【摘要】 目的 ：调查ICU护士工作环境报警疲劳、情绪劳动和职业倦怠的状况，分析ICU护士工作环境报警疲劳、情绪劳动对职业倦怠的影响。方法 ：采用便利抽样法选取大连市5家三级甲等医院的174名ICU护士，使用临床报警疲劳调查问卷、情绪劳动量表、职业倦怠量表进行问卷调查。结果 ：ICU护士工作环境报警疲劳评分为（18.01±7.85）分，属于中度工作环境报警疲劳。ICU护士情绪劳动总分为中等水平分数。存在职业倦怠的护士占比为60.91%。工作年限、ICU工作年限、职称、工作环境报警疲劳、情绪劳动表层扮演、情绪劳动深层扮演均影响护士职业倦怠水平。工作环境报警疲劳对护士职业倦怠具有预测作用，情绪劳动在工作环境报警疲劳与职业倦怠之间起部分中介作用。结论 ：ICU护士存在不同程度职业倦怠的人数比例较高，工作环境报警疲劳及情绪劳动情况较严重，管理者需要采取有效方法，降低工作环境报警疲劳，正向引导护士使用情绪劳动，改善ICU护士职业倦怠情况。更多还原

【Abstract】 Objective: To describe the characteristics of working environment alarm fatigue, emotional labor, and job burnout among nurses in the Intensive Care Unit(ICU). We also analyzed the influencing factors of job burnout in ICU nurses. Methods: A total of 174 ICU nurses were included in the study, the Clinical Alarm Fatigue Questionnaire, the Emotional Labor Scale, and the Job Burnout Scale were used to collect related information. Results: The level of working environment alarm fatigue among ICU nurses was reported as moderate(18.01±7.85), and the item that scored the highest was "clinical alarm makes me easy to forget what will be done", followed by "clinical alarm makes me stressed", and "I feel anxious because of clinical alarm". The level of emotional labor among ICU nurses was also moderate, which was scored high on the deep acting items. There were 60.91% of the ICU nurses reporting with job burnout. The length of employment, length of working in the ICU settings, their job title, the working environment alarm fatigue, emotional labor surface acting and deep acting were significant factors related to ICU nurses’ job burnout. Working environment alarm fatigue was a significant predictor for nurses’ job burnout, and emotional labor played a partial mediation role between working environment alarm fatigue and job burnout. Conclusion: The proportion of nurses reported with job burnout is high in this sample of ICU nurses. The level of working environment alarm fatigue and emotional labor is moderate, which needs attention from the administrative personnel to take actions and effectively reduce the working environment alarm fatigue, guide nurses to enhance positive emotional labor and alleviate job burnout in ICU nurses.更多还原