摘要目的：探究工作压力如何影响护士的躯体化症状和工作倦怠，特别关注工作压力对护士工作倦怠的影响是否随压力类型不同而异。方法采用横断面设计和问卷调查法，随机选取南京市9所医院的455名护士为被试。结果（1）工作压力能显著正向预测躯体化症状（β工作负荷=0.33，β人际压力=0.22，均P＜0.01）、情绪耗竭（β工作负荷=0.57，β人际压力=0.22，均P＜0.01）与消极怠慢（β工作负荷=0.49，β人际压力=0.29，均P＜0.01），显著负向预测职业效能（β工作负荷=-0.18，β人际压力=-0.21，均P＜0.01）。（2）工作负荷对情绪耗竭和消极怠慢的影响显著高于人际压力（Z=6.37、3.57，均P<0.05），但对躯体化症状和职业效能的影响，两者差异无统计学意义（Z=1.79、0.47，均P>0.05）。结论工作压力对护士工作倦怠的影响因压力类型不同而异。

abstractsObjective To examine how work stress influences somatization and work burnout, especially concerning for the difference between work load and interpersonal relationship stress in the correlation with work burnout. Methods Using cross-sectional design and questionnaire survey method, participants were 455 female nurses recruited from nine hospitals in Nanjing, China. Results The results revealed that work load and interpersonal relationship stress positively predicted somatization (βwork load=0.33,βinterpersonal relationship stres =0.22, P<0.01), emotional exhaustion (βwork load=0.57,βinterpersonal relationship stres =0.22, P<0.01) and cynicism (βwork load=0.49,βinterpersonal relationship stres =0.29, P<0.01), and negatively predicted personal accomplishment (βwork load=-0.18,βinterpersonal relationship stres =-0.21, P<0.01). Specially, the influence of work load on emotional exhaustion and cynicism was significantly higher than that of interpersonal relationship stress (Z=6.37, 3.57, P < 0.05), but there were no differences between them in personal accomplishment and somatization (Z=1.79, 0.47, P > 0.05). Conclusions There are significant differences between work load and interpersonal relationship stress in the correlation with work burnout.