心理弹性在急诊科护士D型人格与创伤后应激障碍间的中介效应分析

摘要/Abstract

摘要： 目的调查急诊科护士D型人格、心理弹性与创伤后应激障碍的现状,分析其相关性,并验证心理弹性在D型人格与创伤后应激障碍间的中介作用。方法采用便利抽样法,于2023年9—12月采用一般资料调查表、D型人格量表、心理弹性量表及创伤后应激障碍量表（大众版）对海口市4所三级甲等综合医院240名急诊科护士进行问卷调查。采用描述分析、单因素分析、相关分析及多元线性逐步回归分析进行相关影响因素分析。应用AMOS 26.0软件建立结构方程模型,并采用Bootstrap检验法对心理弹性在D型人格与创伤后应激障碍间的中介作用进行分析。结果急诊科护士D型人格总得分为（19.94±12.02）分,心理弹性总得分为（59.35±12.06）分;创伤后应激障碍总得分为（29.65±7.99）分。相关分析显示,D型人格与心理弹性呈负相关（r=-0.265~-0.523,均P<0.01）,与创伤后应激障碍呈正相关（r=0.444~0.685,均P<0.01）;心理弹性与创伤后应激障碍呈负相关（r=-0.327~-0.676,均P<0.01）。多元线性逐步回归分析显示,D型人格和心理弹性是急诊科护士创伤后应激障碍的影响因素（P<0.01）;心理弹性在急诊科护士D型人格与创伤后应激障碍间起部分中介效应,中介效应占总效应的40.44%。结论海口市三级甲等综合医院急诊科护士D型人格不仅对创伤后应激障碍有直接影响,还可以通过心理弹性对创伤后应激障碍有间接影响。护理管理者可针对D型人格和心理弹性开展干预,从而有效预防和改善急诊科护士创伤后应激障碍。

关键词: 急诊科护士, D型人格, 心理弹性, 创伤后应激障碍, 影响因素, 中介效应

Abstract: Objective To investigate the current status of Type D personality,psychological resilience and post-traumatic stress disorder（PTSD） among emergency nurses,analyze their correlations,and verify the mediating role of psychological resilience between Type D personality and PTSD. Methods Using convenience sampling method,240 emergency nurses in four grade-A tertiary general hospitals in Haikou City were surveyed by the general information questionnaire,Type D personality scale-14,psychological resilience scale,and the civilian version of the post-traumatic stress disorder scale from September to December 2023. Descriptive analysis,univariate analysis,correlation analysis and multiple linear stepwise regression analysis were used to analyze related influencing factors. AMOS 26.0 software was used to establish a structural equation model,and the mediating role of psychological resilience on the relationship between Type D personality and PTSD was analyzed by the Bootstrap test. Results The total score of Type D personality among emergency nurses was （19.94±12.02）points,the total score of psychological resilience was （59.35±12.06）points,and the total score of PTSD was （29.65±7.99）points. Correlation analysis showed that Type D personality was negatively correlated with psychological resilience（r=-0.265--0.523,all P<0.01） and positively correlated with PTSD（r=0.444-0.685,all P<0.01）. Psychological resilience was negatively correlated with PTSD（r=-0.327--0.676,all P<0.01）. Multiple linear stepwise regression analysis showed that Type D personality and psychological resilience were influencing factors of PTSD in emergency nurses（both P<0.01）. Psychological resilience played a partial mediating role between Type D personality and PTSD,and the mediating effect accounted for 40.44% of the total effect. Conclusion The Type D personality of emergency nurses in grade-A tertiary general hospitals in Haikou not only has a direct impact on PTSD,but can also have an indirect impact on PTSD through psychological resilience. Nursing managers can carry out interventions targeting Type D personality and psychological resilience,so as to effectively prevent and improve PTSD among emergency nurses.

Key words: Emergency nurses, Type D personality, Psychological resilience, Post traumatic stress disorder, Influencing factors, Mediating effect

中图分类号:

R192.6

陈小花, 王妙, 杨慧. 心理弹性在急诊科护士D型人格与创伤后应激障碍间的中介效应分析. [J]职业与健康, 2025, 41(3): 378-383.

CHEN Xiaohua, WANG Miao, YANG Hui. Analysis of the mediating effect of psychological resilience between Type D personality and post-traumatic stress disorder in emergency nurses. [J]OCCUPATION AND HEALTH, 2025, 41(3): 378-383.

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