内科

目的调查低年资护士自我调节疲劳（SRF）的现状，并分析其主要影响因素。方法于2025年4～7月，选取深圳市两家三级甲等综合医院临床一线低年资护士为研究对象，采用一般资料调查表、自我调节疲劳量表（SRF-S）、一般自我效能感量表、生命意义感量表（MLQ）及领悟社会支持量表（PSSS）进行问卷调查。采用Pearson相关法探究SRF水平、自我效能感、生命意义感、领悟社会支持水平之间的相关性，采用多元线性回归模型探究SRF水平的影响因素。结果低年资护士SRF-S总分为（40.67±7.94）分，一般自我效能感量表总分为（23.76±5.56）分，PSSS总分为（61.70±10.69）分，MLQ总分为（43.28±8.31）分。Pearson相关分析显示，自我效能感、生命意义感、领悟社会支持水平均与低年资护士SRF水平呈负相关，生命意义感、自我效能感均与领悟社会支持水平呈正相关，自我效能感则与生命意义感呈正相关（均P<0.05）。多元线性回归分析显示，生命意义感、领悟社会支持水平、自我效能感、性别均是低年资护士SRF的影响因素，共同解释其38%的变异（均P<0.05）。结论低年资护士的SRF处于中等水平，生命意义感、领悟社会支持水平、自我效能感、性别均是低年资护士SRF的影响因素。护理管理者应关注低年资护士的身心健康状态，通过提供社会支持、提升其应对困境的自我效能感，并引导其在工作中发现和强化生命意义感，以降低自我调节资源消耗。

Objective To investigate the current status of self‑regulatory fatigue (SRF) in junior nurses and to analyze its main influencing factors. Methods From April to July 2025, frontline junior nurses from two Class A tertiary general hospitals in Shenzhen were selected as research subjects. A survey was conducted with a general information questionnaire, the Self‑Regulatory Fatigue Scale (SRF‑S), the General Self‑Efficacy Scale, the Meaning in Life Questionnaire (MLQ), and the Perceived Social Support Scale (PSSS). Pearson correlation analysis was used to explore the correlations among SRF level, self‑efficacy, meaning in life, and perceived social support level; multiple linear regression model was employed to identify the influencing factors of SRF level. Results The SRF‑S total score of junior nurses was (40.67 ± 7.94) points, the General Self-Efficacy Scale total score was (23.76 ± 5.56) points, the PSSS total score was (61.70 ± 10.69) points, and the MLQ total score was (43.28 ± 8.31) points. Pearson correlation analysis showed that self‑efficacy, meaning in life, and perceived social support level were negatively correlated with SRF level in junior nurses; meaning in life and self‑efficacy were positively correlated with perceived social support level; and self‑efficacy was positively correlated with meaning in life (all P<0.05). Multiple linear regression analysis revealed that meaning in life, perceived social support level, self‑efficacy, and gender were influencing factors of SRF in junior nurses, collectively explaining 38% of the variance (all P<0.05). Conclusion The SRF of junior nurses is at a moderate level, and meaning in life, perceived social support level, self‑efficacy, and gender are influencing factors of SRF in this population. Nursing managers should pay attention to the physical and mental health status of junior nurses, provide social support, enhance their self‑efficacy in coping with difficulties, and guide them to discover and strengthen meaning in life in their work, so as to reduce the consumption of self‑regulatory resources.