团队支持在ICU护士压力与焦虑抑郁间的中介作用  

Relationship between nursing pressure and anxiety and depression among ICU nurses:the mediating role of cooperation support

作　　者：张翠娟 程月英 陈冬梅 邓建军 Zhang Cuijuan;Cheng Yueying;Chen Dongmei;Deng Jianjun(The Cardiovascular Surgery,First Center of 301 Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]中国人民解放军301总医院第一医学中心心脏大血管外科,北京100853 [2]北京优联医院护理部 [3]中国科学院计算机网络信息中心

出　　处：《护理学杂志》2023年第13期18-21,共4页Journal of Nursing Science

摘　　要：目的探讨ICU护士护理压力、团队支持与情绪障碍的关系,考察护理团队支持在ICU护理压力与焦虑、抑郁间的链式中介作用,以期为ICU护理管理提供实证依据。方法采样便利抽样法选取179名ICU护士,采用ICU护理压力问卷、护理团队支持问卷、焦虑自评量表和抑郁自评量表进行调查。结果ICU护理压力与抑郁、焦虑呈正相关(r=0.200、0.238,均P<0.05),与护理团队支持总分呈负相关(r=-0.229,P<0.05);护理团队支持总分与抑郁、焦虑呈负相关(r=-0.381、-0.418,均P<0.05);技术支持-情感支持在护理压力与抑郁之间具有完全链式中介作用(效应值=0.049,占总效应的35.00%),在护理压力与焦虑之间具有完全链式中介作用(效应值=0.080,占总效应的36.90%)。结论技术支持-情感支持路径能缓解护理压力对焦虑、抑郁的影响,通过提升对护士的技术支持-情感支持路径可缓解其焦虑与抑郁。Objective To explore the relationships among nursing pressure,emotion disorder and cooperation support in ICU nurses,and to observe the chain mediating effect of cooperation support in nursing pressure and anxiety and depression,so as to provide a reference for conducting targeted management for ICU nurses.Methods A total of 179 ICU nurses were recruited using convenience sampling,then they were investigated by utilizing the ICU Nursing Pressure Questionnaire,the Nursing Cooperation Support Questionnaire,and the Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS).Results The ICU nursing pressure was positively correlated with depression and anxiety(r=0.200,0.238,both P<0.05),and negatively related to nursing cooperation support(r=-0.229,P<0.05).The nursing cooperation support was negatively correlated with depression and anxiety(r=-0.381,-0.418,both P<0.05).Technological support-emotional support played complete chain mediating role between nursing pressure and depression(effect size was 0.049,explained 35.00%of the total effect),and the effect also exsited between nursing pressure and anxiety(effect size was 0.080,accounted for 36.90%of the total effect).Conclusion The technological support-emotional support path buffers the negative effect of nursing pressure on depression and anxiety,so nurses′depression and anxiety can be alleviated via enhancing their technological support-emotional support.

关 键 词：重症监护室 护士 护理压力 团队支持 情绪障碍 焦虑 抑郁 中介作用 

分 类 号：R192.6[医药卫生—卫生事业管理] R47[医药卫生—公共卫生与预防医学]