基层医疗卫生机构人员感染相关焦虑与应对方式之间中介效应分析  

The Mediating Effect Between Infection Related Anxiety and Coping Style in Personnel of Primary Medical and Health Institutions

作　　者：王帮璇 马飞飞[1] 龚菊花[1] Wang Bangxuan;Ma Feifei;Gong Juhua(Jiading District Center for Disease Control and Prevention,Shanghai 201899,China)

机构地区：[1]上海市嘉定区疾病预防控制中心,上海201899

出　　处：《健康教育与健康促进》2025年第1期18-22,共5页Health Education and Health Promotion

基　　金：上海市嘉定区卫生健康委科研项目(2022-QN-09)。

摘　　要：目的明确基层医疗卫生机构人员自我效能感、心理应激反应在感染相关焦虑与不同应对方式形成之间的影响机制,以期对医护人员开展针对性的心理健康教育工作提供理论依据,并探索相应的保护性措施。方法在上海市嘉定区13个社区卫生服务中心的医护人员中随机抽取1344名作为调查对象,进行问卷调查。采用SPSS中的PROCESS插件进行中介效应检验和建立中介模型。结果中介模型结果显示:在男性中,心理应激反应在感染相关焦虑与消极应对的关系中起部分中介作用;在女性中,心理应激反应在感染相关焦虑与消极应对、积极应对的关系中均起部分中介作用。有调节的中介模型显示:在男性中,自我效能感在感染相关焦虑对心理应激反应的路径有调节作用;在女性中,自我效能感在心理应激反应对积极行为的路径有调节作用。结论心理应激反应在感染相关焦虑与应对方式之间起到的中介效应有性别差异,医疗机构应关注不同性别医务人员的心理变化,并针对不同性别采取不同程度的心理训练,以提高医务人员的心理素质,并完善应急处置配套设施。Objective To clarify the influence mechanism of self-efficacy and psychological stress reaction between infection related anxiety and the formation of different coping styles in personnel of primary health care institutions,so as to provide the theoretical basis for health education on mental health for medical staff,and explore the corresponding protective measures.Methods A total of 1344 medical staff from 13 community health service centers in Jiading District were randomly selected as the subjects for questionnaire survey.The process plug-in in SPSS was used to test the mediation effect and the moderated mediation model.Results The mediating model showed that in men,psychological stress reaction played a partial mediating role in the relationship between infection related anxiety and negative coping;in women,psychological stress reaction played a partial mediating role in the relationship between infection related anxiety,negative coping and positive coping.The moderated mediation model showed that in men,selfefficacy had a moderating effect on the path of infection related anxiety to psychological stress response;in women,self-efficacy played a regulatory role in the path of psychological stress response to positive behavior.Conclusion There are gender differences in the mediating effect of psychological stress reaction between infection related anxiety and coping style.Medical institutions should pay attention to the psychological changes of medical staff of different genders,and take different degrees of psychological training according to different genders,so as to improve the psychological quality of medical staff and improve the supporting facilities for emergency response.

关 键 词：感染相关焦虑 应对方式 有调节的中介效应模型 心理应激反应 自我效能感 

分 类 号：R47[医药卫生—护理学]