积极应对方式在山西省三级甲等医院医护人员抑郁情绪与生存质量间的中介效应

职业与健康 ›› 2023, Vol. 39 ›› Issue (16): 2209-2213.

积极应对方式在山西省三级甲等医院医护人员抑郁情绪与生存质量间的中介效应

武丽丽¹, 郝春艳², 郑娟³, 王玉英³, 李亚梅⁴

1.山西医科大学公共卫生学院,山西太原 030001;
2.山西医科大学第一医院老年科,山西太原 030001;
3.吕梁市人民医院护理部,山西吕梁 033000;
4.山西白求恩医院妇产科,山西太原 030032

收稿日期:2022-11-05 修回日期:2022-12-06 发布日期:2026-03-24
通信作者: 郝春艳,主任医师,E-mail：haochunyan68@126.com
作者简介:武丽丽,女,在读硕士研究生,研究方向为公共卫生。
基金资助:
山西省重点研发计划项目（201903D321020）; 吕梁市软科学研究项目（2020RKX27）

Mediating effect of active coping style between depression and quality of life among medical staff in grade-A tertiary hospitals in Shanxi Province

WU Lili¹, HAO Chunyan², ZHENG Juan³, WANG Yuying³, LI Yamei⁴

1. School of Public Health,Shanxi Medical University,Taiyuan Shanxi 030001,China;
2. Geriatrics Department,First Hospital of Shanxi Medical University,Taiyuan Shanxi 030001,China;
3. Nursing Department,Lvliang People's Hospital,Lvliang Shanxi 033000,China;
4. Gynaecology and Obstetrics Department,Shanxi Bethune Hospital,Taiyuan Shanxi 030032,China

Received:2022-11-05 Revised:2022-12-06 Published:2026-03-24
Contact: HAO Chunyan,Chief physician,E-mail：haochunyan68@126.com

摘要/Abstract

摘要： 目的探讨山西省三级甲等医院医护人员生存质量、抑郁情绪与积极应对方式现状及其三者关系。方法采用便利抽样法于2021年10—12月选取山西省5所三级甲等医院的医护人员作为研究对象,选用一般情况调查表、抑郁自评量表、世界卫生组织生存质量简表和简单应对方式量表进行线上调查,并对数据进行分析。结果山西省5所三级甲等医院的医护人员抑郁、生存质量和积极应对方式平均得分依次为（7.87±5.67）、（51.45±8.75）和（21.30±8.08）分。相关分析结果显示,生存质量总分及各维度与抑郁均呈负相关,与积极应对方式均呈正相关（均P<0.01）。积极应对方式在医护人员抑郁情绪和生存质量间起部分中介效应,中介效应占总效应的14.2%。结论抑郁情绪对医护人员生存质量具有直接负向预测作用,积极应对方式在医护人员抑郁情绪与生存质量间起部分中介作用。医院管理部门可以通过培养和提高医护人员心理健康和积极应对水平改善其生存质量。

关键词: 医护人员, 抑郁, 积极应对方式, 生存质量, 相关性, 中介效应

Abstract: Objective To investigate the level of quality of life（QOL）,depression,and active coping style among medical staff in grade-A tertiary hospitals in Shanxi Province,and explore the relationship between them. Methods By using the convenience sampling method,the medical workers from five grade-A tertiary hospitals in Shanxi Province were selected from October to December 2021,the online survey was performed with the general situation questionnaire,self-rating depression scale,World Health Organization quality of life（WHOQOL-BREF）,and simple coping style questionnaire（SCSQ）,and the data were analyzed. Results The average scores of the depression,QOL,and active coping style of medical staff in five grade-A tertiary hospitals in Shanxi Province were （7.87±5.67）,（51.45±8.75） and （21.30±8.08）points,respectively.The correlation analysis showed that the total score and each dimension score of QOL were negatively associated with depression and positively associated with the score of active coping style（all P<0.01）. The active coping style partially mediated the relationship between depression and QOL of medical staff,and the mediating effect accounted for 14.2% of the total effect. Conclusions The depression has a direct negative predictive effect on the QOL of medical staff,and the active coping styleplays a partial mediating role between depression and QOL in medical staff. The hospital management departments can improve the quality of life of medical staff by cultivating and improving their mental health and active coping level.

Key words: Medical staff, Depression, Active copingstyle, Quality of life, Correlation, Mediating effect

中图分类号:

R395.6

武丽丽, 郝春艳, 郑娟, 王玉英, 李亚梅. 积极应对方式在山西省三级甲等医院医护人员抑郁情绪与生存质量间的中介效应. [J]职业与健康, 2023, 39(16): 2209-2213.

WU Lili, HAO Chunyan, ZHENG Juan, WANG Yuying, LI Yamei. Mediating effect of active coping style between depression and quality of life among medical staff in grade-A tertiary hospitals in Shanxi Province. [J]OCCUPATION AND HEALTH, 2023, 39(16): 2209-2213.

