护士职业紧张与抑郁情绪的关系:组织支持和心理资本的中介作用

The relationship between occupational stress and depression in nurses: The mediating role of organizational support and psychological capital

投稿时间：2023-02-02 修订日期：2024-03-27

DOI：

中文关键词: 护士职业紧张组织支持感心理资本抑郁情绪

英文关键词:Nurse Occupational stress Organizational support Psychological capital Depression

基金项目:

作者	单位	地址
刘丹	空军军医大学第一附属医院军人医疗中心	陕西省西安市新城区长乐西路127号
郭建英	空军军医大学第一附属医院军人医疗中心
吴娟	空军军医大学第一附属医院军人医疗中心
慕楠	空军军医大学第一附属医院军人医疗中心
贺浪	空军军医大学护理系
梁娟	中国人民解放军空军军医大学第一附属医院儿科
杜娟^*	空军军医大学护理系

摘要点击次数:

全文下载次数:

中文摘要:

背景由于工作的特殊性，护士易产生抑郁情绪。抑郁情绪不仅危害护士个人身心健康，还威胁患者安全，职业紧张是护士抑郁情绪的影响因素之一，然而目前研究较少探索二者内在路径。目的探究组织支持感、心理资本在护士职业紧张与抑郁情绪关系中的中介作用，为护士由于职业紧张引起抑郁情绪的预防和治疗提供参考。方法于2019年6月-8月采用分层随机抽样法在山东省某家三级甲等医院按科室选取658名护士为研究对象。采用一般资料调查问卷、付出-回报失衡问卷（ERI）、组织支持感量表（POS）、心理资本量表（PCQ）和流调中心用抑郁自评量表（CES-D）进行调查，采用Pearson相关考查各量表评分之间的相关性；采用SPSS 26.0宏程序Process 3.3插件的模型6通过Bootstrap法进行链式中介效应分析。结果 ①ERI评分与CES-D评分呈正相关（r=0.499，P<0.01），与POS评分、PCQ评分均呈负相关（r=-0.318、-0.275，P<0.01）；POS评分与PCQ评分呈正相关（r=0.455，P<0.01），与CES-D评分呈负相关（r=-0.401，P<0.01）；PCQ评分与CES-D评分呈负相关（r=-0.567，P<0.01）；②护士职业紧张可以直接正向预测抑郁情绪（β=8.613，P<0.01），也可以通过组织支持感和心理资本间接影响抑郁（β=-0.106、-0.274，P均<0. 01）；③组织支持感（间接效应值为0.717）和心理资本（间接效应值为1.545）分别在职业紧张与抑郁情绪之间起中介作用，且组织支持感和心理资本还在职业紧张和抑郁情绪之间起链式中介作用（间接效应值为1.334），链式中介效应占比为10.93%。结论护士职业紧张既可以直接影响护士抑郁情绪的发生，还可以通过组织支持感和心理资本的链式中介作用间接影响抑郁情绪的发生。

英文摘要:

Background Nurses are prone to depression due to the particularity of their work. Depression not only harms the physical and mental health of nurses, it also threatens patient safety. Occupational stress is one of the factors that affects depression in nurses. However, little research has been done on their internal pathways. Objective To explore the mediating effect of organizational support and psychological capital between nurses' occupational stress and depression, and provide reference for the prevention and treatment of nurses' depression caused by occupational stress. Methods From June to August 2019, a stratified random sampling method was used to select 658 nurses according to departments in a third-level A hospital in Shandong Province as the research objects. Effort-Reward Imbalance Questionnaire (ERI), Perceived Organization Support Questionnaire (POS), Psychological Capital Questionnaire (PCQ) and Center for Epidemioligic Studies Depression Scale (CES-D) were used to investigate. Pearson correlation was used to examine the correlation among the scores. Model 6 of Process 3.3 plug-in of SPSS 26.0 macro program was used to analyze the chain mediation effect by Bootstrap method. Results ERI score was positively correlated with CES-D score (r=0.499, P<0.01), and negatively correlated with POS and PCQ score (r=-0.318, -0.275, P<0.01). POS score was positively correlated with PCQ score (r=0.455, P<0.01), and negatively correlated with CES-D score (r=-0.401, P<0.01). PCQ score was negatively correlated with CES-D score (r=-0.567, P<0.01). The total effect of occupational stress on depression was 12.209 (95% CI: 10.444~13.959). Perceived organizational support (indirect effect size 0.717, 95%CI: 0.143~1.471) and psychological capital (indirect effect size 1.545, 95%CI: 0.362~3.143) played a mediating role between occupational stress and depression, respectively, and organizational support and psychological capital also played a chain mediating role between occupational stress and depression (indirect effect size was 1.334, 95%CI: 0.808~2.181), and the chain mediating effect accounted for 10.93%.

查看/发表评论下载PDF阅读器

关闭