职业与健康 ›› 2025, Vol. 41 ›› Issue (2): 244-248.

• 论著 • 上一篇    下一篇

乌鲁木齐市临床护士心理弹性在工作压力源和应对方式间的中介效应

王红1a, 于珊2, 陈霞1b, 董霞1c, 史凌云1a   

  1. 1.新疆医科大学第一附属医院 a护理部,b心理医学科,c冠心病二科,新疆 乌鲁木齐 830000;
    2.新疆医科大学护理学院,新疆 乌鲁木齐 830000
  • 收稿日期:2024-11-29 修回日期:2024-12-28 出版日期:2025-01-15 发布日期:2025-12-11
  • 通信作者: 史凌云,主任护师,E-mail:shilingyunguanjie@163.com
  • 作者简介:王红,女,副主任护师,主要从事护理管理、临床护理与护理教育工作。
  • 基金资助:
    新疆维吾尔自治区自然科学基金(2020D01C241); 新疆医科大学第一附属医院院内专项基金(2022YFY-QNRC-29); “天山英才”医药卫生高层次人才培养计划中青年骨干(TSYC202301B091)

Mediating effect of psychological resilience of clinical nurses in Urumqi on job stressors and coping styles

WANG Hong1a, YU Shan2, CHEN Xia1b, DONG Xia1c, SHI Lingyun1a   

  1. 1. a Department of Nursing, b department of Psychological Medicine, c Department of Coronary Heart Disease II, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830000, China;
    2. School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang 830000, China
  • Received:2024-11-29 Revised:2024-12-28 Online:2025-01-15 Published:2025-12-11
  • Contact: SHI Lingyun,Chief nurse,E-mail:shilingyunguanjie@163.com

摘要: 目的 了解乌鲁木齐市三级甲等教学医院临床护士心理弹性、工作压力源及应对方式间的内在关系,并进一步分析护理心理弹性在工作压力源和应对方式间存在的中介效应。方法 采用方便抽样的方法,对2023年10月—2024年5月在新疆乌鲁木齐市3所三级甲等教学医院工作的541名临床护士使用一般资料调查表、心理弹性量表、中国护士工作压力源量表和简易应对方式量表进行问卷调查。结果 护士工作压力源得分为(72.76±16.79)分,应对方式得分为(13.43±8.21)分,心理弹性得分为(73.83±21.50)分。护士心理弹性得分和工作压力源得分呈负相关(r=-0.345,P<0.01),和应对方式呈正相关(r=0.194,P<0.01),工作压力源与简易应对方式呈负相关(r=-0.081,P<0.01);心理弹性在工作压力源和应对方式间存在部分中介效应,中介效应值为-0.067,中介效应占总效应的45.2%。结论 乌鲁木齐市三级甲等教学医院护士心理弹性在工作压力源与应对方式间起部分中介作用,护理管理者应促进护士心理弹性提升,有效应对工作压力,保障护理服务质量和患者安全。

关键词: 临床护士, 心理弹性, 应对方式, 工作压力源, 中介效应

Abstract: Objective To understand the intrinsic relationship between the psychological resilience,job stressors,and coping styles of clinical nurses in a grade-A tertiary teaching hospital in Urumqi,and further analyze the mediating effect of nursing psychological resilience between work stressors and coping styles. Methods Convenience sampling was used to conduct a questionnaire survey on 541 clinical nurses working in three grade-A tertiary teaching hospitals in Urumqi of Xinjiang from October 2023 to May 2024,using the general information questionnaire,Connor-Davidson resilience scale(CD-RISC),Chinese nurses' job stressors scale and simplified coping style questionnaire(SCSQ),and the data were analyzed. Results The score of job stressors among nurses was (72.76±16.79)points,the score of coping style was (13.43±8.21)points,and the score of psychological resilience was (73.83±21.50)points. The psychological resilience score of nurses was negatively correlated with the score of job stressors(r=-0.345,P<0.01),and positively correlated with coping style(r=0.194,P<0.01).The score of job stressors was negatively correlated with the score of simple coping style(r=-0.081,P<0.01). Psychological resilience had a partial mediating effect between work stressors and coping styles,with a mediating effect value of -0.067,accounting for 45.2% of the total effect. Conclusion The psychological resilience of nurses in grade A tertiary teaching hospitals in Urumqi partially mediates the relationship between job stressors and coping styles. Nursing managers should promote the improvement of nurses' psychological resilience,effectively cope with work stress,and ensure the quality of nursing services and patient safety.

Key words: Clinical nurse, Psychological resilience, Coping style, Job stressors, Mediating effect

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