医务人员心理弹性在工作场所社会资本与焦虑情绪间的中介作用  

The mediating role of resilience between social capital at work and anxiety of medical staff

作　　者：李懂[1] 宋敏[1] 张波[1] 李诺[2] 杨静[2] Li Dong;Song Min;Zhang Bo;Li Nuo;Yang Jing(Department of Endocrine Genetic Metabolism,Affiliated Hospital of Jining Medical University,Jining 272001,China;Educational Institute of Behavioral Medicine,Jining Medical University,Jining 272013,China)

机构地区：[1]济宁医学院附属医院内分泌遗传代谢科,济宁272001 [2]济宁医学院行为医学教育研究所,济宁272013

出　　处：《中华劳动卫生职业病杂志》2023年第9期672-675,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：济宁市社会科学规划项目(21JSGX094);济宁医学院教师科研扶持基金(JYFC2019KJ039)。

摘　　要：目的探索工作场所社会资本对医务人员焦虑情绪的影响,以及心理弹性的中介作用。方法于2022年3-5月,用《一般资料调查表》《工作场所社会资本量表》《Connor-Davidson心理弹性量表简版》(CD-RISC-10)和《广泛性焦虑障碍量表》(GAD-7)对济宁医学院附属医院的201名医务人员开展问卷调查。用K-S法对计量资料进行正态性检验,符合正态分布的用±s表示,使用Pearson相关分析检验变量间的相关性;用线性回归分析检验中介效应;用SPSS宏程序PROCESS v3.5 Bootstrap法进行中介效应验证。结果医务人员焦虑情绪的检出率为59.20%(119/201)。工作场所社会资本评分[(28.90±5.83)分]、心理弹性评分[(31.55±4.98)分]均与焦虑情绪评分[(7.20±2.06)分]呈负相关(r=-0.338,-0.510,P<0.001),工作场所社会资本与心理弹性评分呈正相关(r=0.392,P<0.001)。工作场所社会资本能够正向预测心理弹性评分(β=0.392,P<0.001),工作场所社会资本和心理弹性均能够负向预测焦虑情绪评分(β=-0.222、-0.423,P<0.001)。医务人员工作场所社会资本对焦虑情绪的直接效应为-0.222(95%CI:-0.349~-0.095,P=0.001),通过心理弹性对焦虑情绪产生的间接效应为-0.166(95%CI:-0.265~-0.080),医务人员的心理弹性在工作场所社会资本和焦虑情绪间具有部分中介效应,中介效应占总效应的42.78%。结论医务人员的心理弹性在工作场所社会资本和焦虑情绪间具有部分中介效应。Objective To explore the influence of social capital at work on anxiety of medical staff,and the mediating role of resilience.Methods From March to May 2022,a total of 201 medical staff in the Affiliated Hospital of Jining Medical University were investigated with the General Information Questionnaire,Workplace Social Capital Scale,Connor-Davidson Resilience Scale(CD-RISC-10)and Generalized Anxiety Disorder-7(GAD-7).K-S method was used for normdity test of econometic voriobles,and normal distribution data were represented by Mean±SD,Pearson correlation analysis and linear regression analysis were used to test correlation between variables and mediating effect,and Bootstrap method was carried out by SPSS macro program PROCESS v3.5 to verify the mediating effect.Results The detection rate of anxiety was 59.20%(119/201)in medical staff.The scores of social capital at work(28.90±5.83)and resilience(31.55±4.98)were negatively correlated with the score of anxiety(7.20±2.06)(r=-0.338,-0.510,P<0.001),while the score of social capital at work was positively correlated with resilience(r=0.392,P<0.001).Workplace social capital positively predicted resilience(β=0.392,P<0.001),and both workplace social capital(β=-0.222,P=0.001)and resilience at work(β=-0.423,P<0.001)negatively predicted anxiety score.The direct effect of social capital in the workplace of medical staff on anxiety was-0.222(95%CI:-0.349~-0.095,P=0.001),and the indirect effect of resilience on anxiety was-0.166(95%CI:-0.265~-0.080).The resilience of medical staff had a partial mediating effect between workplace social capital and anxiety,which accounted for 42.78%of the total effect.Conclusion The resilience of medical staff has a partial mediating effect between workplace social capital and anxiety.Workplace social capital can not only directly affect the anxiety of medical staff,but also indirectly affect it through resilience.

关 键 词：焦虑 情绪 工作场所社会资本 心理弹性 医务人员 

分 类 号：R395.1[哲学宗教—心理学]