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心理资本在中国综合医院医护人员的工作场所暴力与抑郁症状之间起中介作用吗?

Does Psychological Capital Mediate Between Workplace Violence and Depressive Symptoms Among Doctors and Nurses in Chinese General Hospitals?

作者信息

Li Xiaomeng, Wu Huazhang

机构信息

Department of Health Service Management, China Medical University, Shenyang, Liaoning, 110122, People's Republic of China.

Liaoning Academy of Social Sciences, Shenyang, Liaoning, 110032, People's Republic of China.

出版信息

Psychol Res Behav Manag. 2021 Feb 19;14:199-206. doi: 10.2147/PRBM.S293843. eCollection 2021.

DOI:10.2147/PRBM.S293843
PMID:33642883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7903944/
Abstract

BACKGROUND

Depressive symptoms related to workplace violence (WPV) have been studied and are the main causes of lower psychological and physical well-being and work motivation. Our study aims to examine the prevalence of depressive symptoms and to explore whether psychological capital (PsyCap) mediates the effect of WPV on depressive symptoms in doctors and nurses.

METHODS

Participants were recruited from general hospitals in Liaoning, China in 2018. Out of 1218 participants, 1062 (87.2%) completed self-reported questionnaires. Depressive symptoms, WPV and PsyCap were measured by Epidemiologic Studies Depression Scale (CES-D), Workplace Violence Scale (WVS) and Psychological Capital Questionnaire (PCQ), respectively. The related factors of depressive symptoms were investigated by using hierarchical multiple regression in both doctors and nurses.

RESULTS

The mean scores of depressive symptoms were 23.09 ± 8.38 in doctors and 22.33 ± 8.95 in nurses, and there was no significant difference between the scores of these two groups. WPV was positively associated with depressive symptoms (doctors: =0.349, <0.001; nurses: =0.317, <0.001) while PsyCap was negatively associated with depressive symptoms (doctors: =-0.101, <0.001; nurses: =-0.230, <0.001). In addition, PsyCap acted as a mediating role between WPV and depressive symptoms in both doctors and nurses.

CONCLUSION

Both doctors and nurses had serious depressive symptoms. WPV could aggravate depressive symptoms, while PsyCap could aggravate against depressive symptoms. When PsyCap acted as a mediator, WPV had a negative impact on PsyCap, which could increase doctors' and nurses' depressive symptoms.

摘要

背景

与工作场所暴力(WPV)相关的抑郁症状已得到研究,是心理和身体健康状况下降以及工作动力降低的主要原因。我们的研究旨在调查抑郁症状的患病率,并探讨心理资本(PsyCap)是否介导了WPV对医生和护士抑郁症状的影响。

方法

2018年从中国辽宁省的综合医院招募参与者。在1218名参与者中,1062名(87.2%)完成了自我报告问卷。抑郁症状、WPV和PsyCap分别通过流行病学研究抑郁量表(CES-D)、工作场所暴力量表(WVS)和心理资本问卷(PCQ)进行测量。通过分层多元回归对医生和护士抑郁症状的相关因素进行了调查。

结果

医生抑郁症状的平均得分为23.09±8.38,护士为22.33±8.95,两组得分之间无显著差异。WPV与抑郁症状呈正相关(医生:=0.349,<0.001;护士:=0.317,<0.001),而PsyCap与抑郁症状呈负相关(医生:=-0.101,<0.001;护士:=-0.230,<0.001)。此外,PsyCap在医生和护士中均在WPV和抑郁症状之间起中介作用。

结论

医生和护士都有严重的抑郁症状。WPV会加重抑郁症状,而PsyCap则会对抗抑郁症状。当PsyCap起中介作用时,WPV会对PsyCap产生负面影响,这可能会增加医生和护士的抑郁症状。

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