Abstract:

Objective　To analyze the self-efficacy classification of stress injury management in surgical nurses by the potential profile analysis, and to explore its influencing factors. Methods　A total of 246 surgical nurses from the Affiliated Children's Hospital of Xiangya School of Medicine, Central South University were selected for this cross-sectional study from March 2024 to October 2024 by the convenience sampling method. Among them, there were 14 males (5.7%) and 232 females (94.3%); there were 95 cases (38.6%) who were 18 to 25 old, 85 cases (34.6%) who were >25 to 36 old, and 66 cases (26.8%) who were ≥36 years old. The General Data Questionnaire and Chinese version of Nurses' Stress Injury Management Self-efficacy Scale were used to investigate them. The statistical methods included potential profile analysis (Mplus 7.0), analysis of variance, χ² test, and logistic regression analysis. P<0.05 was considered statistically significant. Results　The total score of the Nurses' Stress Injury Management Self-efficacy Scale was 31.16±6.18. The results of potential profile analysis showed that the self-efficacy of the surgical nurses in stress injury management was divided into three types: a low self-efficacy group (45.1%, 111/246), a medium self-efficacy group (38.2%, 94/246), and a high self-efficacy group (16.7%, 41/246). The logistic regression analysis showed that professional title (OR=9.122, 95%CI 2.050-40.633, P=0.003), years of work (OR=2.247, 95%CI 1.4813.434, P<0.001), whether they were members of the stress injury group (OR=1.688, 95%CI 1.393-2.044, P<0.001), and the number of stress injury training (OR=4.713, 95%CI 1.874-11.872, P=0.001), and the way of acquiring knowledge about stress injury (OR=4.435, 95%CI 1.673-11.749, P=0.003) were the influential factors for the self-efficacy classification of the nurses' stress injury management. Conclusions　There is heterogeneity in the self-efficacy classification of nurses' stress injury management in operating room. Their professional title, years of working in operating room, whether they are members of a stress injury team, number of stress injury training, and way of acquiring knowledge related to stress injury are the influencing factors. 

Key words:

Self-efficacy, Surgical nurses, Stress injury, Potential profile analysis

摘要：

目的　通过潜在剖面分析对外科护士压力性损伤管理自我效能分型进行类别分析，并探讨其影响因素。方法　本研究为横断面研究，采用便利抽样法，选取2024年3月至2024年10月中南大学湘雅医学院附属儿童医院的246名外科护士作为研究对象。其中，男14名（5.7%），女232名（94.3%）；18～25岁95名（38.6%），>25～36岁85名（34.6%），≥36岁66名（26.8%）。使用一般资料调查表和中文版护士压力性损伤管理自我效能量表进行调查。统计学方法采用潜在剖面分析（Mplus 7.0）、方差分析、χ²检验和logistic回归分析。结果　外科护士压力性损伤管理自我效能量表总得分为（31.16±6.18）分。潜在剖面分析结果显示，外科护士压力性损伤管理自我效能分为3个分型：低等自我效能组（45.1%，111/246）、中等自我效能组（38.2%，94/246）和高等自我效能组（16.7%，41/246）。Logistic回归分析结果显示，职称（OR=9.122，95%CI 2.050～40.633，P=0.003）、工作年限（OR=2.247，95%CI 1.481～3.434，P<0.001）、是否为压损小组成员（OR=1.688，95%CI 1.393～2.044，P<0.001）、参加压力性损伤培训次数（OR=4.713，95%CI 1.874～11.872，P=0.001）和获取压损相关知识方式（OR=4.435，95%CI 1.673～11.749，P=0.003）是外科护士压力性损伤管理自我效能分型的影响因素。结论　外科护士压力性损伤管理自我效能分型存在异质性，职称、工作年限、是否为压损小组成员、参加压力性损伤培训次数、获取压损相关知识方式均是其影响因素。

关键词:

自我效能, 外科护士, 压力性损伤, 潜在剖面分析