CAJ | 학술논문

目的：了解北京大学肿瘤医院合同制护士工作倦怠和压力应对方式的现状,为肿瘤专科医院合同制护士职业压力的管理提供有效依据.方法采用 Maslach职业倦怠量表和压力应对方式问卷对北京大学肿瘤医院261名合同制护士进行调查.结果261名合同制护士存在一定职业倦怠现象,工作倦怠量表3个维度的得分均高于 Maslach常模(均P＜0．01)；不同科室、护龄的合同制护士应对方式问卷的得分差异有统计学意义(均P＜0．05)；合同制护士的情感衰竭(emotional exhaus-tion,EE)、去人格化(depersonalization,DP)维度与应对方式的退避、幻想和自责维度均呈正相关,与求助、合理化及解决问题维度均呈负相关(均P＜0．05)；个人成就感降低(reduced personal accomplishiment,PA)维度与退避、幻想和自责维度均呈负相关,与求助、合理化及解决问题维度均呈正相关(均P＜0．05).结论医院管理者应针对合同制护士的特点,制定较为完善的合同制护士考核制度,提供良好的工作环境,以促进其身心健康.
목적：료해북경대학종류의원합동제호사공작권태화압력응대방식적현상,위종류전과의원합동제호사직업압력적관리제공유효의거.방법채용 Maslach직업권태량표화압력응대방식문권대북경대학종류의원261명합동제호사진행조사.결과261명합동제호사존재일정직업권태현상,공작권태량표3개유도적득분균고우 Maslach상모(균P＜0．01)；불동과실、호령적합동제호사응대방식문권적득분차이유통계학의의(균P＜0．05)；합동제호사적정감쇠갈(emotional exhaus-tion,EE)、거인격화(depersonalization,DP)유도여응대방식적퇴피、환상화자책유도균정정상관,여구조、합이화급해결문제유도균정부상관(균P＜0．05)；개인성취감강저(reduced personal accomplishiment,PA)유도여퇴피、환상화자책유도균정부상관,여구조、합이화급해결문제유도균정정상관(균P＜0．05).결론의원관리자응침대합동제호사적특점,제정교위완선적합동제호사고핵제도,제공량호적공작배경,이촉진기신심건강.
Objective To understand the current status of contract based nurse’s job burnout levels and coping styles in Peking Cancer Hospital,and to provide the basis for effective management of occupational stress.Methods By using Maslach job burnout scale and pressure coping style questionnaire to investigate 261 nurses employed under contract of Peking Cancer Hospitals.Results All 261 nurses had certain level of job burnout,the score of the 3 dimension of job burnout scale were higher than normal Maslach (all P<0.01).There were statistic significance of score of coping style questionnaire between contract nurses in different department and working years (all P<0.05).The EE and DP dimension were positively correlated with withdraw,fantasy and self blaming dimension,and negatively correlated with seek help and reasonable and problem solving dimension (all P<0.05).Reduced PA dimension was negatively correlated with with-draw,fantasy and self blaming dimension,and positively correlated with seek help and reasonable and prob-lem solving dimension (all P<0.05).Conclusion Hospital management should come up with a more per-fect assessment system based on the characteristic of contract based nurses,and provide good working envi-ronment to promote their health in both mental and physical.