冲突处理在精神科护士领悟性社会支持与心理困扰间的中介作用  

The mediating effect of conflict management model between perceived social support and psychological distress of psychiatric nurses

作　　者：张芮 卢庆华[2] 薛雅卓 孙菲菲[3] 邹桂元 Zhang Rui;Lu Qinghua;Xue Yazhuo;Sun Feifei;Zou Guiyuan(School of Nursing,Shandong First Medical University&Shandong Academy of Medical Sciences,Tai'an 271016,China;Department of Nursing,Shandong Mental Health Center,Jinan 250014,China;Ward 13th,Shandong Mental Health Center,Jinan 250014,China;Ward 7th,Shandong Mental Health Center,Jinan 250014,China)

机构地区：[1]山东第一医科大学(山东省医学科学院)护理学院,泰安271016 [2]山东省精神卫生中心护理部,济南250014 [3]山东省精神卫生中心十三病区,济南250014 [4]山东省精神卫生中心七病区,济南250014

出　　处：《中国实用护理杂志》2021年第29期2241-2248,共8页Chinese Journal of Practical Nursing

基　　金：山东省医药卫生科技发展计划(2018WS296)。

摘　　要：目的探讨精神科护士冲突处理模式与领悟性社会支持和心理困扰的关系,并分析冲突处理模式在精神科护士领悟性社会支持和心理困扰关系中的中介作用。方法2019年11月采用一般人口学问卷、护士人际冲突处理形态量表、凯斯勒心理困扰量表、领悟性社会支持量表对山东省精神卫生中心208名护士进行调查。结果精神科护士心理困扰总分为(22.74±7.71)分,心理困扰水平与整合型冲突处理模式、领悟性社会支持均呈负相关(r值为-0.329~-0.266,P<0.001),精神科护士最常采用的冲突处理模式为"整合",整合型冲突模式在领悟性社会支持和心理困扰中起部分中介作用,中介效应占总效应的20.2%。结论精神科护士心理困扰处于中重度水平,整合型冲突处理模式和领悟性社会支持在减轻精神科护士心理困扰中发挥着重要作用,护理管理者应开展改善护患冲突的相关干预研究,引导护士采取整合型冲突处理模式,减轻心理困扰,提高心理健康水平。Objective To examine the relationship between conflict management model,perceived social support and psychological distress in psychiatric nurses,and to analyze the mediating effect of conflict management model in the relationship between perceived social support and psychological distress in psychiatric nurses.Methods In November 2019,a total of 208 nurses in Shandong Mental Health Center were investigated with General Demography Questionnaire,Nurses'Interpersonal Conflict Handling Form Scale,Kessler Psychological Distress Scale and Perceived Social Support Scale.Results The total score of psychological distress of psychiatric nurses was 22.74±7.71,and the level of psychological distress was negatively correlated with the integrated conflict management model and perceived social support(r values were-0.329--0.266,P<0.001).The most commonly used conflict management model of psychiatric nurses was"integration".The integrated conflict management model had a partial mediating effect in perceived social support and psychological distress,and the mediating effect accounted for 20.2%of the total effect.Conclusions Psychological distress of psychiatric nurses is at a moderate to severe level,and integrated conflict management model and perceived social support play an important role in reducing psychological distress of psychiatric nurses.Nursing administrators should carry out relevant intervention studies to improve nurse-patient conflict and guide nurses to adopt integrated conflict management model to reduce psychological distress and improve mental health level.

关 键 词：精神科护士 心理困扰 冲突处理模式 领悟性社会支持 

分 类 号：R192.6[医药卫生—卫生事业管理]