医学教育管理

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ICU护士工作压力与情感支持护理缺失的关联及影响因素研究

  

  1. 1.首都医科大学宣武医院妇产科,北京 100053; 2.首都医科大学附属同仁医院护理部,北京 100005; 3.首都医科大学宣武医院ICU,北京 100005; 4.首都医科大学宣武医院护理部,北京 100053
  • 收稿日期:2025-11-05 修回日期:2026-04-27 出版日期:2026-07-02 发布日期:2026-07-02
  • 基金资助:
    北京市属医院科研培育计划项目(PG202315)

The association between work stress and missed emotional support nursing among ICU nurses

  1. 1.Department of Gynecology and Obstetrics, Xuanwu Hospital, Capital Medical University, Beijing 100053, China; 2. Department of Nursing, Affiliated Tongren Hospital, Capital Medical University, Beijing 100005, China; 3. ICU, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;4.Department of Nursing, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2025-11-05 Revised:2026-04-27 Online:2026-07-02 Published:2026-07-02

摘要:  目的 探究北京市重症监护室(Intensive Care Unit,ICU)护士的工作压力与情感支持护理缺失的关联及影响因素。方法 采用护理压力源量表、护理缺失量表对北京市3家三甲医院350名ICU护士进行问卷调查,采用Pearson相关分析和多元线性分层回归分析探讨ICU护士工作压力与情感支持护理缺失的关系及其影响因素。结果 ICU护士情感支持护理缺失得分为(1.97±0.10)分。不同文化程度、职称ICU护士的情感支持护理缺失得分差异有统计学意义(F=3.937、9.891,均P<0.05)。ICU护士工作压力总分为(92.59±15.92)分,工作压力与情感支持护理缺失呈弱正相关(r=0.208,P<0.05)。多元线性分层回归分析显示,“非护理性的工作太多”是ICU护士情感支持护理缺失的独立影响因素(t=2.331,P=0.020)。结论 ICU护士工作压力与情感支持护理缺失存在关联,其中非护理性工作过多可能增加情感支持护理缺失风险。建议护理管理者通过优化工作流程、减少非护理性事务和完善辅助支持系统,促进ICU护士情感支持护理的落实。


关键词: 重症监护室, 护士, 工作压力, 护理缺失, 情感支持

Abstract: Objective To investigate the impact of work stressors on ICU nurses' emotional support in Beijing.Methods A nursing missed scale, and a nursing stressors scale were used to survey 350 ICU nurses from three tertiary general hospitals in Beijing. Pearson correlation analysis and hierarchical multiple linear regression were performed to analyze the association between work stress and missed emotional support nursing. Results The score of missed emotional support nursing was 1.97±0.10. Significant differences in missed emotional support nursing were found among ICU nurses with different educational levels and professional titles (F=3.937 and 9.891, both P<0.05). The total work stress score was 92.59±15.92. Work stress was weakly and positively correlated with missed emotional support nursing (r=0.208, P<0.05). Hierarchical multiple linear regression showed that excessive non-nursing work was an independent influencing factor for missed emotional support nursing among ICU nurses (t=2.331, P=0.020). Conclusion Work stress is associated with missed emotional support nursing among ICU nurses, and excessive non-nursing work may increase the risk of missed emotional support nursing. Nursing managers should optimize workflows, reduce non-nursing tasks, and improve support systems to promote the implementation of emotional support nursing in ICU settings.


Key words:  intensive care unit;nurses, occupational stress, missed nursing care, emotional support