He Qingxia, Xu Peng, Wang Huajun, Wang Shibin, Yang Lulu, Ba Zhiqiong, Huang Huigen
Guangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Nursing Department, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Front Psychiatry. 2023 Mar 7;14:1096082. doi: 10.3389/fpsyt.2023.1096082. eCollection 2023.
The COVID-19 pandemic not only posed a serious threat to public life and health but also had a serious impact on people's mental health, especially that of medical staff. Perceived social support is an important factor in one's sense of security.
Following the COVID-19 pandemic, the goal is to explore the potential mediating role of resilience in the relationship between perceived social support and the sense of security of Chinese medical personnel.
The multi-stage proportionally stratified convenience sampling method was adopted to select 4,076 medical professionals from 29 hospitals in Guangdong Province between September 2020 and October 2020. The Sense of Security Scale for Medical Staff, the Chinese version of the Connor-Davidson Resilience Scale, and the Perceived Social Support Scale were employed in this study. For statistical analysis and structural equation modeling (SEM), the SPSS 23.0 and Amos 24.0 software packages were used. Regression analysis was used to select the control variables to be included in the SEM. SEM analysis was conducted to verify the mediating effect of resilience on the relationship between perceived social support and a sense of security.
Pearson's correlation analysis showed that perceived social support and resilience were positively associated with a sense of security (correlation coefficients range from 0.350 to 0.607, < 0.01), and perceived social support (correlation coefficients range from 0.398 to 0.589, < 0.01) was positively associated with resilience. Structural equation modeling revealed that resilience played a partial mediating role in the association between perceived social support and a sense of security (60.3% of the effect of perceived social support on security was direct, and 39.7% of the effect was mediated by resilience).
Hospital managers should make efforts to develop resilience. Interventions based on resilience should be developed to enhance the perception of social support and strengthen one's sense of security.
新型冠状病毒肺炎（COVID-19）大流行不仅对公众生活和健康构成严重威胁，也对人们的心理健康产生了严重影响，尤其是医务人员的心理健康。感知到的社会支持是安全感的一个重要因素。
在COVID-19大流行之后，旨在探讨心理韧性在我国医务人员感知到的社会支持与安全感之间关系中的潜在中介作用。
采用多阶段按比例分层便利抽样法，于2020年9月至2020年10月从广东省29家医院选取4076名医学专业人员。本研究采用医务人员安全感量表、中文版康纳-戴维森心理韧性量表和感知社会支持量表。使用SPSS 23.0和Amos 24.0软件包进行统计分析和结构方程模型（SEM）分析。采用回归分析选择纳入SEM的控制变量。进行SEM分析以验证心理韧性在感知社会支持与安全感关系中的中介作用。
Pearson相关性分析显示，感知社会支持和心理韧性与安全感呈正相关（相关系数范围为0.350至0.607，P<0.01），感知社会支持与心理韧性呈正相关（相关系数范围为0.398至0.589，P<0.01）。结构方程模型显示，心理韧性在感知社会支持与安全感的关联中起部分中介作用（感知社会支持对安全感的影响中60.3%为直接效应，39.7%的效应由心理韧性介导）。
医院管理者应努力培养心理韧性。应制定基于心理韧性的干预措施，以增强社会支持感并强化安全感。
