临床护士希望水平在心理一致感与自我概念间的中介效应  

Mediating effect of hope level between psychological consistency and self-concept of clinical nurses

作　　者：王素芳[1] 朱智玲[2] 李贺琴 杨文博[4] 原焕 赵玉洁 Wang Sufang;Zhu Zhiling;Li Heqin;Yang Wenbo;Yuan Huan;Zhao Yujie(Disinfection Supply Center,Xinxiang Central Hospital,Xinxiang 453000,China;Nursing Department,Xinxiang Central Hospital,Xinxiang 453000,China;Community and Preventive Health Department,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Urology Surgery,Xinxiang Central Hospital,Xinxiang 453000,China;School of Medical Laboratory Science,Xinxiang Medical University,Xinxiang 453000,China;Department of Joint and Trauma Surgery,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453000,China)

机构地区：[1]新乡市中心医院消毒供应中心,453000 [2]新乡市中心医院护理部,453000 [3]郑州大学第二附属医院社区及预防保健科,郑州450000 [4]新乡市中心医院泌尿外科,453000 [5]新乡医学院医学检验学院,453000 [6]新乡医学院第一附属医院关节与创伤外科,新乡453000

出　　处：《中华现代护理杂志》2021年第5期646-650,共5页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目(2018020938)。

摘　　要：目的调查临床护士希望水平、心理一致感、自我概念现状,并分析临床护士希望水平在心理一致感与自我概念之间的中介效应。方法采用横断面调查法,于2020年3—4月采用便利抽样法选取河南省3所三级甲等医院的920名临床护士为研究对象,采用一般资料调查表、Herth希望量表、心理一致感量表、护士自我概念问卷进行调查,应用结构方程模型分析希望水平在护士心理一致感与自我概念之间的中介效应。本研究共发放920份问卷,回收有效问卷853份,有效回收率为92.72%。结果853名临床护士Herth希望量表总分为(35.05±6.28)分,心理一致感量表总分为(52.52±8.44)分,护士自我概念问卷总分为(221.76±34.56)分;Pearson相关分析结果显示,临床护士心理一致感和希望水平、自我概念得分呈正相关(P<0.05);结构方程模型结果显示,心理一致感对护士自我概念有直接和间接预测作用,其路径系数分别是0.31、0.14,希望水平在心理一致感与自我概念间具有中介效应。结论希望水平在护士心理一致感和自我概念之间有一定的中介作用,护理管理者应采取有效措施提升护士心理一致感和希望水平,从而提升护士的自我概念水平促进其心理健康。Objective To investigate the status of hope level,psychological consistency and self-concept of clinical nurses and to analyze the mediating effect of hope level between psychological consistency and self-concept of clinical nurses.Methods Using the cross-sectional survey method,the convenient sampling method was used to select 920 clinical nurses from 3 ClassⅢGrade A hospitals in Henan Province as research objects from March to April 2020.General data questionnaire,Herth Hope Index(HHI),Sense of Coherence-13(SOC-13)and Nurses'Self Concept Questionnaire(NSCQ)were used to investigate.The structural equation model was used to analyze the mediating effect of hope level between psychological consistency and self-concept of nurses.In this study,a total of 920 questionnaires were distributed and 853 effective questionnaires were collected,with an effective recovery rate of 92.72%.Results The total score of HHI of 853 clinical nurses was(35.05±6.28),the total score of SOC-13 was(52.52±8.44)and the total score of Nurses'Self Concept Questionnaire was(221.76±34.56).The results of Pearson correlation analysis showed that psychological consistency of clinical nurses was positively correlated with hope level and self-concept(P<0.05).The results of the structural equation model showed that psychological consistency has direct and indirect predictive effects on self-concept of nurses,and the path coefficients were respectively 0.31 and 0.14.Hope level had a mediating effect between psychological consistency and self-concept.Conclusions Hope level plays a mediating role between psychological consistency and self-concept of nurses.Nursing managers should take effective measures to improve psychological consistency and hope level of nurses,so as to improve self-concept level of nurses to promote their mental health.

关 键 词：护士 希望水平 心理一致感 自我概念 中介效应 

分 类 号：R192.6[医药卫生—卫生事业管理]