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国际护理学研究

International Journal of Nursing Research

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International Journal of Nursing Research. 2026; 8: (5) ; 10.12208/j.ijnr.20260227 .

The relationship between Mobile phone phobia, Self-efficacy and Clinical decision-making awareness among oncology nursescorrelation research
肿瘤科护士无手机恐惧症、自我效能感与临床决策意识间的相关性研究

作者： 余兴梅1 *, 王蕾1, 吕春花2

西安交通大学第一附属医院 陕西西安;

空军军医大学第二附属医院 陕西西安;

*通讯作者： 余兴梅,单位：西安交通大学第一附属医院 陕西西安; ；

引用本文: 余兴梅, 王蕾, 吕春花 肿瘤科护士无手机恐惧症、自我效能感与临床决策意识间的相关性研究[J]. 国际护理学研究, 2026; 8: (5) : 4-11.
Published: 2026/5/28 16:42:34

摘要

目的 调查肿瘤科护士无手机恐惧症、自我效能感及临床决策意识现状，分析三者的内在联系，探讨自我效能感在无手机恐惧症及临床决策意识间的中介效应。方法 采用横断面调查方法，运用一般情况调查表、无手机恐惧量表、自我效能感量表及护理临床决策量表对西安交通大学第一附属医院肿瘤科护士进行问卷调查。结果 肿瘤科护士无手机恐惧症总体得分为（74.22±23.588）分，其中“害怕失去联系”维度得分最高（20.15±6.252）；自我效能感总体得分为（27.25±6.020）分；临床决策意识总体得分为（120.90±25.872）分，各维度得分别为：寻找替代方案（30.21±6.520）分，明确目标和价值观（31.11±7.481）分，寻找信息和客观整合新信息（28.70±5.947）分，评估后果（30.87±7.405）分；相关性分析结果显示：肿瘤科护士无手机恐惧症总分与自我效能感总分、临床决策意识总分均呈负相关（r=-0.237，-0.431；P<0.01），自我效能感总分与临床决策意识总分呈正相关（r=0.405，P<0.01）；路径分析显示：自我效能感在无手机恐惧症与临床决策意识间起部分中介作用。结论 肿瘤科护士的无手机恐惧症偏高，无手机恐惧症会妨碍护士对临床决策的感知，可能导致不准确或错误，护士须进行自我调节，减轻无手机恐惧症对决策的干扰。建议医疗机构也可通过数字断食训练与情景模拟决策培训双路径提高护士自我效能感，从而提升护士决策能力，给病人提供优质护理质量。

关键词： 无手机恐惧症；自我效能感；临床决策意识；中介效应

Abstract

Objective To investigate the current status of mobile phone phobia, self-efficacy and clinical decision-making awareness among oncology nurses, analyze the internal relationship between the three, and explore the mediating effect of self-efficacy between mobile phone phobia and clinical decision-making awareness.
Methods A cross-sectional survey method was adopted, and a questionnaire survey was conducted on the nurses in the Oncology Department of the First Affiliated Hospital of Xi'an Jiaotong University using the General Situation Questionnaire, Mobile Phone Fear Scale, Self-Efficacy Scale and Nursing Clinical Decision Scale.
Results The overall score of mobile phone phobia among oncology nurses was (74.22±23.588) points, among which the "fear of losing contact" dimension had the highest score (20.15±6.252); the overall score of self-efficacy was (27.25±6.020) points; The overall score of bed decision-making awareness is (120.90±25.872) points, and the scores of each dimension are: looking for alternatives (30.21±6.520) points, clarifying goals and values (31.11±7.481) points, looking for information and objectively integrating new Information (28.70±5.947) points, assessment consequences (30.87±7.405) points; correlation analysis results show that the total score of oncology nurses’ no phobia of mobile phones is negatively correlated with the total self-efficacy score and the total clinical decision-making awareness score (r=-0.23 7, -0.431; P<0.01), the total score of self-efficacy is positively correlated with the total score of clinical decision-making awareness (r=0.405, P<0.01); path analysis shows that self-efficacy plays a partial mediating role between no mobile phone phobia and clinical decision-making awareness.
Conclusion   Nomophobia is negatively correlated with nurses' clinical decision-making awareness, suggesting that a high level of nomophobia may be accompanied by a lower level of decision-making awareness, and further research is needed on its causal mechanism. Nurses need to self-regulate to reduce the interference of nomophobia on decision-making. It is recommended that medical institutions also improve nurses' self-efficacy through a dual approach of digital detox training and scenario-based decision-making training, thereby enhancing nurses' decision-making ability and providing patients with high-quality care.

Key words： Mobile Phone phobia; Self-efficacy; Clinical Decision-making awareness; Mediating effect

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