精神科护士沟通能力在人格特征与冲突处理形态关系中的中介效应  

The mediation effect of psychiatric nurses'communication ability on the relationship between personality characteristics and conflict management patterns

作　　者：晁晶晶 孙菲菲[1] 卢庆华[1] Chao Jingjing;Sun Feifei;Lu Qinghua(Nursing Department of Shandong Mental Health Center,Ji′nan 250014,China)

机构地区：[1]山东省精神卫生中心护理部,济南250014

出　　处：《中国实用护理杂志》2021年第6期454-459,共6页Chinese Journal of Practical Nursing

基　　金：山东省医药卫生科技发展计划(2018WS296)。

摘　　要：目的了解精神科护士沟通能力、人格特征与冲突处理形态的关系,为进行精神科护士冲突处理能力课程培训提供依据。方法采用便利取样方法,使用护士临床沟通能力量表、护士人际冲突处理形态量表、中国大五人格问卷简式版,对精神病专科医院的临床一线208名护士进行调查研究。结果整合维度(18.67±2.58)分,让步维度(12.93±2.43)分,逃避维度(14.05±2.02)分,支配维度(14.49±3.06)分,且整合维度与性别(t值为-2.57,P=0.01)、学历(F值为3.76,P=0.02)、技术职称(F值为3.03,P=0.02)、职务(t值为2.08,P=0.03)、是否参加护患沟通培训有关(t值为2.54,P=0.02);人格特性为宜人性格的护士能更好地处理人际冲突(r=0.361,P<0.01),护士的人格特性对人际冲突处理形态有直接效应(P=0.036,95%CI 0.107~0.422),护士的沟通能力在其中起着部分间接效应(P=0.031,95%CI 0.001~0.063)。结论精神科护士人际冲突处理形态与沟通能力和人格特征均密切相关,护理管理者可以针对性的开展相关培训,提高护理人员的冲突处理能力。Objective To understand the relationship between psychiatric nurses'communication ability,personality characteristics and conflict management patterns,and to provide a basis for training psychiatric nurses'conflict management ability courses.Methods A convenient sampling method was used to investigate and investigate 208 nurses in the first-line clinical hospitals of a third-class psychiatric hospital,used the nurses′clinical communication ability scale,the nurse′s interpersonal conflict management morphology scale,and the simplified version of the Chinese Big Five Personality Questionnaire.Results Integration dimension(18.67±2.58)points,concession dimension(12.93±2.43)points,escape dimension(14.05±2.02)points,dominance dimension(14.49±3.06)points,and integration dimension and gender(t value was-2.57,P=0.01),education(F value was 3.76,P=0.02),technical title(F value was 3.03,P=0.02),position(t value was 2.08,P=0.03),whether to participate in nurse-patient communication training(t value was 2.54,P=0.02).Nurses with pleasant personality could better deal with interpersonal conflict(r=0.361,P<0.01),and the nurse′s personality had a direct effect on the form of interpersonal conflict(P=0.036,95%CI 0.107-0.422),the nurse′s communication ability plays a part of indirect effect(P=0.031,95%CI 0.001-0.063).Conclusion The form of interpersonal conflict management of psychiatric nurses was closely related to communication ability and personality characteristics.Nursing managers could carry out targeted training to improve the conflict management ability of nursing staff.

关 键 词：精神科护士 沟通能力 人格特性 人际冲突 

分 类 号：R473.74[医药卫生—护理学]