疫情期间正念干预对护理本科生心理弹性及职业认同感的影响及其机制研究  

Effect of mindfulness intervention on psychological resilience and professional identity of nursing undergraduates during the epidemic and its mechanism

作　　者：戴振威 潘辰[2] 王浩[1] 肖伟军 黄依漫 陈旭[1] 付佳琪 荆舒 王欢 苏小游[1] DAI Zhenwei;PAN Chen;WANG Hao;XIAO Weijun;HUANG Yiman;CHEN Xu;FU Jiaqi;JING Shu;WANG Huan;SU Xiaoyou(School of Population Medicine and Public Health,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100005,China;Department of Clinical Psychology,the Third Xiangya Hospital of Central South University,Changsha,Hunan 410013,China;School of Nursing,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院群医学及公共卫生学院,北京100005 [2]中南大学湘雅三医院临床心理科,湖南长沙410013 [3]中国医学科学院北京协和医学院护理学院,北京100144

出　　处：《职业卫生与应急救援》2023年第4期436-441,共6页Occupational Health and Emergency Rescue

基　　金：国家卫生健康委员会亚洲区域合作专项(BLXM01);中国医学科学院医学与健康科技创新工程(2020-I2M-2-015)。

摘　　要：目的探讨疫情期间正念干预对护理本科生心理弹性及职业认同感的影响及其机制,为提升护理本科生心理健康状况和职业认同感提供有力证据。方法2021年4月25—30日从北京市某高校完成预调查的研究对象中随机选取108名护理学生,其中有52人作为干预组成员进行线上线下相结合的正念干预,56人作为对照组成员进行空白对照,分别利用心理弹性量表(Resilience Style Questionnaire,RSQ)、护生职业认同量表(Professional Identity for Nurse Students Questionnaire,PINSQ)评估两组成员在干预前、干预后1周、干预后3个月后(随访时)的心理弹性及职业认同感水平。利用SAS 9.4软件,采用广义估计方程评价干预效果,采用Process程序检验心理弹性的中介效应。结果干预后,干预组心理弹性高于对照组(P<0.05);随访时,干预组和对照组的心理弹性差异无统计学意义(P>0.05)。干预组学生在干预后和随访时心理弹性相比干预前均有所提高(P<0.05),随访时和干预后相比,心理弹性有所下降(P<0.05);对照组各个时间点的心理弹性水平无变化(P>0.05)。干预后,干预组职业认同感得分高于对照组(P<0.05);随访时,干预组的职业认同感高于对照组(P<0.01)。干预组职业认同感在各时间点的提升均具有统计学意义(P<0.05);对照组各个时间点的职业认同感水平差异无统计学意义(P>0.05)。正念干预可通过影响心理弹性水平进而影响职业认同感,心理弹性在其中的中介效应占比为23.67%。结论正念干预可有效提升疫情期间护理本科生的心理弹性和职业认同感水平,可为后续的心理干预和研究提供依据。Objective To explore the effect of mindfulness intervention on the psychological resilience and professional identity of nursing undergraduates during the epidemic and its mechanisms,and to provide strong evidence for improving the mental health status and professional identity of nursing undergraduates.Methods One hundred and eight nursing students were randomly selected from a pre-survey conducted at a university in Beijing from April 25-30,2021,of whom 52 were placed in the intervention group for a combined online and offline mindfulness intervention,whereas 56 were placed in the control group and received no intervention.The Resilience Style Questionnaire(RSQ)and Professional Identity for Nurse Students Questionnaire(PINSQ)were used to assess the levels of psychological resilience and professional identity of members in both groups before intervention,1 week after intervention,and 3 months after intervention(followup).SAS 9.4 software was used to evaluate the intervention effect using generalized estimating equations,and the Process test was used to analyze the mediating effect of psychological resilience.Results After intervention,the psychological resilience of the intervention group was higher than that of the control group(P<0.05);at follow-up,there was no statistically significant difference in psychological resilience between the intervention group and the control group(P>0.05).The psychological resilience of students in the intervention group increased after intervention and at follow-up compared to before intervention(P<0.05),but decreased at follow-up compared to after intervention(P<0.05);there was no change in the level of psychological resilience of control students at each time point(P>0.05).After intervention,the professional identity score of the intervention group was higher than that of the control group(P<0.05),and at follow-up time,the professional identity of the intervention group was higher than that of the control group(P<0.01).The increase in professional identity at each time point in

关 键 词：正念干预 心理弹性 职业认同感 护理本科生 中介效应 广义估计方程 

分 类 号：R135[医药卫生—劳动卫生]