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基于随机森林模型的护士职业倦怠现状及影响因素OA

Current status and influencing factors of nurse job burnout based on a random forest model

中文摘要英文摘要

目的:探究临床护士职业倦怠现状及其影响因素,为后期制订针对性干预性措施提供依据.方法:采用方便抽样结合整群抽样法,选取2025年3月—10月湖南省长沙市5所三级甲等医院符合标准的1 564名护士为研究对象,采用一般资料调查表、职业倦怠量表和心理弹性量表对其进行调查.采用随机森林模型和LASSO回归方法对影响因素进行重要性排序和筛选.结果:护士职业倦怠总分为(73.40±12.45)分,其中情绪衰竭得分为(28.60±8.21)分,去人格化得分为(12.30±5.14)分,个人成就感得分为(32.50±7.82)分.所在科室、收入状况满意度、夜班频次、心理弹性水平、文化程度是护士职业倦怠的影响因素(均P<0.05),共解释41.8%的变异,其中所在科室为首要因素.结论:护士群体职业倦怠水平较高,护理管理者可针对相关影响因素制订综合性的干预方案以降低护士职业倦怠水平.

Objective:To explore the status quo of job burnout among clinical nurses and its influencing factors,and to provide evidence for formulating targeted intervention measures in the later stage.Methods:By using the method of convenient sampling combined with cluster sampling,a total of 1 564 nurses who met the criteria from 5 tertiary grade A hospitals in Changsha city,Hunan province from March to October 2025 were selected as the research subjects.They were investigated using the general information questionnaire,the Maslach Burnout Inventory,and the ConnorDavidson Resilience Scale.The random forest model and LASSO regression method were adopted to rank and screen the influencing factors in terms of importance.Results:The total score of nurses'job burnout was(73.40±12.45),among which the score of emotional exhaustion was(28.60±8.21),the score of depersonalization was(12.30±5.14),and the score of personal achievement was(32.50±7.82).Department,satisfaction with income status,frequency of night shifts,level of psychological resilience,and educational attainment were the influencing factors of nurses'job burnout(all P<0.05),explaining a total of 41.8%of the variation,among which the department was the primary factor.Conclusions:The job burnout level among nurses is relatively high.Nursing administrators can develop comprehensive intervention plans targeting the relevant influencing factors to reduce burnout levels in nurses.

易丹;李增;彭爱明;曹佳茹;曹春乐;余一知

410005,长沙市第一医院410005,长沙市第一医院410005,长沙市第一医院410005,长沙市第一医院410005,长沙市第一医院410005,长沙市第一医院

随机森林模型护士职业倦怠影响因素心理弹性

random forest modelnursejob burnoutinfluencing factorsresilience

《全科护理》 2026 (18)

3408-3414,7

湖南省自然科学基金项目,编号:2025JJ80476湖南省卫生健康委员会课题项目,编号:20254203长沙市卫生健康委课题项目,编号:KJ-B2023037.

10.12104/j.issn.1674-4748.2026.18.004

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