Hsieh Chia-Jung, Hsieh Hsin-Yi, Chen Pi-Hsia, Hsiao Yu-Ling, Lee Sheuan
Institute of Health Policy and Management, College of Public Health, National Taiwan University, ROC.
Hu Li Za Zhi. 2004 Jun;51(3):24-33.
Hardiness is a personality trait in which the ability to buffer the health related effects of stress is inherent. It has been frequently and enthusiastically investigated in connection with human health. In order to understand hardiness in psychiatric nurses, to prevent burnout, and to enhance the quality of nursing care, this study sought to investigate the relationships between hardiness, burnout and quality of nursing care. One hundred and forty-seven psychiatric nurses were selected in a stratified random sample from the psychiatric units of district hospitals in Taipei City. Data were collected through structured questionnaires and concerned: (1) demographic variables, (2) the Health Related Hardiness Scale, (3) the Jalowiec Coping Scale, and (4) the Maslach Burnout Inventory. The main results indicated that: (1) Most respondents enjoyed high levels of hardiness (M = 157.84, SD = 18.42); (2) Respondents' levels of hardiness were positively correlated to the use of confrontational coping styles, optimistic coping styles, supportive coping styles and self-reliant coping styles; (3) Levels of hardiness were negatively correlated to emotional exhaustion but positively correlated to personal accomplishment; (4) There was a significantly positive correlation between the evasive coping style and emotional exhaustion; (5) The confrontational, optimistic and self-reliant coping styles were positively correlated to personal accomplishment. The findings of this study should contribute to our understanding of the relationship between hardiness, coping strategies and burnout in psychiatric nurses.
心理韧性是一种人格特质,其中缓冲压力对健康相关影响的能力是内在的。它经常被人们热情地研究,与人类健康相关。为了了解精神科护士的心理韧性,预防职业倦怠,并提高护理质量,本研究旨在调查心理韧性、职业倦怠和护理质量之间的关系。从台北市地区医院的精神科病房中选取了147名精神科护士作为分层随机样本。通过结构化问卷收集数据,内容涉及:(1)人口统计学变量,(2)健康相关心理韧性量表,(3)贾洛维茨应对量表,以及(4)马氏职业倦怠量表。主要结果表明:(1)大多数受访者具有较高水平的心理韧性(M = 157.84,SD = 18.42);(2)受访者的心理韧性水平与对抗性应对方式、乐观应对方式、支持性应对方式和自力更生应对方式的使用呈正相关;(3)心理韧性水平与情感耗竭呈负相关,但与个人成就感呈正相关;(4)回避性应对方式与情感耗竭之间存在显著正相关;(5)对抗性、乐观和自力更生的应对方式与个人成就感呈正相关。本研究的结果应有助于我们理解精神科护士的心理韧性、应对策略和职业倦怠之间的关系。