心理弹性在护士问题解决能力与社会支持间的中介效应

职业与健康 ›› 2023, Vol. 39 ›› Issue (1): 49-54.

心理弹性在护士问题解决能力与社会支持间的中介效应

罗一凡^1,2, 樊嘉欣^1,2, 李玉梅^1,2

1.同济大学医学院护理系，上海 200092;
2.同济大学附属上海市肺科医院护理部，上海 200433

收稿日期:2022-06-02 修回日期:2022-06-15 发布日期:2026-02-28
通信作者: 李玉梅，副主任护师，E-mail：1500179@tongji.edu.cn
作者简介:罗一凡，女，在读硕士研究生，研究方向为护理教育。
基金资助:
2021年同济大学研究生教育研究与改革教育管理类项目（2021YXGL09）; 中华医学会医学教育分会中国高等教育学会医学教育专业委员会医学教育研究课题（2018B-N14002）

Mediating effect of resilience on problem solving ability and social support in nurses

LUO Yi-fan^1,2, FAN Jia-xin^1,2, LI Yu-mei^1,2

1. Department of Nursing, Medical College, Tongji University, Shanghai 200092, China;
2. Nursing Department, Shanghai Pulmonary Hospital Affiliated to Tongji University, Shanghai 200433, China

Received:2022-06-02 Revised:2022-06-15 Published:2026-02-28
Contact: LI Yu-mei，Deputy chief nurse，E-mail：1500179@tongji.edu.cn

摘要/Abstract

摘要： 目的探讨心理弹性在护士问题解决能力与社会支持间的中介效应，为提升护士问题解决能力提供依据。方法采用便利抽样法，于2021年9—12月对上海市三级甲等医院397名临床护士采用一般资料问卷调查表、中文版社会问题解决量表修订版（the Chinese version of the social problem-solving inventory revised，C-SPSI-R）、心理弹性量表（10-item connor-davidson resilience scale，CD-RISC 10）、社会支持评定量表（social support rating scale，SSRS）进行问卷调查，并对数据进行分析。结果护士问题解决能力得分M（P₂₅，P₇₅）为82.00（76.00，90.00）分，社会支持得分为（40.15±8.32）分，心理弹性得分[M（P₂₅，P₇₅）]为25.00（20.00，30.00）分。问题解决能力与心理弹性、社会支持均呈正相关（r=0.596、0.333，均P<0.01），心理弹性与社会支持呈正相关（r=0.356，P<0.01）。护士社会支持对问题解决能力有正向预测作用（直接效应为0.190），心理弹性在护士问题解决能力与社会支持之间存在部分中介作用，中介作用占总效应的58.8%。结论护士社会支持、心理弹性对问题解决能力有一定的正向预测作用，护理管理者、护理教育者可从增强护士社会支持、心理弹性入手，提升护士的问题解决能力。

关键词: 护士, 问题解决能力, 心理弹性, 社会支持, 中介效应

Abstract: Objective To explore the mediating effect of resilience on nurses' problem solving ability and social support，provide evidence for improving nurses' problem-solving ability. Methods From September to December 2021，the general information questionnaire，the Chinese version of the social problem-solving inventory revised（C-SPSI-R），the 10-item Connor-Davidson resilience scale（CD-RISC 10），the social support rating scale（SSRS） were used to conduct a questionnaire survey on 397 nurses from grade-A tertiary hospitals in Shanghai obtained by the convenience sampling method. Results The score of nurses' problem solving ability[M（P₂₅，P₇₅）] was 82.00（76.00，90.00）points，the score of social support was （40.15±8.32）points，and the score of resilience[M（P₂₅，P₇₅）] was 25.00（20.00，30.00）points. The problem solving ability was positively correlated with social support and resilience（r=0.596， 0.333，both P<0.01），and the resilience was positively correlated with social support（r=0.356，P<0.01）. The social support of nurses had a positive prediction effect on problem solving ability（the direct effect was 0.190），and resilience had a partial mediating effect between social support and problem solving ability，and the mediating effect accounted for 58.8% of the total effect. Conclusion Nurses' social support and resilience have positive predictive effects on problem solving ability，so the nursing managers，nursing educators should start with the perspective of the social support and resilience to improve the problem solving ability of nurses.

Key words: Nurse, Problem solving ability, Resilience, Social support, Mediating effect

中图分类号:

R181.3

罗一凡, 樊嘉欣, 李玉梅. 心理弹性在护士问题解决能力与社会支持间的中介效应. [J]职业与健康, 2023, 39(1): 49-54.

LUO Yi-fan, FAN Jia-xin, LI Yu-mei. Mediating effect of resilience on problem solving ability and social support in nurses. [J]OCCUPATION AND HEALTH, 2023, 39(1): 49-54.

