Abstract:

Objective　To investigate the status quo of work-life balance and resilience in nurses returning to work after the second childbirth in Nanyang, and to analyze their correlation, so as to provide references for promoting the mental health and professional development in nurses returning to work after the second childbirth. Methods　From February 2019 to February 2021, 112 nurses returning to work after the second childbirth from 3 public tertiary general hospitals in Nanyang City were conveniently selected as the research objects. The enrolled subjects were all registered nurses under 45 years old, who had been engaged in clinical nursing for no less than 2 years, and ex-office training, sick leave, and intern nurses were excluded. The general situation scale, work-family balance scale, and medical staff resilience evaluation scale were used for investigation. Independent sample t test or ANOVA was used for the measurement data, multiple stepwise regression analysis was used for multivariate analysis, and Pearson correlation analysis was used to analyze the correlation between work-life balance and resilience. Results　The total score of work-life balance in the 112 nurses returning to work after the second childbirth was (37.53±7.76), the total score of resilience was (58.79±9.88), and there was a positive correlation between the two (r=0.419, P<0.05). There were statistically significant differences in the resilience score among nurses returning to work after the second childbirth with different nursing age, monthly income, age of the first child, and whether they participated in pre-job training before returning to work (all P<0.05). The work-life balance could independently explain the variation of resilience in nurses returning to work after the second childbirth (41.60%) (F=24.365, P<0.05). Conclusions　The work-life balance and resilience in nurses returning to work after the second childbirth are correlated. The higher the work-life balance, the higher the level of resilience. Nursing managers should pay attention to the work-family balance in nurses returning to work after the second childbirth. While improving the management mechanism, strengthening the humanistic care, and promoting the balance between nurses' work and personal lives, they should strive for the understanding and support of nurses' family members to enhance nurses' personal resilience, promote the health, and improve the quality of work.

Key words: Nurses, Second childbirth, Returning to work after childbirth, Work-life balance, Resilience

摘要： 目的　调查南阳地区二胎产后返岗护士工作生活平衡、抗逆力的现状，并分析其相关性，为促进二胎返岗护士群体心理健康和职业发展提供参考。方法　2019年2月至2021年2月采用便利抽样法选取南阳市3所公立三级综合医院112例二胎产后返岗护士为研究对象。入组对象均为45岁以下的注册护士，从事临床护理时间不低于2年，排除外出进修、病事假及实习护士。采用一般情况量表、工作家庭平衡量表、医护人员抗逆力评价量表进行调查。计量资料采用独立样本t检验或方差分析，多因素分析采用多元逐步回归分析，采用Pearson相关性分析分析工作生活平衡与抗逆力的相关性。结果　112例二胎返岗护士工作生活平衡总分为（37.53±7.76）分，抗逆力总分为（58.79±9.88）分，两者呈正相关（r=0.419，P<0.05）。不同护龄、月收入、一胎年龄、返岗前是否参加岗前培训的二胎返岗护士的抗逆力得分比较差异均有统计学意义（均P<0.05）；工作生活平衡可独立解释二胎返岗护士抗逆力的变异（41.60%）（F=24.365，P<0.05）。结论　二胎返岗护士的工作生活平衡和抗逆力具有相关性，工作生活平衡越高，其抗逆力水平越高。护理管理者应重视二胎返岗护士工作与家庭平衡的问题，在完善管理机制、强化人文关怀、促进护士工作与个人生活平衡的同时，争取护士家属的理解与支持，提升护士个人抗逆力，促进健康及提高工作质量。

关键词: 护士, 二胎, 产后返岗, 工作生活平衡, 抗逆力