CAJ | 학술논문

目的探讨护士职业枯竭程度与唾液溶菌酶活力的关系.方法采用唾液收集管以咀嚼方式采集131名调查对象连续2个工作日4个时间点的唾液样本,采集时间点为基线(8:00)、上午班中(10:00)、下午班中(15:30)、恢复期(17:30),同时每名调查对象完成1份职业枯竭调查问卷,问卷主要调查一般人口学特征、职业枯竭水平.使用偏相关分析、多元逐步回归分析对资料进行统计处理.结果不同年龄、工龄、学历间唾液溶菌酶活力的差异均有统计学意义,与≤30岁组比较,30～35岁组、＞35岁组的工作期活力和平均活力明显降低,差异有统计学意义(P＜0.05);＞35岁组恢复期低于≤30岁组,差异有统计学意义(P＜0.05);＞15年组工作期活力、平均活力均低于≤10年组,差异有统计学意义(P＜0.05);大学(大专)及以上组的工作期和平均活力均低于高中(中专)及以下组,差异有统计学意义(P＜0.05).职业枯竭及其3个维度均与唾液溶菌酶活力呈显著负相关(P＜0.01).人格解体和情感耗竭是基线唾液溶菌酶活力的负面影响因素;情感耗竭和个人成就感是工作期唾液溶菌酶活力的负面影响因素;个人成就感是恢复期、平均唾液溶菌酶活力的负面影响因素.结论唾液溶菌酶活力对护士职业枯竭是敏感的,可以作为职业枯竭的客观评价指标.
목적 탐토호사직업고갈정도여타액용균매활력적관계.방법 채용타액수집관이저작방식채집131명조사대상련속2개공작일4개시간점적타액양본,채집시간점위기선(8:00)、상오반중(10:00)、하오반중(15:30)、회복기(17:30),동시매명조사대상완성1빈직업고갈조사문권,문권주요조사일반인구학특정、직업고갈수평.사용편상관분석、다원축보회귀분석대자료진행통계처리.결과 불동년령、공령、학력간타액용균매활력적차이균유통계학의의,여≤30세조비교,30～35세조、＞35세조적공작기활력화평균활력명현강저,차이유통계학의의(P＜0.05);＞35세조회복기저우≤30세조,차이유통계학의의(P＜0.05);＞15년조공작기활력、평균활력균저우≤10년조,차이유통계학의의(P＜0.05);대학(대전)급이상조적공작기화평균활력균저우고중(중전)급이하조,차이유통계학의의(P＜0.05).직업고갈급기3개유도균여타액용균매활력정현저부상관(P＜0.01).인격해체화정감모갈시기선타액용균매활력적부면영향인소;정감모갈화개인성취감시공작기타액용균매활력적부면영향인소;개인성취감시회복기、평균타액용균매활력적부면영향인소.결론 타액용균매활력대호사직업고갈시민감적,가이작위직업고갈적객관평개지표.
Objective To investigate the correlation between nurse job burnout and salivary lysozyme activity.Methods The saliva samples of 131 subjects were collected at four time points for two consecutive days with saliva collection tubes.The acquisition time points were 8:00 (baseline concentration),10:00 (morning),15:30 (afternoon),and 17:30 (recovery period).At the same time every subjects completed the job burnout questionnaire to investigate their general demographic characteristics and job burnout level.The salivary lysozyme concentration was measured with ELISA.The data were analyzed by partial correlation analysis and multiple stepwise regression analysis.Results There were significant differences in the salivary lysozyme activity between subjects with different ages,working years,and education levels.The work period vitality and the average energy of ≤ 30 age group were higher than other two groups and the recovery energy was higher than ＞35 age group.Working period vitality,the average energy of group ＞15 years were less than ≤ 10 years group.The work period energy and the average energy of university (college) and above group were lower than high school (secondary) and the following group.Job burnout and its three dimensions had a significant negative correlation with salivary lysozyme concentration (P＜0.01).Depersonalization and emotional exhaustion were the negative impact factors for salivary lysozyme activity at baseline.Emotional exhaustion and personal fulfillment were the negative impact factors for salivary lysozyme activity during the working period.Personal fulfillment was the negative factor for salivary lysozyme activity during the recovery period and the average salivary lysozyme activity.Conclusion Salivary lysozyme activity is sensitive for nurse job burnout,so it can be used as an objective evaluation index of job burnout.