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坚毅对临床护士职业心理困扰的保护作用:希望的中介和调节作用

The protective effect of grit on clinical nurses' occupational psychological distress: Mediating and suppressing effects of Hope.

作者信息

Peng Xueping, Wu Dongmei

机构信息

School of Nursing, Chengdu Medical College, Chengdu, China.

MOE Key Laboratory for Neuroinformation, Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, University of Electronic Science and Technology of China, Chengdu, China.

出版信息

Front Psychol. 2022 Sep 29;13:1019655. doi: 10.3389/fpsyg.2022.1019655. eCollection 2022.

Abstract

As at a high-risk group of psychological distress, nurses generally experience varying degrees of stress, anxiety, and depression. This paper identifies the positive factors that may negatively regulate the psychological pain of clinical nurses and their mechanisms of action, providing reliable references for clinical nurse support management. The effects and mechanisms of hope and the two components of grit consistency of interest and perseverance of effort) on clinical nurses' psychological distress (depression, anxiety, and stress) were observed in this study. A total of 635 Chinese clinical nurses (90.4% female) completed an anonymous questionnaire for the survey. As expected, hope, consistency of interest, and perseverance of effort were negatively correlated with the three indicators of psychological distress ( = -0.21 ~ -0.38,  < 0.01). Path analysis results showed that hope significantly mediated the negative effect of consistency of interest on psychological distress, with an effect of 12.96%. Hope also covered up the perseverance of effort on psychological distress, the effect of 110.63%. In the influence of consistency of interest and perseverance of effort on psychological distress, hope contributed a vital mediating. Based on these results, it can be concluded that grit and hope have protective effects on psychological distress in clinical nurses. Significantly increasing the level of hope or grit may effectively prevent and reduce psychological distress in clinical nurses.

摘要

作为心理困扰的高危群体,护士普遍经历不同程度的压力、焦虑和抑郁。本文识别了可能对临床护士心理痛苦产生负面调节作用的积极因素及其作用机制,为临床护士支持管理提供可靠参考。本研究观察了希望以及坚毅的两个组成部分(兴趣一致性和努力坚持性)对临床护士心理困扰(抑郁、焦虑和压力)的影响及机制。共有635名中国临床护士(90.4%为女性)完成了一份匿名调查问卷。正如预期的那样,希望、兴趣一致性和努力坚持性与心理困扰的三个指标呈负相关(= -0.21~ -0.38,<0.01)。路径分析结果表明,希望显著介导了兴趣一致性对心理困扰的负面影响,效应为12.96%。希望还掩盖了努力坚持性对心理困扰的影响,效应为110.63%。在兴趣一致性和努力坚持性对心理困扰的影响中,希望起到了至关重要的中介作用。基于这些结果,可以得出结论,坚毅和希望对临床护士的心理困扰具有保护作用。显著提高希望或坚毅水平可能有效预防和减少临床护士的心理困扰。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9647/9559393/9b3e82796f6f/fpsyg-13-1019655-g001.jpg

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