参考文献

[1] HSIEH C R,QIN X.Depression hurts,depression costs:The medical spending attributable to depression and depressive symptoms in China[J].Health Econ,2018,27(3):525-544.
[2] GBD 2019 Mental Disorders Collaborators.Global,regional,and national burden of 12 mental disorders in 204 countries and territories,1990-2019:A systematic analysis for the Global Burden of Disease Study 2019BD 2019 Mental Disorders Collaborators.Global,regional,and national burden of 12 mental disorders in 204 countries and territories,1990-2019:A systematic analysis for the Global Burden of Disease Study 2019[J].Lancet Psychiat,2022,9(2):137-150.
[3] SAHEBI A,NEJATI-ZARNAQI B,MOAYEDI S,et al.The prevalence of anxiety and depression among healthcare workers during the COVID-19 pandemic:An umbrella review of meta-analyses[J].Prog Neuro-Psychoph,2021,107(6):110247.
[4] PULCRANO M,EVANS S R T,SOSIN M.Quality of life and burnout rates across surgical specialties:a systematic review[J].JAMA Surgery,2016,151(10):970-978.
[5] YUE Z,QIN Y,LI Y,et al.Empathy and burnout in medical staff:Mediating role of job satisfaction and job commitment[J].BMC Public Health,2022,22(1):1033.
[6] YANG S,QIU Y,HE J.Meta-analysis of the impact of role stress on the turnover intention of medical staff in tertiary hospitals[J].Ann Palliat Med,2021,10(1):469-478.
[7] HARALDSTAD K,WAHL A,ANDENæS R,et al.A systematic review of quality of life research in medicine and health sciences[J].Qual Life Res,2019,28(10):2641-2650.
[8] HOFMANN S G,CURTISS J,CARPENTER J K,et al.Effect of treatments for depression on quality of life:A meta-analysis[J].Cogn Behav Therapy,2017,46(4):265-286.
[9] WU Y,YU W,WU X,et al.Psychological resilience and positive coping styles among Chinese undergraduate students:A cross-sectional study[J].BMC Psychol,2020,8(1):79.
[10] LI W Q,YUAN P,SUN J,et al.Resilience,coping style,and COVID-19 stress:Effects on the quality of life in frontline health care workers[J].Psychol Health Med,2022,27(2):312-324.
[11] WANG W,BIAN Q,ZHAO Y,et al.Reliability and validity of the Chinese version of the Patient Health Questionnaire(PHQ-9)in the general population[J].Gen Hosp Psychiat,2014,36(5):539-544.
[12] LEVIS B,SUN Y,HE C,et al.Accuracy of the PHQ-2 Alone and in Combination With the PHQ-9 for Screening to Detect Major Depression:Systematic Review and Meta-analysis[J].JAMA,2020,323(22):2290-2300.
[13] 郝元涛,方积乾.世界卫生组织生存质量测定量表中文版介绍及其使用说明[J].现代康复,2000(8):1127-1129,1145.
[14] 解亚宁. 简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志,1998,6(2):53-54.
[15] PODSAKOFF P M,MACKENZIE S B,LEE J Y,et al.Common method biases in behavioral research:A critical review of the literature and recommended remedies[J].J Appl Psychol,2003,88(5):879-903.
[16] 方积乾,郝元涛,李彩霞.世界卫生组织生活质量量表中文版的信度与效度[J].中国心理卫生杂志,1999,12(4):203-205.
[17] 周守志,尹弘青,金学勤,等.急诊科护士创伤后应激障碍与生存质量及睡眠质量的相关性研究[J].护士进修杂志,2020,35(15):1357-1361.
[18] 王睿,韩此林,魏航,等.二级以上医院医师抑郁状况及其职业影响因素的多水平模型[J].中国卫生统计,2021,38(5):683-686.
[19] YELA J R,CREGO A,GÓMEZ-MARTÍNEZ M Á,et al.Self-compassion,meaning in life,and experiential avoidance explain the relationship between meditation and positive mental health outcomes[J].J Clin Psychol,2020,76(9):1631-1652.
[20] 吾超,李爽,李沛,等.应对方式在传染科护士自我效能感与职业成功间的中介效应[J].护理管理杂志,2021,21(12):856-860.
[21] AN Y,YANG Y,WANG A,et al.Prevalence of depression and its impact on quality of life among frontline nurses in emergency departments during the COVID-19 outbreak[J].J Affect Disorders,2020, 276:312-315.
[22] PARIWATCHARAKUL P,RATTA-APHA W,SUMALROT T,et al.Depression,quality of life and coping style among Thai doctors before their first year of residency training[J].Postgrad Med J,2020,96(1136):321-324.
[23] ITALIA S,COSTA C,BRIGUGLIO G,et al.Quality of Life,Insomnia and Coping Strategies during COVID-19 Pandemic in Hospital Workers.A Cross-Sectional Study[J].Int J Environ Res Public Health,2021, 18(23):12466.