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正念对中国重症监护护士感知压力与心理健康结果之间关系的调节作用。

Moderating Effect of Mindfulness on the Relationships Between Perceived Stress and Mental Health Outcomes Among Chinese Intensive Care Nurses.

作者信息

Lu Fang, Xu Yuanyuan, Yu Yongju, Peng Li, Wu Tong, Wang Tao, Liu Botao, Xie Junpeng, Xu Song, Li Min

机构信息

School of Psychology, Army Medical University, Chongqing, China.

School of Nursing, Army Medical University, Chongqing, China.

出版信息

Front Psychiatry. 2019 Apr 18;10:260. doi: 10.3389/fpsyt.2019.00260. eCollection 2019.

Abstract

This study aimed to explore the potential moderating effect of mindfulness and its facets on the relationships among perceived stress and mental health outcomes (burnout, depression, anxiety, and subjective well-being) among Chinese intensive care nurses. A total of 500 Chinese intensive care nurses completed self-report measures of mindfulness, burnout syndromes, perceived stress, depression, anxiety, and subjective well-being. Correlation and hierarchical multiple regressions were applied for data analysis. Mindfulness moderated the effects of perceived stress on emotional exhaustion (the core component of burnout syndrome), depression, anxiety, positive affect, and negative affect but not on the other two dimensions of burnout and life satisfaction. Further analyses indicated that the ability to act with awareness was particularly crucial in improving the effects of perceived stress on depression. These results further broaden our understanding of the relationships between perceived stress and burnout, depression, anxiety, and subjective well-being by demonstrating that mindfulness may serve as a protective factor that alleviates or eliminates the negative effects of perceived stress on depression, anxiety, burnout syndrome, and subjective well-being and may instigate further research into targeted mindfulness interventions for Chinese intensive care nurses.

摘要

本研究旨在探讨正念及其各个维度对中国重症监护护士感知压力与心理健康结果(职业倦怠、抑郁、焦虑和主观幸福感)之间关系的潜在调节作用。共有500名中国重症监护护士完成了关于正念、职业倦怠综合征、感知压力、抑郁、焦虑和主观幸福感的自我报告测量。采用相关性分析和分层多元回归进行数据分析。正念调节了感知压力对情绪衰竭(职业倦怠综合征的核心成分)、抑郁、焦虑、积极情绪和消极情绪的影响,但对职业倦怠的其他两个维度和生活满意度没有调节作用。进一步分析表明,有意识行动的能力在改善感知压力对抑郁的影响方面尤为关键。这些结果通过证明正念可能作为一种保护因素,减轻或消除感知压力对抑郁、焦虑、职业倦怠综合征和主观幸福感的负面影响,进一步拓宽了我们对感知压力与职业倦怠、抑郁、焦虑和主观幸福感之间关系的理解,并可能促使针对中国重症监护护士的有针对性的正念干预研究进一步开展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49fc/6482227/d98e2b3f3c41/fpsyt-10-00260-g001.jpg

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