三级甲等医院护士工作压力与幸福感:希望的中介作用  

The relationship between job stress and happiness in nurses of three grade A hospitals:mediating role of hope

作　　者：柯丽 孙莉 柯攀 贾佳[2] 陈雪琴 姜峰波 林紫[2] 刘冰[2] Ke Li;Sun Li;Ke Pan;Jia Jia;Chen Xueqin;Jiang Fengbo;Lin Zi;Liu Bing(School of Nursing,Hubei University of Medicine,Shiyan 442000,ChinaCentre of Health Administration and Development,Hubei University of Medicine,Shiyan 442000,China)

机构地区：[1]湖北医药学院护理学院,十堰442000 [2]湖北医药学院卫生管理与卫生事业发展研究中心,十堰442000

出　　处：《中国实用护理杂志》2019年第3期171-175,共5页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金(71273083);湖北省卫生和计划生育委员会科研项目(WJ2015HB041);湖北医药学院卫生管理与卫生事业发展研究中心开放基金(2015PY004);2017年地方高校国家级大学生创新创业训练计划(201713249003);湖北医药学院人才启动金(2017QDJRW10).

摘　　要：目的探讨希望在三级甲等医院护士工作压力水平对主观幸福感影响过程中的中介作用。方法采用横断面调查方法,应用自行编制的一般资料调查表、状态希望量表、护士工作压力源量表、总体幸福感量表,对9家三级甲等医院1 200名护士进行问卷调查。结果工作压力对主观幸福感的直接效果为-0.193,间接效果为(-0.486)×0.456=-0.222,工作压力对主观幸福感的总效果为-0.415,间接效果占总效果的53.49%;希望对主观幸福感的直接效果为0.456;工作压力对希望的直接效果为-0.486。结论希望在护士工作压力与主观幸福感之间起中介作用,我们在设法减轻护士工作压力的过程中,应充分利用希望的中介意义,帮助希望水平较低的护士建设希望,提升其幸福感水平。Objective To explore the status quo of job stress and happiness in nurses of three grade A hospitals and mediation effects of hope between above two elements.Methods A cross-sectional survey was conducted. The Hope Status Scale,The Nurse's Job Stressor Scale,General Well-Being Schedule and self-designed demographic questionnaire were delivered to 1 200 nurses from nine hospitals.Results The path analysis results showed that the direct effect of job stress on the subjective well-being was -0.193,the indirect effect was (-0.486)×0.456= -0.222,the total effect of working pressure on the subjective well-being was -0.415,the indirect effect of total effect was 53.49%. want direct effect on subjective well-being of 0.456,job stress on the direct effect of hope for -0.486.Conclusion Hope to play an intermediary role between nurses' job stress and subjective happiness. In the process of trying to reduce nurses' job stress,we should make full use of the intermediary significance of hope to help nurses with low level of hope to build hope and improve their happiness level.

关 键 词：护士 工作压力 希望 幸福感 

分 类 号：R192.6[医药卫生—卫生事业管理]