基层医院手术室护士工作压力现状及影响因素分析

Analysis of Working Pressure Status Factors of Operating Room Nurses in Primary Hospitals

摘要: 目的：本研究旨在探讨基层医院手术室护士的工作压力现状及其影响因素，为制定有效的减压策略和提高手术室护理服务质量提供依据。方法：于2024年6月~2024年10月采用手术室护士一般情况调查表、中国护士压力源量表及自我效能感量表对广西百色市两家基层县级中医医院、两家县级综合医院、的手术室护士进行工作压力现状及影响因素进行调查。结果：研究共纳入113名基层手术室护士。基层医院手术室护士的工作压力得分为(80.26 ± 9.07)分，处于中等水平；自我效能感得分为(28.70 ± 3.40)分。Pearson相关分析显示，手术室护士的工作压力与自我效能感呈负相关(r = −0.495, P < 0.001)；多元线性回归分析结果显示，年龄、职称、子女数量及自我效能感是影响基层手术室护士工作压力的主要因素(P < 0.05)。结论：广西百色市基层医院手术室护士的工作压力处于中等水平，年龄、子女数量、职称、自我效能感是影响手术室护士工作压力的影响因素，需根据影响因素从多方面采取措施降低其工作压力，如优化工作环境、合理配置人力资源、提高护士的职业认同感等，从而提升手术室护理工作质量和护士的满意度。

Abstract: Objective: The purpose of this study was to explore the current situation and influencing factors of working pressure of operating room nurses in primary hospitals, and to provide a basis for formulating effective decompression strategies and improving the quality of operating room nursing services. Methods: From June 2024 to October 2024, the general situation questionnaire of operating room nurses, the Chinese Nurse Stressor Scale and the Self-Efficacy Scale were used to investigate the working pressure status and influencing factors of operating room nurses in two grass-roots county-level traditional Chinese medicine hospitals and two county-level general hospitals in Baise City, Guangxi. Results: A total of 113 primary operating room nurses were included in the study. The working pressure score of operating room nurses in primary hospitals was (80.26 ± 9.07) points, which was at a medium level; the score of self-efficacy was (28.70 ± 3.40). Pearson correlation analysis showed that the working pressure of operating room nurses was negatively correlated with self-efficacy (r = −0.495, P < 0.001). The results of multiple linear regression analysis showed that age, professional title, number of children and self-efficacy were the main factors affecting the work stress of primary operating room nurses (P < 0.05). Conclusion: The working pressure of operating room nurses in primary hospitals in Baise City, Guangxi is at a medium level. Age, number of children, professional title and self-efficacy are the influencing factors of working pressure of operating room nurses. It is necessary to take measures to reduce their working pressure from various aspects according to the influencing factors, such as optimizing the working environment, rationally allocating human resources, and improving the professional identity of nurses, so as to improve the quality of nursing work in operating room and the satisfaction of nurses.