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

Abstract

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

CLC Number:

R395.6

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.

References

[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.