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正念对临床护士睡眠质量的条件影响:外向性和神经质的调节作用。

Conditional effects of mindfulness on sleep quality among clinical nurses: the moderating roles of extraversion and neuroticism.

机构信息

a School of Nursing , Shandong University , Jinan, Shandong , P.R. China.

b Operating Room , Shandong Tumor Hospital and Institute , Jinan , Shandong , P.R. China.

出版信息

Psychol Health Med. 2019 Apr;24(4):481-492. doi: 10.1080/13548506.2018.1492731. Epub 2018 Jul 3.

DOI:10.1080/13548506.2018.1492731
PMID:29969284
Abstract

The present study aimed to examine the potential moderating role of personality traits in the psychological mechanisms by which mindfulness can lead to better sleep quality. A total of 172 oncology nurses participated in this study, and completed self-reported measures, including the Mindful Attention Awareness Scale (MAAS), Pittsburgh Sleep Quality Index (PSQI), and 44-item Big Five Inventory (BFI-44). Results showed that mindfulness was correlated with the global PSQI score (r = -0.281, p < 0.01).Trait extraversion and neuroticism moderated the mindfulness-sleep relationship. The simple slope analysis indicated that the negative relationship between mindfulness and the global PSQI score was only significant at higher levels of extraversion (β = -0.419, p < 0.001) and lower levels of neuroticism (β = -0.344, p = 0.001). Additionally, the Johnson-Neyman technique revealed that, within a specific region (extraversion values above 21.93 and/or neuroticism values below 23.78), mindfulness was significantly associated with the global PSQI score; beyond the value regions, the significant association was lost. It suggests that mindfulness might play a protective role against sleep disturbance only among certain oncology nurses. The findings are valuable for identifying those who are more vulnerable to sleep dysfunction and may aid in targeted intervention planning.

摘要

本研究旨在探讨人格特质在正念对睡眠质量的影响的心理机制中可能起到的调节作用。共有 172 名肿瘤护士参与了这项研究,他们完成了自我报告的测量,包括正念注意觉察量表(MAAS)、匹兹堡睡眠质量指数(PSQI)和 44 项大五人格量表(BFI-44)。结果表明,正念与 PSQI 总分呈负相关(r=-0.281,p<0.01)。外向性和神经质特质调节了正念与睡眠的关系。简单斜率分析表明,正念与 PSQI 总分的负相关仅在较高的外向性水平(β=-0.419,p<0.001)和较低的神经质水平(β=-0.344,p=0.001)下显著。此外,Johnson-Neyman 技术揭示,在特定区域(外向性得分高于 21.93 分,或神经质得分低于 23.78 分)内,正念与 PSQI 总分显著相关;在该值区域之外,显著相关性消失。这表明,正念可能只对某些肿瘤护士的睡眠障碍起到保护作用。这些发现对于识别那些更容易出现睡眠功能障碍的人群具有重要价值,并有助于制定有针对性的干预计划。

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