【作者】 颜丽霞；

【导师】 张平；

【作者基本信息】 南华大学 ， 护理学， 2012， 硕士

【摘要】 目的本研究旨在调查临床产科护士的共情能力现状，并探讨产科护士共情能力与工作家庭冲突、工作满意度的相互关系，综合分析产科护士共情能力的影响因素，为护理管理者提高产科护士共情能力提供参考。方法采用便利整群抽样法，对湖南省中南部地区的长沙、株洲、衡阳三市城区的二级甲等以上医院及省、市妇幼保健院610名临床产科护士进行问卷调查。应用一般资料问卷调查产科护士的人口社会学资料；采用人际反应指针量表(Interpersonal Reactivity Index for china, IRI-C)了解产科护士的共情能力；运用明尼苏达满意度量表(Minnesota satisfaction Questionnaire,MSQ)分析产科护士对工作的满意程度；使用工作家庭冲突量表(work-family conflict scale)探讨产科护士工作家庭间的冲突情况。采用SPSS13.0统计软件对所收集的数据进行统计分析，运用描述性统计分析、方差分析、LSD-t检验、Pearson相关分析及分层逐步回归分析等统计学方法。结果1、产科护士共情能力得分为(60.95±7.64)分，各条目均分为(2.77±0.35)分，处于中等共情水平。四个维度中同情关注得分最高(3.14±0.42)分，而想象力得分最低(2.30±0.64)分。不同医院级别和文化程度产科护士的共情能力得分差异有统计学意义(P<0.05)。2、产科护士工作满意度得分为(69.56±10.20)分，各条目均分为(3.37±0.61)分，为中等满意程度。其中产科护士对薪酬与工作量感到最不满意；对能够做不违背良心的事感到相对满意。3、产科护士的工作家庭冲突总体得分为(56.91±9.56)分，大于中等强度值，其中时间冲突维度较为突出；工作-家庭时间冲突(4.08±0.54)分，家庭-工作时间冲突(3.03±0.66)分；不同护龄、用工性质、职称、婚姻状况在工作家庭冲突得分方面比较，差异有统计学意义(P<0.05)。4、产科护士共情能力与工作满意度及其各维度、工作-家庭时间冲突呈正相关；与工作家庭冲突及家庭-工作压力冲突、工作-家庭行为冲突、家庭-工作行为冲突三个维度呈负相关。5、产科护士的内在满意度、工作-家庭时间冲突、工作-家庭行为冲突、一般满意度、家庭-工作压力冲突、医院级别以及文化程度对其共情能力有预测力，能解释共情能力17.9%的变异。结论1、产科护士共情能力与工作满意度处于中等水平，家庭工作冲突大于中等强度值。2、产科护士的工作满意度对其共情能力具有预测作用。3、产科护士的工作家庭冲突对其共情能力具有预测作用。4、影响产科护士共情能力的主要因素有：内在满意度、工作-家庭时间冲突、工作-家庭行为冲突、一般满意度、家庭-工作压力冲突、医院级别以及文化程度。更多还原

【Abstract】 ObjectiveOne of the aims is to understand the status of obstetric nurses’ empathy ability inthis study. Another is to explore the potential correlation between empathy ability andwork satisfaction, work-family conflict and to determine the influencing factors ofempathy ability; so as to provide references for nursing managers to improve obstetricnurses’ empathy ability.MethodsThis study was a questionnaire survey. Six hundred and ten obstetric nurseswere recruited from the hospital in Changsha, Zhuzhou and Hengyang city. Andasked to complete the questionnaires such as self-designed demographicquestionnaire, Interpersonal Reactivity Index for Chinese (IRI-C), Minnesotasatisfaction Questionnaire (MSQ) and work-family conflict scale. The data wereanalyzed by the following statistical methods, such as Description Analyze, theIndependent t-Test, One-way ANOVA, LSD-Test, Pears on Inter-correlation andMultiple Linear Regression Analysis with SPSS13.0.Results1、 The total score of empathy ability was (60.95±7.64) and the mean item score was(2.77±0.35), being in a medium level. The empathy concern was (3.14±0.42),being in highest score, and the fantasy was (2.30±0.64), being in lowest score.Comparing the difference of empathy ability among obstetric nurses in differenthospital and educational degree, there are significant differences (P<0.05).2、 The mean score of general satisfaction was (69.56±10.20), and the mean itemscore was (3.37±0.61). The most dissatisfied item was payment. And the mostsatisfied item was moral standard．3、 The score of work-family conflict was (56.91±9.56). The time-based work-family conflict was the highest conflict. TWIF was (4.08±0.54). TFTW was(3.03±0.66).Comparing the score of work-family conflict in marital status,employment forms, the length of service, and the titles, there are significantdifferences (P<0.05).4、 Empathy ability was positively correlated with work satisfaction and TWIF, andnegatively correlated with WIF, SFIW, BWIF, BFIW.5、 The intrinsic satisfaction, general satisfaction,time-based work Interference withfamily, behavior-based work interference with family, strain-based familyinterference with work,hospital grade and literacy had predictive power onempathy ability, which could explain17.9%of the total variance of empathyability.Conclusion1、 The empathy ability and work satisfaction of obstetric nurses are in intermediatelevel and work-family conflict is in higher level.2、 Work satisfaction has a predictive role for empathy ability of obstetric nurses.3、 The work-family conflict has a predictive role for empathy ability of obstetricnurses.4、 The positive influence on obstetric nurses’ empathy ability are intrinsicsatisfaction, general satisfaction,time-based work interference with family,behavior-based work interference with family, strain-based family interferencewith work, hospital grade and education.更多还原