论文部分内容阅读
目的 调查支援武汉抗击新型冠状病毒疫情的护士感知医院伦理氛围和专业生活品质状况,并分析伦理氛围对专业生活品质的影响.方法 2020年3-4月,采用便利抽样法选取支援武汉的抗疫护士作为调查对象,采用一般情况调查表、医院伦理氛围量表和护士专业生活品质量表进行网络问卷调查.采用描述性统计方法,数据分析采用t检验、方差分析、Pearson相关分析和多元线性回归分析.结果 共回收236份问卷,其中有效问卷219份用于统计分析.参加调查的护士年龄为(31.2±5.0)岁,80.4％(176/219)为女性,66.2％(145/219)已婚.在专业生活品质方面,58.9％(129/219)和41.1％(90/219)的护士分别报告了中、高水平的同情心满意;45.7％(100/219)和54.3％(119/219)的护士分别报告了中、低等水平的职业倦怠;36.0％(67/219)和4.6％(10/219)的护士分别报告了低和高水平的继发创伤性压力.在医院伦理氛围方面,护士报告了中等至高水平的医院伦理氛围,平均得分为4.46.多元线性回归分析显示,在控制一般资料的影响后,医院伦理氛围的“与医生的关系”维度与同情心满意(β=0.533,P＜0.01)和倦怠(β=-0.237,P＜0.05)独立相关;医院伦理氛围的“与同伴的关系”维度与继发创伤性压力(β=-0.191,P＜0.01)独立相关.结论 在疫情初期,护士表现出中等至高水平的同情心满意,低至中等水平的倦怠,经历了不同程度的继发创伤性压力,同时感知到较高水平的医院伦理氛围.在突发重大传染病大流行期间,通过改善护士感知的医院伦理氛围有助于提升护士的专业生活品质.“,”Objectives:To describe the professional quality of life and explore its associated factors among nurses coming from other areas of China to assist with the anti-epidemic fight in Wuhan and especially examine whether the hospital ethical climate was independently associated with nurses' professional quality of life.Methods:A cross-sectional online survey was conducted from March 2020 to April 2020.The nurses working in Wuhan from the other parts of China were the target population.The Professional Quality of Life Scale version 5,the Hospital Ethical Climate Survey,and a basic information sheet were used to collect data.Descriptive statistics,t-test,ANOVA,Pearson correlation,and multiple linear regression analysis were used to analyze the data.Results:In total,236 nurses participated in this study,and 219 valid questionnaires were analyzed.The average age of the participants was 31.2 ± 5.0 years.Most nurses were female (176/219;80.4％) and married (145/219;66.2％).In term of professional quality of life,nurses reported moderate (129/219;58.9％) to high (90/219;41.1％) levels of compassion satisfaction,low (119/219;54.3％) to moderate (100/219;45.7％) levels of burnout,and low (67/219;36.0％) to high (10/219;4.6％) levels of secondary trau-matic stress.Regarding hospital ethical climate,nurses reported moderately high hospital ethical cli-mates with an average score of 4.46.After controlling for socio-demographic characteristics,the multiple linear regression models showed that the hospital ethical climate subscale of “relationship with physi-cians” was independently associated with the compassion satisfaction (β =0.533,P ＜ 0.01) and burnout(β =-0.237,P ＜ 0.05);the hospital ethical climate subscale of “relationship with peers” (β =-0.191,P ＜ 0.01) was independently associated with the secondary traumatic stress.Conclusions:During the early stage of the pandemic,nurses demonstrated moderate to high level of compassion satisfaction,low to moderate level of burnout,and all nurses experienced secondary trau-matic stress.Nurses perceived a high level of hospital ethical climate,and the perceived hospital ethical climate played an important role in promoting nurses' professional quality of life during a life-threatening infectious disease pandemic.