陈吉,罗紫祾,孙月,马琳,李脊,李秀芳,邓晓蓉.护士的专业自我概念：工作应激源及相关因素的影响[J].四川精神卫生杂志,2025,(2):178-183.Chen Ji,Luo Ziling,Sun Yue,Ma Lin,Li Ji,Li Xiufang,Deng Xiaorong,Professional self-concept of nurses： the influence of work stressors and related factors[J].SICHUAN MENTAL HEALTH,2025,(2):178-183

护士的专业自我概念：工作应激源及相关因素的影响

Professional self-concept of nurses： the influence of work stressors and related factors

投稿时间：2024-04-19

DOI：10.11886/scjsws20240419001

中文关键词: 工作应激源专业自我概念护士

英文关键词:Work stressors Professional self-concept Nurses

基金项目:绵阳市卫健委2021年科研课题（项目名称：新冠疫情下护士工作应激源对护理专业自我概念的影响，项目编号：202154）

作者	单位	邮编
陈吉	绵阳市中医医院，成都中医药大学附属绵阳医院，四川绵阳 621000	621000
罗紫祾	绵阳市中医医院，成都中医药大学附属绵阳医院，四川绵阳 621000	621000
孙月	北京大学护理学院，北京 100191	100191
马琳	成都中医药大学护理学院，四川成都 611137	611137
李脊	四川大学华西医院，四川成都 610041	610041
李秀芳	绵阳市中医医院，成都中医药大学附属绵阳医院，四川绵阳 621000	621000
邓晓蓉^*	绵阳市中医医院，成都中医药大学附属绵阳医院，四川绵阳 621000	621000

摘要点击次数:

全文下载次数:

中文摘要:

背景护士的专业自我概念是护士个人成长发展和职业规划的重要指标。既往研究表明，实习护生在实习期间的压力源可能会导致其专业自我概念水平下降，但实习护生与临床护士在社会角色上存在差别，护士专业自我概念和工作应激源之间的关系及其影响因素有待进一步研究。目的探讨护士工作应激源与专业自我概念的关系，以期为提高临床护士专业自我概念水平提供参考。方法于2022年12月—2023年2月，采用分层随机抽样法选取绵阳市中医医院260名在职护士为研究对象。采用中文版护士工作应激源量表（CNSS）和护理专业自我概念量表（PSCNI）进行评定。采用Pearson相关分析考查护士CNSS评分与PSCNI评分的相关性。采用多元线性回归分析探讨护士专业自我概念的影响因素。结果共238名（91.54%）护士完成有效问卷调查。不同婚姻状况的护士PSCNI总评分比较，差异有统计学意义（F=8.947，P<0.05）；有应急医疗救援经历的护士PSCNI总评分高于无应急医疗救援经历者（t=2.208，P<0.05）；最近一年体检有异常的护士PSCNI总评分低于体检无异常者（t=-2.584，P<0.05）。相关分析结果显示，护士CNSS总评分及各分量表评分与PSCNI总评分均呈负相关（r=-0.275~-0.169，P均<0.01）。多元线性回归分析结果显示，与护士期望相关的应激源、婚姻状况以及应急医疗救援经历可能是护士专业自我概念的影响因素（β=-0.350、0.345、0.183，P均<0.01）。结论护士工作应激源与专业自我概念水平密切相关，与护士期望相关的应激源水平过高可能导致护士专业自我概念水平下降。

英文摘要:

Background The professional self-concept of nurses is a crucial indicator for their personal growth， development and career planning. Previous studies have shown that work stressors during the internship period may lead to a decrease in the level of professional self-concept among nursing students. Given the existing differences in social roles between nursing students and clinical nurses， the influencing factors of professional self-concept in clinical nurses and its relationship with work stressors require further research.Objective To explore the relationship between work stressors and professional self-concept among nurses， so as to provide references for improving the level of professional self-concept of clinical nurses.Methods From December 2022 to February 2023， a stratified random sampling method was employed to select 260 in-service nurses from Mianyang Hospital of Traditional Chinese Medicine as the study subjects. Chinese Nurses Stressor Scale （CNSS） and Professional Self-concept of Nurses Instrument （PSCNI） were used for assessment. Pearson correlation analysis was conducted to examine the correlation between CNSS scores and PSCNI scores of nurses. Multiple linear regression analysis was utilized to explore the factors influencing the professional self-concept of nurses.Results A total of 238 nurses （91.54%） completed valid questionnaires. PSCNI total score yielded a statistical difference among nurses with different marital statuses （F=8.947， P<0.05）. PSCNI total scores were significantly higher in nurses with emergency medical service experience than those without such experience （t=2.208， P<0.05）， and were significantly lower in nurses with abnormal physical examination findings in the past year than those without abnormal findings （t=-2.584， P<0.05）. Correlation analysis revealed that CNSS total score and subscale scores were negatively correlated with PSCNI total score （r=-0.275~-0.169， P<0.01）. Multiple linear regression analysis indicated that work expectation-related stressors， marital status and emergency medical service experience might be influencing factors of their professional self-concept （β=-0.350， 0.345， 0.183， P<0.01）.Conclusion Nurses' work stressors are closely correlated with their professional self-concept， and high levels of stressors related to nurses' expectations may lead to a decrease in their professional self-concept levels. ［Funded by 2021 Research Project of Mianyang Municipal Health Commission （number， 202154）］

查看全文查看/发表评论下载PDF阅读器

关闭