职业幸福感在医务工作者职业紧张与抑郁症状关系间的中介效应分析  

Mediating role of occupational well-being in the relationship between occupational stress and depression symptoms in medical staff

作　　者：陈小方 孙瑞灿 吕柯瑶 兰亚佳[1] 谢林伸[1] CHEN Xiao-fang;SUN Rui-can;LV Ke-yao;LAN Ya-jia;XIE Lin-shen(Department of Preventive Medicine,School of Public Health,Chengdu Medical College,Chengdu,Sichuan 610041,China;不详)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院,四川成都610041 [2]成都医学院公共卫生学院预防医学系

出　　处：《现代预防医学》2023年第4期582-585,675,共5页Modern Preventive Medicine

基　　金：国家自然科学基金面上项目(82073521)。

摘　　要：目的分析医务工作者职业幸福感在职业紧张和抑郁症状关系间的中介效应。方法采用分层整群抽样,选取某省4家医院医务工作者为研究对象,使用抑郁-焦虑-紧张量表(DASS-21量表)和自行设计的可视化评分调查医务工作者职业紧张、抑郁症状和职业幸福感水平,采用逐步回归法和结构方程模型分析职业幸福感对职业紧张和抑郁症状关系间的中介作用。结果1988名医护工作者职业紧张和抑郁症状阳性检出率分别为42.5%(845/1988)、43.5%(864/1988)。医务工作者抑郁症状与职业紧张呈正相关(r=0.794,P<0.001),与职业幸福感呈负相关(r=-0.443,P<0.001),职业幸福感与职业紧张呈负相关(r=-0.352,P<0.001)。中介效应分析显示,职业幸福感在职业紧张和抑郁症状间具有中介效应,中介效应值为0.054(BCa 95%CI:0.066~0.423),中介效应占比为7.4%。结论医务工作者的职业紧张可直接作用于抑郁症状,也可通过职业幸福感间接作用于抑郁症状,职业幸福感在职业紧张和抑郁症状间具有部分中介的作用,但主要以直接作用为主。Objective To examine the mediating effect of occupational well-being between occupational stress and depression symptoms in medical staff.Methods Medical staff from 4 hospitals in a province were selected as the research objects by stratified cluster sampling.The depression anxiety stress scale(DASS-21 Scale)and self-designed visual scores were used to investigate the occupational stress,depressive symptoms and occupational well-being of medical staff.Stepwise regression analysis and structural equation modeling were used to examine the mediating effect of occupational well-being between occupational stress and depression symptoms in medical staff.Results The positive rates of occupational stress and depressive symptoms among 1988 medical workers were 42.5%(845/1988)and 43.5%respectively(864/1988).The depression symptoms were positively related to occupational stress(r=0.794,P<0.001),but negatively related to occupational well-being(r=-0.443,P<0.001).The occupational well-being was negatively related to occupational stress(r=-0.352,P<0.001).The results of mediation analysis showed that occupational well-being had a mediating effect between occupational stress and depression symptoms,and the mediating effect value was 0.054(Bca95%CI:0.066-0.423),as well as the proportion of occupational well-being mediation was 7.4%of total effect for depression symptoms.Conclusion Occupational stress of medical staff can directly affect depression symptoms,or indirectly affect depression symptoms through occupational well-being.Occupational well-being has a partial mediating effect,mainly direct effects,between occupational stress and depression symptoms.

关 键 词：职业紧张 职业幸福感 抑郁症状 中介效应 

分 类 号：R192[医药卫生—卫生事业管理]