职业与健康 ›› 2025, Vol. 41 ›› Issue (15): 2123-2127.

• 论著 • 上一篇    下一篇

智谋在医学实习生知觉压力与抑郁间的中介作用

杨育婷1, 简称苹1, 闫自青1, 邱伟芬2, 李林芝1, 陈瑞霞3   

  1. 1.大理大学护理学院,云南 大理 671000;
    2.安宁市第一人民医院精神科,云南 安宁 650300;
    3.安宁市中医医院科研教学管理科,云南 安宁 650300
  • 收稿日期:2024-09-25 修回日期:2024-10-12 出版日期:2025-08-15 发布日期:2025-12-12
  • 通信作者: 陈瑞霞,副主任护师,E-mail:18314178971@163.com
  • 作者简介:杨育婷,女,在读硕士研究生,研究方向为精神与心理护理学。
  • 基金资助:
    2024年大理大学护理学院研究生院级项目(2024HLY49)

Mediating effect of resourcefulness on perceived stress and depression among medical interns

YANG Yuting1, JIAN Chengping1, YAN Ziqing1, QIU Weifen2, LI Linzhi1, CHEN Ruixia3   

  1. 1. School of Nursing, Dali University, Dali, Yunnan 671000, China;
    2. Department of Psychiatry, Anning First People's Hospital, Anning, Yunnan 650300, China;
    3. Department of Scientific Research and Teaching Management, Anning Chinese Medicine Hospital, Anning, Yunnan 650300, China
  • Received:2024-09-25 Revised:2024-10-12 Online:2025-08-15 Published:2025-12-12
  • Contact: CHEN Ruixia,Deputy chief nurse,E-mail:18314178971@163.com

摘要: 目的 探讨智谋在医学实习生知觉压力与抑郁间的中介作用。方法 采用便利抽样法,选取2024年3—6月实习且实习时长≥1个月的308名医学实习生作为研究对象,采用一般情况调查表、智谋量表、中文版知觉压力量表以及贝克抑郁量表第二版进行调查。采用SPSS 25.0统计学软件与PROCESS 3.5分析三者间的关系,探讨智谋在医学实习生知觉压力与抑郁关系间的中介作用。结果 本研究共发放问卷308份,回收问卷308份,有效问卷294份,有效回收率为95.45%。医学实习生知觉压力得分为(20.60±10.59)分,智谋得分为(84.06±20.35)分,抑郁得分为(19.88±8.96)分。智谋与知觉压力、抑郁得分均呈负相关(r=-0.403、-0.492,均P<0.01),知觉压力与抑郁呈正相关(r=0.518,P<0.01)。本研究应用分层多元回归分析知觉压力和智谋对抑郁的影响,使用Bootstrap法进一步验证了智谋在知觉压力与抑郁间起部分中介作用,中介效应占总效应的26.25%。结论 智谋是医学实习生知觉压力与抑郁间的中介变量,且智谋在医学实习生的知觉压力与抑郁间起部分中介作用。

关键词: 医学实习生, 智谋, 知觉压力, 抑郁, 中介作用

Abstract: Objective To explore the mediating effect of resourcefulness on perceived stress and depression among medical interns. Methods A total of 308 medical interns with an internship duration of at least one months from March 2024 to June 2024 were selected as the research objects by convenience sampling method. The survey was conducted using the general situation questionnaire,resourcefulness scale(RS),Chinese perceived stress scale(CPSS) and Beck depression inventory(BDI-Ⅱ). SPSS 25.0 statistical software and PROCESS 3.5 were used to analyze the relationship between the three,and to explore the mediating role of resourcefulness in the relationship between perceived stress and depression among medical interns. Results A total of 308 questionnaires were sent out,308 were recovered and 294 were valid,with an effective recovery rate of 95.45%. The scores of perceived stress,resourcefulness and depression were (20.60±10.59),(84.06±20.35) and (19.88±8.96)points,respectively. Resourcefulness was negatively correlated with perceived stress and depression scores(r=-0.403,-0.492,both P<0.01),and perceived stress was positively correlated with depression(r=0.518,P<0.01). In this study,hierarchical multiple regression was applied to analyze the effects of perceived stress and resourcefulness on depression,and Bootstrap method was used to further verify that resourcefulness played a partial mediating role between perceived stress and depression,and the mediating effect accounted for 26.25% of the total effect. Conclusion Resourcefulness is the mediating variable between perceived stress and depression of medical interns,and resourcefulness plays a partial mediating role between perceived stress and depression.

Key words: Medical intern, Resourcefulness, Perceived pressure, Depression, Mediating effect

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