南京医科大学学报（社会科学版）2026，Vol.26Issue(4)：378-384,7.DOI:10.7655/NYDXBSSS260089
付出—回报失衡对护理人员专业生活品质的影响机制研究
Mechanisms underlying the effects of effort-reward imbalance on professional quality of life among nursing staff
摘要
Abstract
Nursing staff are exposed to long-term high workloads,and effort-reward imbalance(ERI)may affect their professional experience and psychological well-being.However,the mechanisms underlying its effects on ERI,including compassion satisfaction and compassion fatigue,remain unclear.Therefore,this study used a convenience sampling method to recruit 916 clinical nurses from three general hospitals in Shanxi Province,China.Unconditional quantile regression revealed that ERI was significantly associated with compassion satisfaction only at the P33-P48、P4-P7 and P59-P62,whereas its association with compassion fatigue was significant across the P5-P58 and P76-P97 quantiles,indicating distributional heterogeneity.Multiple mediation analysis demonstrated that ERI exerted indirect effects on compassion satisfaction and compassion fatigue through rumination and psychological resilience.These findings suggest that greater attention should be paid to ERI levels among nursing staff,and differentiated interventions should be implemented for different risk groups to improve their professional experience and psychological well-being.关键词
付出—回报失衡/专业生活品质/反刍思维/心理韧性Key words
effort-reward imbalance/professional quality of life/rumination/psychological resilience分类
医药卫生引用本文复制引用
许娟,朱彪,王奥,李晨旭,薛云珍..付出—回报失衡对护理人员专业生活品质的影响机制研究[J].南京医科大学学报（社会科学版）,2026,26(4):378-384,7.基金项目
国家社会科学基金"积极老龄化视域下老年人善终教育及关怀研究"(19BSH168) （19BSH168）
山西省大健康产业高质量发展科研专项课题"基于HAPA理论的老年共病患者预立医疗照护计划教育及关怀研究"(DJKZXKT2023166) （DJKZXKT2023166）
