【摘要】 目的 调查手术室护士抗逆力水平现状，并探讨其相关因素及其相互作用路径，为手术室护士的管理提供数据参考。方法 2024年1—6月，采用便利抽样法选择聊城市4家医院手术室护士为研究对象，采用一般资料表、工作投入量表、领悟社会支持量与医务人员抗逆力量表展开现状调查，采用SPSS 25.0及AMOS 26.0软件对统计结果进行分析。结果 167名手术室护士抗逆力得分为（68.37±9.97）分，决策应对维度得分为（21.84±4.59）分，人际联结维度得分为（15.87±3.02）分，理性思维维度得分为（15.44±3.31）分，柔性自适维度得分为（15.00±3.31）分。不同性别、年龄、学历、职务、工资及是否接受过心理培训的手术室护士抗逆力得分比较，差异均有统计学意义（均P<0.05）。手术室护士抗逆力与其工作投入、领悟社会支持间均呈正相关（均P<0.05）。多重线性回归分析显示，性别、工资、职务、工作投入以及领悟社会支持水平均是手术室护士抗逆力得分的影响因素（R~2=0.593，调整后R~2=0.583,F=56.750,P<0.01）；结构方程模型显示，领悟社会支持在手术室护士工作投入与抗逆力间具有部分中介作用，中介效应占比为40.04%。结论 手术室护士抗逆力水平有待进一步提升，性别、工资、职务、工作投入及领悟社会支持等因素可能与手术室护士抗逆力水平存在相关性。建议医院管理层针对相关因素采取积极措施，特别是加强护士的领悟社会支持能力，以提升其抗逆力，促进护理队伍的稳定发展。更多还原

【Abstract】 Objective To investigate the current situation of the level of resilience of operating room nurses,and explore its related factors and the path of action between some of the factors,provide data reference for the management of operating room nurses.Methods From January to June 2024,the convenience sampling method was used to select the operating room nurses of four hospitals in Liaocheng City as the research object. The general information form,work input scale,perceived social support scale and medical staff resilience scale were used to launch the status quo survey. The statistical results were analyzed by using SPSS25.0 and AMOS 26.0 software. Results The resilience scores of 167 operating room nurses were(68.37±9.97)points,and the scores were(21.84±4.59)points for the decision coping dimension,(15.87±3.02)points for the interpersonal connection dimension,(15.44±3.31)points for the rational thinking dimension,and(15.00±3.31)points for the flexible self-adaptation dimension. There were statistically significant differences in the resilience scores among operating room nurses with different gender,age,education,position,salary,and whether they had received psychological training(all P<0.05). There were positive correlations between the resilience of operating room nurses and their work commitment,their perceived social support(all P<0.05). Multiple linear regression analysis showed that gender,salary,position,job involvement,and perceived social support level were influencing factors for the resilience score of operating room nurses(R~2=0.593,adjusted R~2=0.583,F=56.750,P<0.01). The structural equation modeling showed that perceived social support partially mediated the relationship between job involvement and resilience,with a mediating effect of 40.04%. Conclusions The level of resilience of nurses in the operating room needs to be further improved,and factors such as gender,salary,position,work commitment and perceived social support may be correlated with the level of resilience of nurses in the operating room. It is recommended that hospital management take active measures to address the relevant factors,especially strengthening nurses’ perceived social support ability,in order to enhance their resilience and promote the stable development of the nursing workforce.更多还原