직업권태적조사，대조사결과진행상관성분석。결과62명호사재감정쇠갈、정감소원、성취감결핍각유도득분분별위（17．79±6．85），（13．25±9．65），（32．69±7．42）분，불동년령호사공작권태각유도득분비교차이무통계학의의（F치분별위0．83，0．69，1．56；P＞0．05）；불동문화정도호사정감소원유도득분비교차이유통계학의의（F＝10．32，P＜0．05）。전5위압력원위담심차착화사고、공작부하대、대우불만의、처우불량공작배경중、호리관리자적리해화지지불구；압력원여공작권태진행상관분석현시상술압력원균여감정쇠갈균상관（r치분별위0．202，0．325，0．205，0．207，0．243；P＜0．05）；호리관리자적리해화지지불구여정감소원、성취감결핍유관（ r 치분별위0．321，-0．159；P＜0．05）。결론조혈간세포이식층류병방저년자호사존재적직업압력불용홀시，응가강인력자원관리，제고호사대공작압력원적인지급내수력，영조량호적공작배경，제고호사적소질화사회지위。
Objective To investigate the correlation of occupational stress and job burnout in low seniority nurses of hematopoietic stem cell transplantation of laminar flow ward .Methods Using the general situation questionnaire and the Maslach burnout inventory , we surveyed 62 low seniority nurses from the hematopoietic stem cell transplantation of laminar flow ward .The nurses ’ occupational stress and job burnout were analyzed for their correlation .Results The scores of job burnout , alienation, lack of the sense of achievement were (17.79 ±6.85), (13.25 ±9.65) and (32.69 ±7.42).No significant differences were found in these aspects (F=0.83, 0.69, 1.56, respectively;P>0.05).The scores of job burnout in nurses with different cultural degree had significant difference (F=10.32,P<0.05).The top 5 pressure sources are worry about working mistakes , maximum workload , unsatisfied salary , poor working environment , lack the understanding and support from nursing managers .The results of pressure sources were associated with emotional exhaustion (r=0.202, 0.325, 0.205, 0.207, 0.243, respectively;P<0.05).Lack the understanding and support from nursing managers were related to alienation , lack of the sense of achievement ( r =0.321,-0.159, respectively;P<0.05).Conclusions The occupation pressure existed in the low seniority nurses from the hematopoietic stem cell transplantation of laminar flow ward should not be ignored .Nursing managers should strengthen the management of human resources , improve the acknowledgement of work tolerance , create a good working environment , and improve the quality and social status of nurses .