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路径连接肿瘤学女性护士的特质正念与疲劳:探索情绪抑制的中介作用。

Pathway linking dispositional mindfulness to fatigue in oncology female nurses: Exploring the mediating role of emotional suppression.

机构信息

Department of Psychology, Faculty of Education and Psychology, University of Tabriz, Tabriz, Iran.

College of Healthcare Sciences, Division of Tropical Health & Medicine, James Cook University, Australia.

出版信息

Eur J Oncol Nurs. 2020 Oct;48:101831. doi: 10.1016/j.ejon.2020.101831. Epub 2020 Sep 13.

DOI:10.1016/j.ejon.2020.101831
PMID:32949943
Abstract

PURPOSE

Fatigue is a physical and emotional state associated with certain aspects of nursing practice. The current study aimed to investigate the indirect effect of dispositional mindfulness on fatigue via emotional suppression in oncology female nurses.

METHODS

In a cross-sectional study, 137 female oncology nurses were recruited from several hospitals to complete baseline questionnaires. Emotional suppression, dispositional mindfulness and fatigue were assessed with the Weinberger Adjustment Inventory (WAI), Five Facet Mindfulness Questionnaire (FFMQ) and the Multidimensional Fatigue Inventory (MFI) respectively. A Mediation model was tested using structural equation modelling.

FINDINGS

Dispositional mindfulness was negatively associated with emotional suppression (β = -0.69, p = 0.000). In addition, emotional suppression was positively associated with fatigue (β = 0.32, p = 0.014). The mediation path was significant with emotional suppression fully mediating the relationship between dispositional mindfulness and fatigue (b = -0.20 [CI: -0.01, -0.25].

DISCUSSION

These results support the proposed model, and the assumption that emotional suppression may help facilitate the onset of fatigue or maintain it in female oncology nurses. The findings have implications for the use of brief mindfulness interventions aimed at the effective regulation of emotion in oncology nurses to aid in well-being and optimal nursing practice.

摘要

目的

疲劳是与护理实践某些方面相关的一种生理和心理状态。本研究旨在调查特质正念通过情绪抑制对肿瘤科女性护士疲劳的间接影响。

方法

采用横断面研究方法,从多家医院招募了 137 名肿瘤科女性护士,完成基线问卷。采用 Weinberger 调整量表(WAI)、五因素正念量表(FFMQ)和多维疲劳量表(MFI)分别评估情绪抑制、特质正念和疲劳。使用结构方程模型检验中介模型。

结果

特质正念与情绪抑制呈负相关(β=-0.69,p=0.000)。此外,情绪抑制与疲劳呈正相关(β=0.32,p=0.014)。中介路径显著,情绪抑制完全中介了特质正念与疲劳之间的关系(b=-0.20 [CI:-0.01,-0.25])。

讨论

这些结果支持了所提出的模型,即情绪抑制可能有助于促进或维持肿瘤科女性护士疲劳的发生。研究结果对使用简短的正念干预措施以有效调节肿瘤科护士的情绪,从而促进幸福感和最佳护理实践具有重要意义。

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