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作 者:张海宇 龙小莲 周洋 杜娟 Zhang Haiyu;Long Xiaolian;Zhou Yang;Du Juan(Nursing Department,the 2ND Affiliated Hospital of Chengdu Medical College·Nuclear Industry 416 Hospital,Chengdu 610051,China)
机构地区:[1]成都医学院第二附属医院·核工业四一六医院护理部,成都610051
出 处:《中华劳动卫生职业病杂志》2024年第11期845-851,共7页Chinese Journal of Industrial Hygiene and Occupational Diseases
摘 要:目的调查执业护士心理一致感、工作压力源及心理健康现况,分析三者之间的相关性。方法于2020年9月,采用便利抽样法选取四川省成都市执业护士为研究对象,分别使用《心理一致感量表》《护士工作压力源量表》及《症状自评量表》(SCL-90)调查其心理一致感、工作压力源以及心理健康现况。采用Pearson相关性检验分析三者间的相关性,并构建结构方程模型深入探索三者间的作用机制。结果共纳入执业护士1693人,其心理一致感总分为(65.00±14.01)分,工作压力源总分为(69.08±18.38)分,SCL-90总分为(129.68±52.99)分。执业护士心理一致感各维度均分与工作压力源、SCL-90各维度均分均呈负相关(P<0.001),工作压力源各维度均分与SCL-90各维度均分均呈正相关(P<0.001)。构建的结构方程模型拟合度较好,工作压力源与心理一致感路径系数为-0.372(P<0.001),心理一致感与SCL-90得分路径系数为-0.647(P<0.001)。结论心理一致感在执业护士工作压力源及心理健康中起着明显的缓冲作用,护理管理者应当致力于提高护士心理一致感水平,增进护士在工作中的幸福感,提高其心理健康水平。ObjectiveTo investigate the sense of coherence,job stressors and mental health status of nurses practitioners,and analyze the correlation among them.MethodsIn September 2020,nurses practitioners in Chengdu City,Sichuan Province were selected as the research objects by convenience sampling method.The Sense of Coherence Scale,Nurses'Job Stressors Scale and SCL-90 were used to investigate their sense of coherence,job stressors and mental health status,respectively.Pearson correlation test was used to analyze the correlation among them,and the structural equation model was constructed to explore the mechanism of them.ResultsA total of 1693 nurse practitioners were included.The total scores of sense of coherence,job stressors and SCL-90 were(65.00±14.01)points,(69.08±18.38)points and(129.68±52.99)points,respectively.The mean scores of all dimensions of sense of coherence of nurse practitioners were negatively correlated with the mean scores of all dimensions of job stressors and SCL-90(P<0.001).And there were positive correlations between the mean scores of all dimensions of job stressors and the mean scores of all dimensions of SCL-90(P<0.001).The structural equation model fitted well.The path coefficient between job stressors and sense of coherence was-0.372(P<0.001),and the path coefficient between sense of coherence and SCL-90 score was-0.647(P<0.001).ConclusionThe sense of coherence plays a significant buffering role in job stressors and mental health of nurses practitioners.Nursing managers should be committed to improving the level of sense of coherence of nurses,enhance the happiness of nurses at work,and improve their mental health level.
关 键 词:护士 心理健康 心理一致感 工作压力源 结构方程模型
分 类 号:R192.6[医药卫生—卫生事业管理]
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