Abstract：Objective To investigate the current situation of risk perception of nurses in Xi’an and to analyze the influence factors. Methods From September to November 2015, convenience sampling was adopted, and a total of 608 first-line clinical nurses in Xi’an were selected as the research objects. The general information questionnaire and nurses’ risk perception questionnaire (RPQN) were used to conduct a cross-sectional survey of risk perception. Results The risk perception score of nursing staff in Xi’an was (87.50±16.83) points, and the score rate was 62.50%, which was at a medium level. The top three dimensions of the score rate were physical function, occupational exposure, and time risk. The results of single factor analysis showed that there were statistically significant differences in the total risk perception scores of nursing staff of different ages, hospital levels, departments, years of service, education, and professional titles (P < 0.05). The results of multiple linear regression analysis showed that professional titles and hospital grades were the influencing factors of nurses’ risk perception (P < 0.05), explaining a total of 3.4% of the variance. Conclusion The risk perception of nursing staff in Xi’an is at a medium level. Nursing managers should optimize the nursing workflow and staffing, focusing on the risk perception level of nurses and nurses in tertiary hospitals.
张蓝方 郎红娟 柳琴 刘娜 张琳苑 张银玲. 西安市护理人员风险感知现状及影响因素研究[J]. 中国医药导报, 2021, 18(15): 53-56,65.
ZHANG Lanfang LANG Hongjuan LIU Qin LIU Na ZHANG Linyuan ZHANG Yinling. Research on the current status and influencing factors of nurses’ risk perception in Xi’an. 中国医药导报, 2021, 18(15): 53-56,65.
[1] 张欣唯，曹郭蕾，许志敏，等.护理人员风险感知问卷的编制[J].护理研究，2016，30（19）：2353-2355.
[2] Santos AN，Oliveira RJ，Pessatto LR，et al. Biomonitoring of pharmacists and nurses at occupational risk from handling antineoplastic agents [J]. Int J Pharm Pract，2020，28（5）：506-511.
[3] Kakemam E，Raeissi P，Raoofi S，et al. Occupational stress and associated risk factors among nurses：a cross-sectional study [J]. Contemp Nurse，2019，55（2/3）：237-249.
[4] 陈赵云，韩丹，张银玲.护理人员心理弹性与风险感知水平关系研究[J].护理管理杂志，2017，17（10）：696-698.
[5] 段含含，刘玲玲，陈静，等.夜间血液透析护士对职业风险感知度的调查分析[J].第二军医大学学报，2017，38（8）：978-981.
[6] 李晓芳，唐静，时敏秀，等.军队三甲综合医院护士职业风险感知现状及影响因素分析[J].护理学杂志，2014，29（13）：7-9.
[7] Varpula J，Valimaki M，Lantta T，et al. Nurses’ perceptions of risks for occupational hazards in patient seclusion and restraint practices in psychiatric inpatient care：A focus group study [J]. Int J Ment Health Nurs，2020，29（4）：703-715.
[8] 顾娇娇，李葆华，侯淑肖.北京市社区护士职业风险感知现状调查与分析[J].护理管理杂志，2011，11（2）：91-93.
[9] 国务院关于实施健康中国行动的意见[J].中华人民共和国国务院公报，2019（21）：17-21.
[10] 李海燕，李晓霞，陈洪艳，等.临床护士腰背部疼痛与病床高度的相关性研究[J].护理研究，2012，26（33）：3113-3114.
[11] 赵婷，商临萍.失效模式和效应分析理论在临床护士执行标准预防中的应用[J].护理研究，2017，31（15）：1846-1850.
[12] 袁理，孙丽娜，丁淑贞，等.护士心理一致感的研究进展[J].中国护理管理，2020，20（7）：1061-1066.
[13] Del-Pino-Casado R，Espinosa-Medina A，Lopez-Martinez C，et al. Sense of coherence，burden and mental health in caregiving： A systematic review and meta-analysis [J]. J Affect Disord，2019，242：14-21.
[14] Porras-Povedano M，Santacruz-Hamer V，Oliva-Reina I. Occupational risks perception in professional nursing practitioners at health care center [J]. Enferm Clin，2014， 24（3）：191-195.
[15] Buja A，Zampieron A，Mastrangelo G，et al. Strain and health implications of nurses’ shift work [J]. Int J Occup Med Environ Health，2013，26（4）：511-521.
[16] Ismail L，Normahani P，Standfield NJ，et al. A systematic review and meta-analysis of the risk for development of varicose veins in women with a history of pregnancy [J]. J Vasc Surg Venous Lymphat Disord，2016，4（4）：518-524.
[17] Shakya R，Karmacharya RM，Shrestha R，et al. Varicose veins and its risk factors among nurses at Dhulikhel hospital：a cross sectional study [J]. BMC Nurs，2020，19：8.
[18] Rassas I，Mahfoudh A，Khelil A，et al. Strain-based Work-to-Family Conflict as a predictor of lumbar and cervical pain in Tunisian nursing staff [J]. Int J Occup Saf Ergon，2020：1-7.
[19] Kolcz A，Jenaszek K. Assessment of pressure pain threshold at the cervical and lumbar spine region in the group of professionally active nurses：A cross-sectional study [J]. J Occup Health，2020，62（1）： e12108.
[20] Nazario EG，Camponogara S，Dias GL. Occupational risks and adherence to standard precautions in intensive care nursing work：workers’ perceptions [J]. Revista Brasileira de Saúde Ocupacional，2017，42：e7.
[21] 郑一宁，李映兰，吴欣娟.针刺伤防护的护理专家共识[J].中华护理杂志，2018，53（12）：1434-1438.
[22] Rasweswe MM，Peu MD. Occupational exposure to blood and body fluids and use of human immunodeficiency virus post-exposure prophylaxis amongst nurses in a Gauteng province hospital [J]. Health SA，2020，25：1252.
[23] Choi JS，Kim KM. Infection-control knowledge，attitude，practice，and risk perception of occupational exposure to Zika virus among nursing students in Korea：A cross-sectional survey [J]. J Infect Public Health，2018，11（6）：840-844.
[24] Hendrich A，Chow MP，Skierczynski BA，et al. A 36-hospital time and motion study：how do medical-surgical nurses spend their time [J]. Perm J，2008，12（3）：25-34.
[25] Ljevak I，Vasilj I，Curlin M，et al. The impact of shift work on psychosocial functioning and quality of life among hospital-employed nurses：a cross-sectional comparative study [J]. Psychiatr Danub，2020，32（Suppl 2）：262-268.
[26] 李雪梅，孟庆慧，王珍，等.某市三级医院临床护士工作满意度现状调查及影响因素分析[J].齐鲁护理杂志，2020，26（11）：62-64.
[27] 程敬芹.儿科护士离职意愿现状及其影响因素分析[J].中国现代医生，2020，58（33）：167-171，175.
[28] 朱晨，张玉润.省属综合医院护工离职意愿及相关影响因素分析[J].现代医院，2019，19（8）：1134-1139，1143.
[29] 陈晓霞，杨涛，冼少眉.粤西地区不同等级医院护士的职业倦怠与离职意愿比较[J].中国护理管理，2014，14（5）：482-484.
[30] Sperling D. Ethical dilemmas，perceived risk，and motivation among nurses during the COVID-19 pandemic [J]. Nurs Ethics，2020，28（1）：9-22.
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