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护士人群健康生产力受损现状及相关因素研究

Current status of health-related productivity loss and its risk factors in nurses

摘要:

目的 探讨护士人群健康生产力损失现状及相关影响因素.方法 采用美国斯坦福健康生产力受损量表(SPS-6)和自制调查问卷对长春市某三甲医院1122名在职护士进行健康生产力损失现状调查,定量分析健康生产力损失现状及其相关影响因素.结果 1122名研究对象中,在编护士年龄、工作年限均显著大于聘用护士(Z=-19.49、-19.28,P<0.05).SPS-6量表平均得分(20.05±4.37)分.在婚护士得分明显低于婚姻状况为其他者(Z=-3.52,P<0.05);年龄小于30岁的护士得分明显高于30岁以上者(Z=-2.49,P<0.05).文化程度及科室类别不同的护士SPS-6得分间差异无统计学意义(Z=-1.37,x2=0.58;P >0.05).GLM多因素分析结果显示:编制性质、工作年限是影响护士健康生产力受损程度的独立因素,在编护士得分明显低于聘用制护士(x2=4.48,P<0.05);工作年限为3年以下者得分明显高于工作年限为3年及以上者(x2=12.89,P<0.05).结论 护理人员中存在健康生产力受损,加强在编护士管理,提高护士健康水平,将有助于减低生产力损失.

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abstracts:

Objective To explore current status of health-related productivity loss and its risk factors among nurses.Methods Stanford presenteeism scale (SPS-6) and self-designed questionnaire were used to investigate current status of health-related productivity loss and its risk factors among 1122 nurses working in a tertiary hospital in Changchun city.Results Compared with hired nurses,age and work seniority of permanent nurses were significantly higher(Z =-19.49,-19.28 ;P <0.05).The average score of SPS-6 of all the participants was 20.05 ± 4.37.The score of SPS-6 of married nurses was significantly lower than other nurses (Z =-3.52,P < 0.05) ; and the score of SPS-6 of nurses less than 30 years old was significantly higher than those above 30 years old (Z =-2.49,P < 0.05).There were no significant differences between the SPS-6 score of education degree and department.(Z =-1.37,x2 =0.58 ; P >0.05).The result of GLM showed that employment status and work seniority were independent risk factors of health-related productivity loss among nurses.The scores of SPS-6 of permanent nurses was significantly lower than hired nursed (x2 =4.48,P < 0.05),and those who had worked for less than 3 years showed significantly higher score of SPS-6 than those who had worked longer (x2 =12.89,P < 0.05).Conclusions Health-related productivity loss do exist among nurses.Improving health management may help to reduce this loss of productivity.

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