心理韧性在精神科护士工作压力与睡眠质量间的中介作用  

The mediating role of psychological resilience between work stress and sleep quality in psychiatric nurses

作　　者：古玮娜[1] 张凌芳[1] 郭正军 杨世昌[1] Gu Weina;Zhang Lingfang;Guo Zhengjun;Yang Shichang(Psychiatry Department,the Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,China;Prevention and Control Department,the Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,China)

机构地区：[1]新乡医学院第二附属医院精神科,新乡453002 [2]新乡医学院第二附属医院防治科,新乡453002

出　　处：《中华现代护理杂志》2024年第12期1638-1642,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨心理韧性在精神科护士工作压力与睡眠质量间的中介作用。方法采用便利抽样法,于2023年4—8月选取河南省3所精神专科医院的457名精神科护士为研究对象,采用一般资料调查表、中文版心理韧性量表(CD-RISC)、中国护士工作压力源量表(CNSS)和匹兹堡睡眠质量指数量表(PSQI)进行调查。采用Pearson相关分析探讨精神科护士的心理韧性、工作压力与睡眠质量的相关性。采用SPSS 26.0软件对数据进行分析,采用Process宏程序及Bootstrap法进行中介效应检验。结果457名精神科护士的CD-RISC得分为(58.89±13.27)分,CNSS得分为(78.02±14.31)分,PSQI得分为(8.04±3.46)分。Pearson相关分析结果显示,工作压力与睡眠质量呈正相关(r=0.703,P<0.01);工作压力与心理韧性呈负相关(r=-0.413,P<0.01);心理韧性与睡眠质量呈负相关(r=-0.712,P<0.01)。心理韧性在工作压力与睡眠质量间起部分中介作用,中介效应值为0.051,占总效应的30.0%。结论心理韧性在精神科护士工作压力与睡眠质量间起部分中介作用。护理管理者应重视和提升精神科护士心理韧性,定期减压,改善睡眠质量,提高护士身心健康水平。Objective To explore the mediating role of psychological resilience between work stress and sleep quality in psychiatric nurses.Methods From April to August 2023,convenience sampling was used to select 457 psychiatric nurses working in three psychiatric hospitals in Henan Province as the research subjects.The survey was conducted using the General Information Questionnaire,the Chinese version of the Connor-Davidson Resilience Scale(CD-RISC),the Chinese Nursing Stressor Scale(CNSS),and the Pittsburgh Sleep Quality Index(PSQI).Pearson correlation was used to analyze the correlation between psychological resilience,work stress,and sleep quality among psychiatric nurses.SPSS 26.0 software was used to analyze the data,and Process macro program and Bootstrap method were used to test the mediating effect.Results Among 457 psychiatric nurses,the total scores of the Chinese version of CD-RISC,CNSS,and PSQI were(58.89±13.27),(78.02±14.31),and(8.04±3.46),respectively.Pearson correlation showed that work stress was positively correlated with sleep quality(r=0.703,P<0.01).In contrast,work stress was negatively correlated with psychological resilience(r=-0.413,P<0.01),and psychological resilience was negatively correlated with sleep quality(r=-0.712,P<0.01).Psychological resilience partially mediated the relationship between work stress and sleep quality,with a mediating effect value of 0.051,accounting for 30.0%of the total effect.Conclusions Psychological resilience partially mediates the relationship between work stress and sleep quality in psychiatric nurses.Nursing managers should attach importance to and enhance the psychological resilience of psychiatric nurses,regularly relieve stress,improve sleep quality,and enhance the physical and mental health of nurses.

关 键 词：护士 精神科 睡眠质量 工作压力 心理韧性 中介作用 

分 类 号：R192.6[医药卫生—卫生事业管理]