杨建华, 关华, 熊洪, 易涛, 杨茜. 四川省一线护士压力应对与疫情反刍性沉思的关系：心理一致感的中介作用[J]. 职业卫生与应急救援, 2021, 39(6): 625-630, 636. DOI: 10.16369/j.oher.issn.1007-1326.2021.06.004
引用本文: 杨建华, 关华, 熊洪, 易涛, 杨茜. 四川省一线护士压力应对与疫情反刍性沉思的关系：心理一致感的中介作用[J]. 职业卫生与应急救援, 2021, 39(6): 625-630, 636. DOI: 10.16369/j.oher.issn.1007-1326.2021.06.004
shu
YANG Jianhua, GUAN Hua, XIONG Hong, YI Tao, YANG Qian. Parallel mediating role of sense of coherence between coping style and COVID-19 pandemic related rumination of front-line nurses[J]. Occupational Health and Emergency Rescue, 2021, 39(6): 625-630, 636. DOI: 10.16369/j.oher.issn.1007-1326.2021.06.004
Citation: YANG Jianhua, GUAN Hua, XIONG Hong, YI Tao, YANG Qian. Parallel mediating role of sense of coherence between coping style and COVID-19 pandemic related rumination of front-line nurses[J]. Occupational Health and Emergency Rescue, 2021, 39(6): 625-630, 636. DOI: 10.16369/j.oher.issn.1007-1326.2021.06.004
shu

四川省一线护士压力应对与疫情反刍性沉思的关系：心理一致感的中介作用

Parallel mediating role of sense of coherence between coping style and COVID-19 pandemic related rumination of front-line nurses

    摘要
  • 摘要:
      目的  调查新型冠状病毒肺炎疫情一线护士心理一致感、压力应对及疫情反刍性沉思水平，探讨心理一致感在一线护士压力应对方式与疫情反刍性沉思的中介作用。
      方法  随机选取四川省内6家医院417名一线护士，采用心理一致感问卷、简易压力应对方式量表和事件相关反刍性问卷进行调查。采用SPSS 20.0对数据进行分析，包括描述性统计分析、t检验、方差分析、Pearson相关性分析和多重线性回归分析、中介作用分析等。
      结果  年长、工龄长及有子女的护士疫情侵入性沉思水平较高（P < 0.05），三甲医院护士疫情目的性沉思水平高于三乙及以下医院的护士（P < 0.05）。一线护士的心理一致感得分均值为（62.73 ± 10.44）分，与积极应对方式呈正相关（P < 0.05），与消极应对方式呈负相关（P < 0.05），与疫情侵入性反刍性沉思和目的性反刍性沉思均呈负相关（P < 0.05）；积极应对方式与疫情目的性沉思呈正相关（P < 0.05），消极应对方式与疫情侵入性和目的性沉思均呈正相关（P < 0.05）。路径分析结果显示：消极应对方式对疫情侵入性反刍性沉思有正向预测作用（β'=0.336，P < 0.05），心理一致感在二者中间起抑制效应，抑制效应占比为13.75%；积极应对方式对疫情目的性沉思有正向预测作用（β'=0.190，P < 0.05），心理一致感在二者间起抑制效应；消极应对方式对疫情目的性沉思有正向预测作用（β'=0.183，P < 0.05），心理一致感在两者中起部分作用，中介作用占34.4%。
      结论  新型冠状病毒肺炎疫情期间一线护士心理一致感水平偏低。心理一致感在一线护士压力应对和疫情反刍性沉思两者间有中介作用，有关部门及医院应培养护士稳定的心理一致感，以更好地应对突发公共卫生事件。

     

    Abstract:
      Objective  To investigate the levels of sense of coherence, coping style, COVID-19 pandemic related rumination of front-line nurses, and to explore the parallel mediating role of sense of coherence between coping style and rumination among these persons.
      Methods  A total of 417 front-nurses were investigated using Sense of Coherence-13 (SOC-13), Simplified Coping Style Questionnaire (SCSQ) and Chinese Event Related Rumination Inventory(C-ERRI). SPSS 20.0 was used to analyze the data, including descriptive statistical analysis, t test, variance analysis, Pearson correlation analysis and logistic regression analysis.
      Results  Nurses with older age and long service time, and having children had higher levels of epidemic invasive meditation (P < 0.05), and nurses in grade Ⅲ A hospitals had a higher level of epidemic purposeful meditation than nurses in grade Ⅲ B and/or below hospitals(P < 0.05). The sense of coherence of front-line nurses was positively correlated with positive coping style(P < 0.05), negatively correlated with negative coping style(P < 0.05), and negatively correlated with invasive rumination and purposeful rumination(P < 0.05);positive coping style was positively correlated with epidemic purposeful meditation(P < 0.05), and negative coping style was positively correlated with epidemic invasive and purposeful meditation(P < 0.05). The results of path analysis showed that negative coping styles had a positive predictive effect on invasive rumination(β' = 0.336, P < 0.05), sense of coherence had an inhibitory effect between them, accounting for 13.75%;positive coping style has a positive predictive effect on epidemic purposeful thinking(β' = 0.190, P < 0.05), sense of coherence had an inhibitory effect between them; negative coping styles have a positive predictive effect on epidemic purposeful meditation(β'= 0.183, P < 0.05), and sense of coherence played a partial role in the two, accounting for 34.4%.
      Conclusions  Considering the mediating role of sense of coherence, the effect of negative coping style on invasive rumination should be eliminated, in order to prevent post-traumatic stress disorder and improve the level of purposive rumination produced by positive coping style. The suggestion is that nurses' stable sense of coherence should be cultivated in hospital in order to deal with public health emergencies more leisurely.

     

    • HTML全文
    • 参考文献(26)
    • 相关文章
    • 施引文献
  • 资源附件(0)

/

返回文章
返回