职业与健康 ›› 2023, Vol. 39 ›› Issue (8): 1112-1116.

• 论著 • 上一篇    下一篇

本科护生心理危机在危机脆弱性与生命意义感之间的中介效应

刘芹1, 常仁杰2, 毕立雄1, 赵洁1, 傅映平1, 黄冬梅1   

  1. 1.云南中医药大学护理学院,云南 昆明 650500;
    2.云南省中医医院脾胃病科消化内镜中心,云南 昆明 650021
  • 收稿日期:2022-07-18 修回日期:2022-08-29 发布日期:2026-03-11
  • 通信作者: 常仁杰,主治医师,E-mail:dr_renjiechang@163.com
  • 作者简介:刘芹,女,讲师,主要从事护理教育与卫生事业管理工作。
  • 基金资助:
    云南中医药大学哲学社会科学课题(〔2020〕-SKYB-0007); 云南中医药大学第一附属医院(云南省中医医院)第二批“卓越青年人才”计划; 2022 年度云南中医药大学“本科教学改革创新项目” 云南省教育厅科学研究基金项目(2020J0308)

Mediating effect of psychological crisis between crisis vulnerability and sense of life meaning in undergraduate nursing students

LIU Qin1, CHANG Ren-jie2, BI Li-xiong1, ZHAO Jie1, FU Ying-ping1, HUANG Dong-mei1   

  1. 1. Nursing College,Yunnan University of Traditional Chinese Medicine,Kunming Yunnan 650500,China;
    2. Digestive Endoscopy Center,Department of Spleen and Stomach Diseases,Yunnan Provincial Traditional Chinese Medicine Hospital,Kunming Yunnan 650021,China
  • Received:2022-07-18 Revised:2022-08-29 Published:2026-03-11
  • Contact: CHANG Ren-jie,Attending physician,E-mail:dr_renjiechang@163.com

摘要: 目的 了解云南省某中医院校本科护生心理危机、危机脆弱性和生命意义感的现状及三者间的关系,为促进护生心理健康提供科学依据。方法 采用心理危机、危机脆弱性测验问卷和生命意义感量表,于2021年10月对云南中医药大学330名在校本科护生进行问卷调查。结果 在校本科护生心理危机脆弱性得分为(25.48±4.41)分,生命意义感得分为(48.6±8.07)分,心理危机得分为(17.22±2.54)分。对专业是否认同和不同家庭关系的本科护生心理危机脆弱性得分比较,差异均有统计学意义(均P<0.05);是否认定为贫困、对专业是否认同和不同家庭关系的本科护生生命意义感得分比较,差异均有统计学意义(均P<0.05);户籍类型、对专业是否认同和不同家庭关系的本科护生心理危机得分比较,差异均有统计学意义(均P<0.01)。本科护生心理危机与危机脆弱性呈正相关(r=0.246,P<0.05),与生命意义感呈负相关(r=-0.456,P<0.05),危机脆弱性与生命意义感呈负相关( r=-0.275,P<0.05)。中介效应检验显示,危机脆弱性不仅能够直接预测生命意义感,而且能够通过心理危机的中介作用预测生命意义感,直接效应值为0.54,中介效应值为0.20,分别占总效应的72.68%和27.32%。结论 云南省某中医院校在校本科护生心理危机与危机脆弱性及生命意义感存在一定相关性,且心理危机在危机脆弱性与生命意义感间起调节中介效应。

关键词: 护生, 危机脆弱性, 生命意义感, 心理危机

Abstract: Objective To understand the status of psychological crisis,crisis vulnerability and sense of life meaning among undergraduate nursing students in a traditional Chinese medicine college of Yunnan Province,explore their relationship,provide scientific basis for promoting the mental health of nursing students. Methods Using the psychological crisis questionnaire,crisis vulnerability questionnaire and sense of life meaning scale,a questionnaire survey was conducted on 330 undergraduate nursing students in the Yunnan University of Traditional Chinese Medicine in October 2021. Results The score of crisis vulnerability in undergraduate nursing students surveyed was (25.48±4.41)points,the score of sense of life meaning was (48.6±8.07)points,and the score of psychological crisis was(17.22±2.54)points.There were statistically significant differences in the score of crisis vulnerability among undergraduate nursing students who identify with their majors or not and have different family relationships(all P<0.05).There were statistically significant differences in the score of sense of life meaning among undergraduate nursing students who are recognized as a poverty-stricken student or not,identify with their majors or not and have different family relationships(all P<0.05).There were statistically significant differences in the score of psychological crisis among undergraduate nursing students who have different types of registered residence,identify with their majors or not and have different family relationships(all P<0.01).The psychological crisis of undergraduate nursing students was positively correlated with the crisis vulnerability(r=0.246,P<0.05),and negatively correlated with sense of life meaning(r=-0.456,P<0.05),while the crisis vulnerability was negatively correlated with sense of life meaning(r=-0.275,P<0.05).The mediating effect test showed that crisis vulnerability can not only directly predict the sense of life meaning,but also predict the sense of meaning of life through the mediation of psychological crisis,the direct effect value was 0.54 and the mediating effect value was 0.20,accounting for 72.68% and 27.32% of the total effect respectively. Conclusion There is a certain correlation between psychological crisis,crisis vulnerability,and sense of life meaning among undergraduate nursing students in a traditional Chinese medicine college of Yunnan Province,and the psychological crisis plays a moderating mesomeric effect between crisis vulnerability and sense of life meaning.

Key words: Nursing students, Crisis vulnerability, Sense of life meaning, Psychological crisis

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