参考文献

[1] 薛媛媛,刘婷婷,班俊坤,等.护士睡眠质量与情绪劳动及职业压力的现状及关系的研究[J].护士进修杂志,2020,35(18):1677-1681.
[2] 曾佳琪,袁乾,田凌云,等.护士职业性腰背痛现状及影响因素调查分析[J].护理学杂志,2020,35(3):60-63.
[3] 刘西和,吕淑艳,董波,等.肿瘤科护士的自杀意念及其相关因素分析[J].中国现代医学杂志,2018,28(8):76-81.
[4] 乔红梅,李葆华,李薇,等.重症监护与普通病房护士焦虑抑郁症状及职业倦怠比较[J].中国心理卫生杂志,2020,34(3):191-195.
[5] ZENG H J,ZHOU G Y,YAN H H,et al.Chinese nurses are at high risk for suicide:A review of nurses suicide in China 2007-2016[J].Arch Psychiatr Nurs,2018,32(6):896-900.
[6] Organisation for Economic Cooperation and Development.PISA 2012 assessment and analytical framework:Mathematics,reading,science,problem solving and financial literacy[M].Paris:Organisation for Economic Cooperation and Development Publishing,2010:121-123.
[7] BABAEI M,MOHAMMADIAN M,ABDOLLAHI M,et al.Relationship between big five personality factors,problem solving and medical errors[J].Heliyon,2018,4(9):e00789.
[8] AY F,POLAT S,KASHIMI T.Relationship between the problem-solving skills and empathy skills of operating room nurses[J].J Nurs Res,2020,28(2):e75.
[9] BAYINDIR CEVIK A,OLGUN N.Do problem-solving skills affect success in nursing process applications? An application among Turkish nursing students[J].Int J Nurs Knowl,2015,26(2):90-95
[10] TUSAIE K,DYER J.Resilience:A historical review of the construct[J].Holist Nurs Pract,2004,18(1):3-10.
[11] 李玉梅,黄瑛,黄莹,等.临床护士心理弹性与问题解决能力、应对方式的关系研究[J].护理管理杂志,2020,20(5):328-333.
[12] CHOUHY C,CULLEN F T,LEE H.A social support theory of desistance[J].J Dev Life Course Criminol,2020,6(2):204-223.
[13] 何爽,滑树红.军队文职护理人员社会支持、心理弹性和职业态度的关系[J].护理研究,2019,33(22):3863-3866.
[14] 何亚林,杜娟,周莉,等.本科实习护生的社会支持和成就动机在其自主学习准备度与问题解决能力间的中介作用[J].护理学报,2021,28(8):50-55.
[15] WANG L,SHI Z,ZHANG Y,et al.Psychometric properties of the 10-item connor-davidson resilience scale in Chinese earthquake victims[J].Psychiatry Clin Neurosci,2010,64(5):499-504.
[16] 肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,4(2):98-100.
[17] 史宏睿,刘艳,彭伟,等.社会支持对安宁疗护护士负性情绪的影响:积极应对方式的中介作用[J].护理管理杂志,2021,21(8):555-560.
[18] 王芳,倪志红.新护士转型冲击研究现状[J].护理研究,2021,35(19):3440-3446.
[19] 任伟霞.急诊科护士心理弹性与心理资本现状调查及与心理健康的相关性[D].济南:山东大学,2019.
[20] ERTEKIN PINAR S,YILDIRIM G,SAYIN N.Investigating the psychological resilience,self-confidence and problem-solving skills of midwife candidates[J].Nurse Educ Today,2018,64:144-149.
[21] TSILIKA E,GALANOS A,POLYKANDRIOTIS T,et al.Psychometric properties of the multidimensional scale of perceived social support in greek nurses[J].Can J Nurs Res,2019,51(1):23-30.
[22] LI M H,ESCHENAUER R,PERSAUD V.Between avoidance and problem solving:Resilience,self-efficacy,and social support seeking[J].J Couns Dev,2018,96(2):132-143.
[23] LIU Y,AUNGSUROCH Y.Work stress,perceived social support,self-efficacy and burnout among Chinese registered nurses[J].J Nurs Manag,2019,27(7):1445-1453.
[24] OZSABAN A,TURBAN N,KAYA H.Resilience in nursing students:The effect of academic stress and social support[J].Clin Exp Health Sci,2019,9(1):71-78.
[25] COOPER A L,BROWN J A,REES C S,et al.Nurse resilience:A concept analysis[J].Int J Ment Health Nurs.2020,29(4):553-575.
[26] KILINC T,SIS CELIK A.Relationship between the social support and psychological resilience levels perceived by nurses during the COVID-19 pandemic:A study from Turkey[J].Perspect Psychiatr Care,2021,57(3):1000-1008.
[27] WANG L,TAO H,BOWERS B J,et al.Influence of social support and self-efficacy on resilience of early career registered nurses[J].West J Nurs Res,2018,40(5):648-664.
[28] ZHAI X,REN L N,LIU Y,et al.Resilience training for nurses:A meta-analysis[J].J Hosp Palliat Nurs,2021,23(6):544-550.
[29] 黎黎,彭丽丽,汪丰,等.积极心理干预对90后护士心理弹性及总体幸福感的影响[J].护理学杂志,2021,36(14):82-85.
[30] WEI H,ROBERTS P,STRICKLER J,et al.Nurse leaders' strategies to foster nurse resilience[J].J Nurs Manag,2019,27(4):681-687.
[31] GADOLIN C,SKYVELL,NILSSON M,et al.Preconditions for nurses' perceived organizational support in healthcare:A qualitative explorative study[J].J Health Organ Manag,2021,35(9):281-297.