护士应对体化的压力状况的影响:一个调节的调节模型
1School of Nursing, Anhui Medical University, Hefei, Anhui, China.
PeerJ
|December 10, 2024
概括
护士应对压力直接增加了体化症状和抑郁症. 抑郁症完全调解了这种关系,而社会支持则调节了应对压力和抑郁症之间的联系,影响了体化.
科学领域:
- 护理 护理 护理
- 心理学 心理学 心理学
- 医疗保健管理的管理
背景情况:
- 由于繁重的工作负载和职业风险,护士面临着高压环境,影响他们的精神和身体健康.
- 有效应对压力情况对于护士来说至关重要,以管理压力并保持幸福感.
- 有限的研究存在于护士应对压力应对策略对体化症状的具体影响.
研究的目的:
- 调查护士应激情况应对水平对体化症状的直接影响.
- 检查抑郁症在应对压力和体化之间关系中的调解作用.
- 评估被感知到的社会支持对这一途径的缓解效应.
主要方法:
- 对293名第三级医院的前线护士进行了横截面调查.
- 通过问卷收集的数据使用SPSS 24.0和特定宏观计划 (模型7和14) 进行分析.
- 这项研究遵循了STROBE观察性研究检查清单.
主要成果:
- 护士应对压力的表现与体化症状 (r=0.200) 和抑郁症 (r=0.851) 有正相关.
- 应对压力直接影响了体化症状 (β=0.081) 和抑郁症 (β=0.202).
- 抑郁症显著介导了应对压力-体能化联系 (β=0.823),而社会支持对抑郁症产生了负面影响 (β=-0.383) 并缓解了应对压力-抑郁关系 (β=-0.121).
结论:
- 护士应对压力的方法积极影响体化症状.
- 抑郁症完全介导了护士应对压力和体化之间的关系.
- 感知到的社会支持显著缓解了从应对压力的路径到抑郁症介导的身体化.
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