医护工作者职业承诺在工作-家庭积极外溢与抑郁间的中介效应

摘要/Abstract

摘要： 目的考察医护工作者的工作-家庭积极外溢、抑郁和职业承诺间的关系,并进一步探讨职业承诺在其间的中介作用。方法于2022年1—3月,通过网络平台以408名医护工作者为研究对象,采用流调中心抑郁量表（center for epidemiologic studies depression scale,CES-D）中文简版、工作-家庭积极外溢问卷和职业承诺量表进行调查,并对数据进行分析。结果医护工作者抑郁得分M（P₂₅,P₇₅）为5（3,9）分,其中存在抑郁风险的医护工作者96人,占23.5%,工作-家庭积极外溢中的从工作到家庭积极溢出维度得分为（3.25±0.90）分,从家庭到工作积极溢出维度得分为（3.77±0.85）分,职业承诺得分为（25.54±5.71）分。相关分析显示,医护工作者职业承诺、工作-家庭积极外溢与抑郁均呈负相关（r=-0.526、-0.358,均P<0.01）,工作-家庭积极外溢与职业承诺呈正相关（r=0.474,P<0.01）。中介效应分析表明,职业承诺在医护工作者工作-家庭积极外溢与抑郁间起中介作用,中介效应值为-0.218（P<0.01）,中介效应占总效应的60.9%。结论工作-家庭积极外溢是医护工作者抑郁的重要影响因素,职业承诺在其中起部分中介作用。提高医护工作者的工作-家庭积极外溢效应,将有助于减少抑郁的发生。

关键词: 医护工作者, 工作-家庭积极外溢, 抑郁, 职业承诺, 中介

Abstract: Objective To investigate the relationship between work-family positive spillover,depression and career commitment among medical staff,explore the mediating role of career commitment between them. Methods From January to March in 2022,408 medical workers were recruited to participate the survey by using the simplified Chinese version of center for epidemiologic studies depression scale（CES-D）,work-family positive spillover scale and career commitment scale through an online platform,and the data were analyzed. Results The depression score[M（P₂₅,P₇₅）] of medical workers was 5（3,9）points,96（23.5%） had risk of depression. In work-family positive spillover,the scores of positive spillovers from work to family dimension and from family to work dimension were （3.25±0.90） and （3.77±0.85）points,respectively. The career commitment score was （25.54±5.71）points. The correlation analysis showed that the career commitment and work-family positive spillover of medical staff were negatively correlated with depression（r=-0.526,-0.358,both P<0.01）,work-family positive spillover was positively correlated with career commitment（r=0.474,P<0.01）. The mediation effect analysis indicated that the career commitment played amediating role between work-family positive spillover and depression,and the mediating effect was -0.218（P<0.01）,accounting for 60.9% of the total effect. Conclusions The work-family positive spillover is an important influencing factor of medical staff's depression,and career commitment plays a part of mediating role between them. Improving the level of work-family positive spillover of medical staffis is helpful to reduce the level of depression.

Key words: Medical staff, Positive work-family spillover, Depression, Career commitment, Mediation

中图分类号:

R395.6

邵凱, 郭菲, 陈祉妍. 医护工作者职业承诺在工作-家庭积极外溢与抑郁间的中介效应. [J]职业与健康, 2023, 39(19): 2657-2662.

SHAO Kai, GUO Fei, CHEN Zhiyan. Mediating effect of career commitment on work-family positive spillover and depression among medical staff. [J]OCCUPATION AND HEALTH, 2023, 39(19): 2657-2662.

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