Abstract:

Objective To explore the mediating role of psychological resilience，depression，anxiety and job burnout among orthopedic nurses in a specialized orthopedic hospital，and to provide a basis for targeted psychological health intervention strategies. Methods A total of 310 orthopedic nurses from an orthopedic specialty hospital were selected as the study subjects using a convenience sampling method. A general information survey form，the Maslach burnout inventory-general survey（MBI-GS），the self-rating anxiety scale（SAS），the self-rating depression scale（SDS），and the Connor-Davidson resilience scale（CD-RISC） were used for the questionnaire survey，and the data were analyzed using a structured equation model（SEM）. Results The occupational burnout score of 310 nurses was （50.55±13.14）points，the anxiety score was （53.98±9.86）points，and the depression score was （54.49±9.95）points. Nurses of different titles and departments showed statistically significant differences in job burnout and anxiety scores（all P<0.05）. Anxiety and depression were negatively correlated with professional burnout（r=-0.314，-0.430，both P<0.01）. Psychological resilience was negatively correlated with professional burnout，anxiety and depression（r=-0.392，-0.390，-0.390， all P<0.01）. The SEM results showed that anxiety had a direct positive effect on professional burnout（β=0.352，P<0.01），and indirectly affected professional burnout through psychological resilience and depression（β=0.335，0.335，both P<0.01）. Conclusion Anxiety and depressive symptoms are relatively common among nurses in orthopedic hospitals in Urumqi and are closely related to professional burnout. Psychological resilience，as a mitigating factor，can significantly reduce the adverse effects of anxiety and depression on professional burnout.

Key words: Orthopedic nurses, Psychological resilience, Depression, Anxiety, Professional burnout, Mediating effect