目的 调查产科护士“互联网+护理服务”职业认同感现状,并分析其影响因素,为构建针对性的干预模式、增强新兴护理服务模式下的护士职业认同感提供参考依据。方法 本研究于2025年8月—2025年12月采用便利取样法选取长沙市8所三级甲等医院的241名产科护士作为研究对象,应用产科护士一般人口学资料调查问卷、“互联网+护理服务”职业认同感量表、护士职业获益感问卷（NPBS）、护士信息胜任力评估量表（NICAS）及“互联网+护理服务”护士风险因素与风险结局评估量表展开调查。结果 产科护士“互联网+护理服务”职业认同感处于中等至中等偏上水平,职业获益感处于中等偏上至较高水平,信息胜任力处于中等至中等偏上水平,风险因素处于中等至中等偏上水平;单因素分析显示,不同年龄、婚姻状况、产科工作年限、是否定期开展培训、服务流程是否规范的护士之间,职业认同感得分差异有统计学意义（P<0.05）,不同性别、学历、职称、月收入的护士之间,职业认同感得分差异无统计学意义（P>0.05）;产科护士职业认同感总分与NPBS、NICAS评分呈显著正相关,与风险因素、风险结局评分呈显著负相关（P<0.05）;多元线性回归分析显示,产科工作年限6~10年,已婚、定期开展“互联网+护理服务”培训、服务流程规范、职业获益感好、信息胜任能力强是产科护士职业认同感的保护因素,护士风险因素与风险结局得分高是是其独立危险因素（P<0.05）。结论 产科护士“互联网+护理服务”职业认同感处于中等水平,受产科护士工作年限、婚姻状况、是否定期开展“互联网+护理服务”培训、服务流程是否规范、职业获益感、护士信息胜任力及护士风险因素及风险结局等多种因素影响,管理者应重视并构建针对性的干预模式,提高新兴护理服务模式下的护士职业认同感。

Objective To investigate the current situation of obstetric nurses' professional identity of "Internet + nursing service", and to analyze its influencing factors, so as to provide a reference for constructing a targeted intervention model and improving the professional identity of nurses in the emerging nursing service model. Methods This study was conducted from August 2025 to December 2025. Using the convenience sampling method, 241 obstetric nurses from 8 tertiary grade A hospitals in Changsha were selected as the research subjects. The study employed the obstetric nurse general demographic data questionnaire, the "internet + nursing Service" professional identity scale, the nurse professional benefit scale (NPBS), the nurse information competence assessment scale (NICAS), and the "internet + nursing service" nurse risk factors and risk outcomes assessment scale to conduct the investigation. Results The professional identity of obstetric nurses in "internet + nursing service" is at a moderate to upper-moderate level, the sense of professional benefits is at a upper-moderate to higher level, information competence is at an moderato to upper-moderate level, risk factors are at a moderate to upper-moderate level risk out comes are Univariate analysis showed that there were statistically significant differences in professional identity scores among nurses of different ages, marital status, obstetric working years, regular training on"Internet + nursing service", and standardized service processes (P < 0.05), and there was no significant difference in professional identity scores among nurses of different genders, education, professional titles, and monthly income (P > 0.05). The total score of obstetric nurses' occupational identity was significantly positively correlated with SPBS and SCALE scores, and was significantly positively correlated with risk factors, The risk outcome score was significantly negatively correlated (P < 0.05). The multivariate linear regression analysis showed that obstetric work experience:6 to 10 years, being married, regularly participating in "Internet + nursing service" training, having a standardized service process, a good sense of professional benefit, and strong information competence were protective factors for the professional identity of obstetric nurses. The risk factors of nurses and the high score of risk outcomes were independent risk factors (P < 0.05). Conclusion The professional identity of obstetric nurses is at a moderate level, which is affected by various factors such as obstetric nurses' working years, marital status, whether they regularly carry out "Internet + nursing service" training, whether the service process is standardized, the sense of professional benefit, the information competence of nurses, and the risk factors and risk outcomes of nurses.Managers should attach importance to and establish targeted intervention models to enhance the professional identity of nurses in the emerging nursing service models.