外科护士创伤后应激障碍在反刍思维与职业倦怠间的中介作用

职业与健康 ›› 2025, Vol. 41 ›› Issue (10): 1309-1314.

外科护士创伤后应激障碍在反刍思维与职业倦怠间的中介作用

冯静懿¹, 刘亚萍^2a, 陈秋霞^2b

1.武汉科技大学医学院,湖北武汉 430081;
2.武汉科技大学附属天佑医院 a泌尿外科,b护理部,湖北武汉 430064

收稿日期:2024-09-04 修回日期:2024-09-19 出版日期:2025-05-15 发布日期:2025-12-18
通信作者: 刘亚萍,主管护师,E-mail：bzmulyp@126.com
作者简介:冯静懿,女,在读硕士研究生,研究方向为心理护理。

Mediating role of post-traumatic stress disorder on rumination thinking and job burnout in surgical nurses

FENG Jingyi¹, LIU Yaping^2a, CHEN Qiuxia^2b

1. School of Medicine,Wuhan University of Science and Technology,Wuhan,Hubei 430081,China;
2a. Department of Urology,b Nursing Department,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan,Hubei 430064,China

Received:2024-09-04 Revised:2024-09-19 Online:2025-05-15 Published:2025-12-18
Contact: LIU Yaping,Nurse in charge,E-mail：bzmulyp@126.com

摘要/Abstract

摘要： 目的了解外科护士的反刍思维与职业倦怠之间的相关性,分析创伤后应激障碍在二者之间所起的中介作用。方法 2023年9—12月采用多阶段抽样的方法,应用一般资料调查问卷、反刍思维量表（rumination response scale,RRS）、创伤后应激障碍平民版量表（post traumatic stress disorder checklist civilian version,PCL-C）、职业倦怠量表（Maslach burnout inventory general survey,MBI-GS）对湖北省的鄂西、鄂北、鄂中、鄂东4所三级甲等医院的318名外科护士进行调查。采用Pearson相关性分析护士反刍思维、创伤后应激障碍以及职业倦怠的相关性。利用AMOS 23.0建立结构方程模型,检验创伤后应激障碍在外科护士反刍思维与职业倦怠之间的中介效应。结果 318名外科护士RRS量表总分为（45.50±14.95）分,PCL-C量表总分为（39.89±12.98）分,MBI-GS量表总分为（75.26±20.91）分;外科护士反刍思维、创伤后应激障碍分别与职业倦怠呈正相关（r=0.72、0.80,均P<0.01）;创伤后应激障碍在外科护士反刍思维与职业倦怠之间发挥完全的中介作用（β=1.017,P<0.01）,中介效应在总效应中占比为 95.9%,中介效应Bootstrap 95%CI为0.885~1.143。结论护理管理者应关注外科护士反刍思维风险人群,及时识别并定期评价其反刍思维的水平,注重对风险人群的疏导与心理支持,制订个性化干预措施,减轻创伤后应激障碍对外科护士的影响,并采取相应措施疏导护士的反刍思维,缓解外科护士的职业倦怠,稳定护理队伍。

关键词: 外科护士, 反刍思维, 创伤后应激障碍, 职业倦怠

Abstract: Objective To explore the correlation between rumination thinking and job burnout in surgical nurses,analyze the mediating role of post-traumatic stress disorder between the two. Methods Using a multi-stage sampling method,the general information questionnaire,rumination response scale（RRS）,post traumatic stress disorder checklist civilian version（PCL-C）,and Maslach burnout inventory general survey（MBI-GS） were applied to investigate 318 surgical nurses in four grade-A tertiary hospitals in western Hubei,northern Hubei,central Hubei and eastern Hubei from September to December 2023.The correlation of rumination,post-traumatic stress disorder and job burnout among nurses was analyzed by Pearson correlation.AMOS 23.0 was used to establish a structural equation model to examine the mediating effect of post-traumatic stress disorder on the relationship between rumination and burnout in surgical nurses. Results A total score of 318 surgical nurses was（45.50±14.95）points on the RRS scale,（39.89±12.98）points on the PCL-C scale,and（75.26±20.91）points on the MBI-GS scale. The ruminative thinking and post-traumatic stress disorder were positively correlated with job burnout in surgical nurses（r=0.72,0.80,both P<0.01）. The post-traumatic stress disorder played a complete mediating role in the relationship between ruminative thinking and job burnout in surgical nurses（β=1.017,P<0.01）,the mediating effect accounted for 95.9% of the total effect,and the mediating effect Bootstrap 95%CI was 0.885-1.143. Conclusion The nursing managers should pay attention to the risk groups of surgical nurses' ruminative thinking,identify and regularly evaluate their level of ruminative thinking,focus on the counseling and psychological support of the risk groups,formulate personalized interventions,reduce the impact of post-traumatic stress disorder on surgical nurses,and take corresponding measures to alleviate the ruminative thinking of nurses,alleviate the job burnout of surgical nurses,and stabilize the nursing team.

Key words: Surgical nurse, Ruminative thinking, Post-traumatic stress disorder, Job burnout

中图分类号:

R181.3⁺1

冯静懿, 刘亚萍, 陈秋霞. 外科护士创伤后应激障碍在反刍思维与职业倦怠间的中介作用. [J]职业与健康, 2025, 41(10): 1309-1314.

FENG Jingyi, LIU Yaping, CHEN Qiuxia. Mediating role of post-traumatic stress disorder on rumination thinking and job burnout in surgical nurses. [J]OCCUPATION AND HEALTH, 2025, 41(10): 1309-1314.

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