四川省一线护士压力应对与疫情反刍性沉思的关系:心理一致感的中介作用  

Parallel mediating role of sense of coherence between coping style and COVID-19 pandemic related rumination of front-line nurses

作　　者：杨建华[1] 关华[2] 熊洪 易涛[1] 杨茜[1] YANG Jianhua;GUAN Hua;XIONG Hong;YI Tao;YANG Qian(Chengdu Medical College,Chengdu,Sichuan 610083,China;Health Management Center(Emergency department fever clinic),Affiliated Hospital of Sichuan Academy of Medical Sciences and Technology of China&Sichuan Provincial People’s Hospital,Chengdu,Sichuan 610072,China;Department of Respiratory and Critical Care Medicine,Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China)

机构地区：[1]成都医学院,四川成都610083 [2]四川省医学科学院·四川省人民医院健康管理中心(急诊科发热门诊),四川成都610072 [3]西南医科大学附属医院呼吸与危重症医学科,四川泸州646000

出　　处：《职业卫生与应急救援》2021年第6期625-630,636,共7页Occupational Health and Emergency Rescue

基　　金：2021年度成都医学院-成都市郫都区人民医院联合科研基金护理专项项目(2021LHHL-07)。

摘　　要：目的调查新型冠状病毒肺炎疫情一线护士心理一致感、压力应对及疫情反刍性沉思水平,探讨心理一致感在一线护士压力应对方式与疫情反刍性沉思的中介作用。方法随机选取四川省内6家医院417名一线护士,采用心理一致感问卷、简易压力应对方式量表和事件相关反刍性问卷进行调查。采用SPSS 20.0对数据进行分析,包括描述性统计分析、t检验、方差分析、Pearson相关性分析和多重线性回归分析、中介作用分析等。结果年长、工龄长及有子女的护士疫情侵入性沉思水平较高(P<0.05),三甲医院护士疫情目的性沉思水平高于三乙及以下医院的护士(P<0.05)。一线护士的心理一致感得分均值为(62.73±10.44)分,与积极应对方式呈正相关(P<0.05),与消极应对方式呈负相关(P<0.05),与疫情侵入性反刍性沉思和目的性反刍性沉思均呈负相关(P<0.05);积极应对方式与疫情目的性沉思呈正相关(P<0.05),消极应对方式与疫情侵入性和目的性沉思均呈正相关(P<0.05)。路径分析结果显示:消极应对方式对疫情侵入性反刍性沉思有正向预测作用(β’=0.336,P<0.05),心理一致感在二者中间起抑制效应,抑制效应占比为13.75%;积极应对方式对疫情目的性沉思有正向预测作用(β’=0.190,P<0.05),心理一致感在二者间起抑制效应;消极应对方式对疫情目的性沉思有正向预测作用(β’=0.183,P<0.05),心理一致感在两者中起部分作用,中介作用占34.4%。结论新型冠状病毒肺炎疫情期间一线护士心理一致感水平偏低。心理一致感在一线护士压力应对和疫情反刍性沉思两者间有中介作用,有关部门及医院应培养护士稳定的心理一致感,以更好地应对突发公共卫生事件。Objective To investigate the levels of sense of coherence,coping style,COVID-19 pandemic related rumination of front-line nurses,and to explore the parallel mediating role of sense of coherence between coping style and rumination among these persons.Methods A total of 417 front-nurses were investigated using Sense of Coherence-13(SOC-13),Simplified Coping Style Questionnaire(SCSQ)and Chinese Event Related Rumination Inventory(C-ERRI).SPSS 20.0 was used to analyze the data,including descriptive statistical analysis,t test,variance analysis,Pearson correlation analysis and logistic regression analysis.Results Nurses with older age and long service time,and having children had higher levels of epidemic invasive meditation(P<0.05),and nurses in gradeⅢA hospitals had a higher level of epidemic purposeful meditation than nurses in gradeⅢB and/or below hospitals(P<0.05).The sense of coherence of front-line nurses was positively correlated with positive coping style(P<0.05),negatively correlated with negative coping style(P<0.05),and negatively correlated with invasive rumination and purposeful rumination(P<0.05);positive coping style was positively correlated with epidemic purposeful meditation(P<0.05),and negative coping style was positively correlated with epidemic invasive and purposeful meditation(P<0.05).The results of path analysis showed that negative coping styles had a positive predictive effect on invasive rumination(β’=0.336,P<0.05),sense of coherence had an inhibitory effect between them,accounting for 13.75%;positive coping style has a positive predictive effect on epidemic purposeful thinking(β’=0.190,P<0.05),sense of coherence had an inhibitory effect between them;negative coping styles have a positive predictive effect on epidemic purposeful meditation(β’=0.183,P<0.05),and sense of coherence played a partial role in the two,accounting for 34.4%.Conclusions Considering the mediating role of sense of coherence,the effect of negative coping style on invasive rumination should be eliminated,in o

关 键 词：护士 积极应对 消极应对 反刍性沉思 心理一致感 中介作用 

分 类 号：B845.6[哲学宗教—心理学]