| 田爱利,李美美,张乐乐,伦冰.单中心产科护士职业压力与工作满意度现状及影响因素[J].济宁医学院学报,2026,49(3):211-215 |
| 单中心产科护士职业压力与工作满意度现状及影响因素 |
| A single-center investigation of occupational stress and job satisfaction among obstetric nurses and analysis of influencing factors |
| 投稿时间：2026-02-05 |
| DOI：10.3969/j.issn.1000-9760.2026.03.004 |
| 中文关键词: 产科护士 职业压力 工作满意度 CNSS量表 护理管理 |
| 英文关键词: Obstetric nurses Occupational stress Job satisfaction Chinese Nurse Stressor Scale (CNSS) Nursing management |
| 基金项目:河南省医学科技攻关计划项目(LHGJ20220551) |
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| 摘要点击次数: 252 |
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| 中文摘要: |
| 目的 三孩政策实施后,高龄高危产妇比例攀升,产科护理风险与工作强度双重增加,护士职业压力与工作满意度直接关联母婴安全,本研究旨在分析当前产科护士压力与工作满意度现状及其关键影响因素,以期为产科护理管理干预提供依据。方法 选自郑州大学第三附属医院于2024年6月至2025年6月在职的249名产科护士,采用中国护士职业压力源量表(CNSS)及自制工作满意度调查问卷分别统计其职业压力与工作满意度情况。同时采集其一般资料,比较不同人口学特征产科护士的工作满意度差异,对影响其工作满意度的相关因素进行多因素logistic回归分析。结果 249名产科护士CNSS量表总分(105.01±3.40)分,其中重度压力156例(62.65%),中度压力73例(29.32%),轻度压力20例(8.03%)。不同职称、婚姻情况、学历、用工形式、月均收入及职业压力的产科护士工作满意度差异均有统计学意义(P＜0.05)。多因素logistic回归分析结果显示,低级职称(OR=1.669,95%CI:1.225~6.032,P=0.08)、已婚(OR=1.829,95%CI:1.404~5.997,P=0.014)、本科学历(OR=1.579,95%CI:1.120~6.004,P=0.011)、合同制聘用(OR=1.880,95%CI:1.306~10.985,P=0.002)、月均收入≤5 000元(OR=1.992,95%CI:1.403~12.352,P=0.001)、重度职业压力(OR=1.747,95%CI:1.239~11.197,P=0.002)是影响产科护士工作满意度的危险因素。结论 产科护士职业压力高、满意度低,职称、职业压力等6项因素为主要影响因子。需从薪酬激励、职称晋升及家庭支持等多维度构建针对性干预策略,以稳定产科护理队伍。 |
| 英文摘要: |
| Objective Following the implementation of the three-child policy,the proportion of elderly and high-risk parturients has risen markedly,leading to a dual increase in obstetric nursing risks and workload intensity.Occupational stress and job satisfaction among obstetric nurses are directly associated with maternal and infant safety.This study aimed to investigate the current status of occupational stress and job satisfaction among obstetric nurses,and to identify their key influencing factors,so as to provide evidence for targeted nursing management interventions in obstetrics.Methods A total of 249 obstetric nurses employed at the Third Affiliated Hospital of Zhengzhou University between June 2024 and June 2025 were enrolled.The Chinese Nurse Stressor Scale (CNSS) and a self-developed job satisfaction questionnaire were used to assess occupational stress and job satisfaction,respectively.General demographic data were collected,and differences in job satisfaction among nurses with different characteristics were compared.Multivariate Logistic regression analysis was performed to identify factors associated with job satisfaction.Results The mean total CNSS score among the 249 obstetric nurses was 105.01±3.40. 156 (62.65%) reported severe occupational stress,73 (29.32%) moderate stress, and 20 (8.03%) mild stress among them.Differences in job satisfaction were statistically significant across groups stratified by professional title,marital status,educational level,employment form,average monthly income,and occupational stress level (all P＜0.05).Multivariate logistic regression analysis demonstrated that primary professional title (OR=1.669,95%CI:1.225~6.032,P=0.008),married status (OR=1.829,95%CI:1.404~5.997,P=0.014),bachelor's degree (OR=1.579,95%CI:1.120~6.004,P=0.011),contract employment (OR=1.880,95%CI:1.306~10.985,P=0.002),average monthly income≤5 000 RMB (OR=1.992,95%CI:1.403~12.352,P=0.001),and severe occupational stress (OR=1.747,95%CI:1.239~11.197,P=0.002) were independent factors for reduced job satisfaction.Conclusion Obstetric nurses experience high levels of occupational stress and low job satisfaction.Six variables,including professional title and occupational stress,are the main influencing factors.Targeted intervention strategies should be developed across multiple dimensions,such as salary incentives,professional promotion pathways,and family support,to stabilize the obstetric nursing workforce. |
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