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工作场所欺凌对护理人员创伤后应激障碍的影响

[Effect of workplace bullying on posttraumatic stress disorder in nursing staff].

作者信息

Sun Y Q, Ge Y X, Ke Z W, Li Y Y, Jin Q X, Lu Y F

机构信息

Nursing Department of Medical School, Shaoxing University, Shaoxing 312000, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 Jan 20;36(1):22-25. doi: 10.3760/cma.j.issn.1001-9391.2018.01.006.

Abstract

To investigate the relationship between workplace bullying and posttraumatic stress disorder (PTSD) in nursing staff, and to analyze the role of psychological capital between workplace bullying and PTSD. From December 2014 to June 2015, convenience sampling was used to collect 496 nurses from 5 grade A tertiary hospitals in a province of China. Their workplace bullying, psychological capital, and PTSD status were assessed using the Negative Acts Questionnaire, Psychological Capital Questionnaire, and Posttraumatic Stress Disorder Self-Rating Scale, respectively. The correlation between variables was analyzed using a structural equation model. Among these nurses, the scores of negative acts, psychological capital, and PTSD were 37.15±12.83, 78.81±16.54, and 34.56±12.52, respectively. The score on each dimension of negative acts was positively correlated with that on each dimension of PTSD (<0.01) ; the score on each dimension of psychological capital was negatively correlated with that on each dimension of PTSD and negative acts (<0.01). Negative acts had a positive predictive effect on PTSD (=0.539, <0.01) , which was reduced after inclusion of psychological capital (=0.513, <0.01). The path coefficient was 0.62 for the effect of negative acts on PTSD, -0.18 for the effect of negative acts on psychological capital, and -0.11 for the effect of psychological capital on PTSD (<0.05) . Workplace bullying is a predictive factor for PTSD, and psychological capital plays a mediating role between workplace bullying and PTSD. The manager should reduce workplace bullying to improve the psychological capital in nursing staff and to prevent and reduce PTSD.

摘要

为探讨护理人员工作场所欺凌与创伤后应激障碍(PTSD)之间的关系,并分析心理资本在工作场所欺凌与PTSD之间的作用。2014年12月至2015年6月,采用便利抽样法从中国某省5家三甲医院收集496名护士。分别采用消极行为问卷、心理资本问卷和创伤后应激障碍自评量表评估其工作场所欺凌、心理资本和PTSD状况。采用结构方程模型分析变量之间的相关性。在这些护士中,消极行为、心理资本和PTSD的得分分别为37.15±12.83、78.81±16.54和34.56±12.52。消极行为各维度得分与PTSD各维度得分呈正相关(<0.01);心理资本各维度得分与PTSD各维度得分及消极行为各维度得分呈负相关(<0.01)。消极行为对PTSD有正向预测作用(=0.539,<0.01),纳入心理资本后该作用减弱(=0.513,<0.01)。消极行为对PTSD的路径系数为0.62,消极行为对心理资本的路径系数为-0.18,心理资本对PTSD的路径系数为-0.11(<0.05)。工作场所欺凌是PTSD的预测因素,心理资本在工作场所欺凌与PTSD之间起中介作用。管理者应减少工作场所欺凌,以提高护理人员的心理资本,预防和减少PTSD。

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