品管圈活动对急诊护士Burnout综合征的影响

摘要

目的 评估品管圈活动对温州市某医院急诊科护士Burnout综合征及患方满意度的影响.方法 于2012年1月-2013年12月选择温州市某医院的急诊科在职护士为研究对象,采用随机数字表法将其随机分为品管圈组(47人)和对照组(39人),对照组护士采用常规管理方法,品管圈组开展品管圈活动进行管理.品管圈活动为期3个月,在开展品管圈前1周及活动后1周对两组护士同时进行Burnout综合征症状等问卷调查,调查一般人口社会学资料、职业倦怠感症状频数、工作表现及患方满意度.结果 活动前两组护士的Burnout综合征症状发生情况差异无统计学意义(P＞0.05);活动后1周,两组护士的疲劳感、头痛感、失眠、负面情绪出现情况差异有统计学意义(x2值分别为5.88,6.01,5.88,6.11;P ＜0.05),而易怒感症状发生率分别为19.1％和25.6％,差异无统计学意义(x2 =0.52,P＞0.05).活动前,两组护士的工作表现和患者满意度评分差异无统计学意义;活动后l周,品管圈组护士的同事关系、工作满意度、工作效率、患者满意度评分分别是(5.81 ±0.19),(5.13±0.29),(5.12±0.80),(5.33±0.54)分,均高于对照组护士[(4.90±0.83),(4.73±0.37),(4.01±0.91),(4.48±0.30)分],差异有统计学意义(t值分别为2.613,2.433,2.695,2.497;P＜0.05);品管圈组护士的离职意向评分为(2.11±0.98)分,低于对照组的(4.85±0.71)分,差异有统计学意义(=2.946,P＜0.01).结论 品管圈可有效改善急诊护士Burnout综合征症状,降低护士的离职意向,提高护士工作积极性,提升患者满意度.%Objective To evaluate quality control circle (QCC) impacting on Burnout syndrome of emergency nurse and satisfaction of patients in one hospital of Wenzhou.Methods Emergency nurse,who worked at one hospital of Wenzhou during January 2012 to December 2013,were chosen as sampling objects and divided into QCC group (47 nurses) and control group (39 nurses).The nurses of QCC group underwent QCC activities while nurses of the control group received routine management.The QCC activities lasted 3 months,and one week before and after QCC activities,we questionnaired Burnout syndrome,normal population sociology information,frequency of job burnout syndrome,work performance,and patient's satisfaction.Results Before activities,there was no statistical significance for occurrence of Burnout syndrome between two groups (P ＞ 0.05);one week after the implementation of activities,the fatigue,headache,insomnia,negative emotion had statistical significance between two groups (x2 =5.88,6.01,5.88,6.11,respectively;P ＜ 0.05),but the symptom of irritation were not statistical significant (x2 =0.52,P ＞ 0.05).Before activities,the work performance and patient's satisfaction had no statistical significance;one week after the accomplishment of activities,the scores of colleague relationship,work satisfaction,work efficient,patient's satisfaction for nurses in the QCC group were (5.81 ±0.19),(5.13 ±0.29),(5.12 ± 0.80),(5.33 ±0.54) higher than (4.90 ± 0.83),(4.73 ± 0.37),(4.01 ± 0.91),(4.48 ± 0.30) of the control group (t =2.613,2.433,2.695,2.497,respectively;P ＜ 0.05).The intention of turnover was (2.11 ± 0.98) score in the QCC group lower than that of control group (4.85 ± 0.71) score (t =2.946,P ＜ 0.01).Conclusions The QCC can promote the Burnout syndrome of emergency nurses,decrease nurse's intention to turnover,and enhance the enthusiasm nurse's work and patient's satisfaction.