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目的:调查临床护士述情障碍和沉默行为现状，分析临床护士述情障碍对沉默行为的影响。方法:采用横断面调查法，以方便抽样的方式于2019年9—10月选取温州医科大学附属第一医院的589名临床护士为研究对象。采用一般资料调查问卷、多伦多述情障碍量表（TAS）、员工沉默行为量表进行调查，分析述情障碍对临床护士沉默行为的影响。本研究共发放问卷600份，回收有效问卷589份，有效回收率为98.2%。结果:589名临床护士TAS总分为（54.07±8.86）分，沉默行为总分为（36.24±6.32）分；单因素分析结果显示，在职称、工作年限、学历、科室、聘用形式、婚姻状况方面，589名临床护士的员工沉默行为量表得分比较，差异有统计学意义（n P<0.05）；Pearson相关分析结果显示，临床护士TAS得分和员工沉默行为量表得分呈正相关（n P<0.05）；分层回归分析结果显示，描述情感障碍和外向性思维对沉默行为具有正向预测作用，共解释了总变异的24.1%。n 结论:临床护士述情障碍和沉默行为有待改善，述情障碍正向影响沉默行为，护理管理者应鼓励临床护士主动表达内心的建议和想法，减少临床护士的沉默行为。“,”Objective:To investigate the current status of alexithymia and silence behavior in clinical nurses, and analyze the influence of clinical nurses' alexithymia on silence behavior.Methods:Using the cross sectional survey method, convenience sampling was used to select 589 clinical nurses from the First Affiliated Hospital of Wenzhou Medical University as the research object from September to October 2019. The investigation was carried out with the general information questionnaire, Toronto Alexithymia Scale (TAS) and the Employee Silence Scale to analyze the influence of alexithymia on silence behavior of clinical nurses. A total of 600 questionnaires were distributed and 589 valid questionnaires were returned, with the effective response rate of 98.2%.Results:Among 589 clinical nurses, the total scores of TAS and silence behavior were (54.07±8.86) and (36.24±6.32) respectively. The results of single factor analysis showed that in terms of job title, working years, education, department, form of employment, and marital status, there were statistically significant differences in the scores of the Employee Silence Scale in 589 clinical nurses (n P<0.05) . Pearson correlation analysis results indicated that clinical nurses' TAS scores were positively correlated with the Employee Silence Scale scores. The hierarchical regression analysis showed that describing affective disorder and extroverted thinking had a positive predictive effect on silence behavior, explaining 24.1% of the total variation.n Conclusions:The alexithymia and silence behavior of clinical nurses need to be improved, and the alexithymia positively affects the silent behavior. Nursing managers should encourage clinical nurses to actively express their inner suggestions and ideas, and reduce the silence behavior of clinical nurses.