CAJ | 학술논문

目的：：探讨护患关系对临床护士职业倦怠的影响，并提出相应的对策。方法：采用护士调查问卷和马氏职业倦怠量表( MBI-HSS)调查450名临床护士，分析不同护患关系对临床护士职业倦怠的影响。结果：影响护士职业倦怠检出率的因素是：护士执业环境自评状况、患者信任度、患者尊重度；影响各维度得分因素有：护士执业环境自评状况、患者信任度、患者尊重度、患者服务满意度，其中，执业环境自评好、患者信任度高、患者尊重度高的护士，情感衰竭、去人格化得分较低，职业倦怠程度轻(P<0.05)；得分越高，其职业倦怠程度越重(P<0.05)。结论：护患关系是影响临床护士职业倦怠的重要因素，医院管理者应注重构建良好的护患关系和执业环境，从个体、组织、社会三个层面寻找积极的对策，从而预防和减少护士职业倦怠的发生。
목적：：탐토호환관계대림상호사직업권태적영향，병제출상응적대책。방법：채용호사조사문권화마씨직업권태량표( MBI-HSS)조사450명림상호사，분석불동호환관계대림상호사직업권태적영향。결과：영향호사직업권태검출솔적인소시：호사집업배경자평상황、환자신임도、환자존중도；영향각유도득분인소유：호사집업배경자평상황、환자신임도、환자존중도、환자복무만의도，기중，집업배경자평호、환자신임도고、환자존중도고적호사，정감쇠갈、거인격화득분교저，직업권태정도경(P<0.05)；득분월고，기직업권태정도월중(P<0.05)。결론：호환관계시영향림상호사직업권태적중요인소，의원관리자응주중구건량호적호환관계화집업배경，종개체、조직、사회삼개층면심조적겁적대책，종이예방화감소호사직업권태적발생。
Objective:To explore the influence of nurse-patient relationship on job burnout of clinical nurses so as to put forward the corresponding countermeasures. Methods:450 clinical nurses were investigated by using the general questionnaire for nurses and the job burnout inventory ( MBI-HSS) . Results:The factors influencing the detection rate of job burnout of nurses were:the self-assessment of nurse′s worKing environment,the degree of patient′s trust and respect;the factors influencing the score of each dimension were:the self-assessment of nurse′s worKing environment,the degree of patient's trust and respect and the patient's satisfaction with nursing service ( P<0. 05);the higher the scores were,the heavier the degree of job burnout was (P<0. 05). Conclusion:The nurse-patient relationship is one of important factors influencing job burnout of clinical nurses,so hospital managers should focus on building a good nurse-patient re-lationship and good worKing environment and looKing for positive countermeasures from three aspects of individual,organization and society to prevent and reduce the occurrence of job burnout of nurses.