张楠, 王凡, 王晶晶, 袁双龙, 张丽, 逄崇杰. 发热门诊医务人员心理弹性在焦虑与失眠间的中介效应[J]. 职业卫生与应急救援, 2023, 41(4): 442-446. DOI: 10.16369/j.oher.issn.1007-1326.2023.04.010
引用本文: 张楠, 王凡, 王晶晶, 袁双龙, 张丽, 逄崇杰. 发热门诊医务人员心理弹性在焦虑与失眠间的中介效应[J]. 职业卫生与应急救援, 2023, 41(4): 442-446. DOI: 10.16369/j.oher.issn.1007-1326.2023.04.010
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ZHANG Nan, WANG Fan, WANG Jingjing, YUAN Shuanglong, ZHANG Li, PANG Chongjie. Psychological resilience as a mediator between anxiety and insomnia among medical staff in fever clinics[J]. Occupational Health and Emergency Rescue, 2023, 41(4): 442-446. DOI: 10.16369/j.oher.issn.1007-1326.2023.04.010
Citation: ZHANG Nan, WANG Fan, WANG Jingjing, YUAN Shuanglong, ZHANG Li, PANG Chongjie. Psychological resilience as a mediator between anxiety and insomnia among medical staff in fever clinics[J]. Occupational Health and Emergency Rescue, 2023, 41(4): 442-446. DOI: 10.16369/j.oher.issn.1007-1326.2023.04.010
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发热门诊医务人员心理弹性在焦虑与失眠间的中介效应

Psychological resilience as a mediator between anxiety and insomnia among medical staff in fever clinics

    摘要
  • 摘要:
      目的  分析心理弹性在发热门诊医务人员焦虑与失眠间的中介作用，为改善发热门诊医务人员的失眠症状提供理论依据。
      方法  2022年1—7月，采用一般资料调查表、广泛性焦虑量表（7-tiem generalized anxiety disorder scale，GAD-7）、心理弹性量表简化版（10-item Connor-Davidson resilience scale，CD-RISC-10）、失眠严重指数量表（insomnia severity index，ISI），对天津市某三级甲等医院发热门诊医务人员进行调查。采用SPSS 22.0软件进行描述性统计、相关分析；采用AMOS 25.0构建结构方程模型，并用Bootstrap法检验心理弹性在焦虑与失眠间的中介效应。
      结果  收回问卷251份，其中有效问卷245份，有效回收率97.6%。40.0%（98/245）的医务人员有焦虑症状，39.1%（96/245）的医务人员存在失眠症状。工龄越长、职称越高的医务人员其焦虑水平也越高（P＜0.05）。焦虑与失眠为正相关（r=0.276，P＜0.01），焦虑与心理弹性为负相关（r=-0.388，P＜0.01），心理弹性与失眠为负相关（r=-0.290，P＜0.01）。心理弹性在焦虑和失眠间具有中介作用，中介效应为0.074，占总效应的33.3%。
      结论  发热门诊医务人员的焦虑、失眠现象不容忽视。科室管理人员应该重视医务人员的心理健康状况，采取针对性的措施，提高医务人员的心理弹性水平，改善其睡眠质量，以确保发热门诊医务人员保持良好的精神状态。

     

    Abstract:
      Objective  To analyze the mediating effect of psychological resilience on anxiety and insomnia among medical staff in the fever clinic and to provide a theoretical basis for improving their symptoms of insomnia.
      Methods  From January to July 2022, a general data questionnaire, a 7-item Generalized Anxiety Disorder Scale (GAD-7), a simplified version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and an Insomnia Severity Index (ISI) were used to survey medical staff in the fever clinic of a tertiary hospital in Tianjin. Descriptive statistics and correlation analysis were performed using SPSS 22.0 software; structural equation modeling was constructed using AMOS 25.0; and the mediating effect of psychological resilience on anxiety and insomnia was tested using the Bootstrap method.
      Results  A total of 251 questionnaires were returned, of which 245 were valid, with a valid response rate of 97.6%;40.0% (98/245) of medical staff had symptoms of anxiety, and 39.1% (96/245) had symptoms of insomnia. The longer the working time and the higher the professional title, the higher the level of anxiety among medical staff (P < 0.05). Anxiety was positively correlated with insomnia (r=0.276, P < 0.01), anxiety was negatively correlated with psychological resilience (r=- 0.388, P < 0.01), and psychological resilience was negatively correlated with insomnia (r=- 0.290, P < 0.01). Psychological resilience had a mediating effect between anxiety and insomnia, with a mediating effect of 0.074, accounting for 33.3% of the total effect.
      Conclusions  The phenomenon of anxiety and insomnia among medical staff in fever clinics should not be ignored. Department managers should pay attention to the mental health status of these medical staff, take targeted measures to improve their psychological resilience level, improve their sleep quality, and ensure that fever clinic medical staff maintain a good mental state.

     

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