Xiong Change, Yao Yanqiu, Hu Tong, Cheng Jing, Xu Shandan, Liu Chaojie
Hubei Province Key Laboratory of Occupational Hazard Identification and Control, Institute of Social Development and Health Management, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, China.
Hubei Province Key Laboratory of Occupational Hazard Identification and Control, Institute of Nursing Research, School of Medicine, Wuhan University of Science and Technology, Wuhan 430065, China.
Healthcare (Basel). 2023 May 5;11(9):1327. doi: 10.3390/healthcare11091327.
Mental health problems of health workers are attracting increasing concerns in China and the world. A trustful relationship between health workers and patients is the foundation of quality patient care, which is currently under serious threat. This study aimed to determine the associations of social trust on subjective wellbeing and mental health of health workers. Using the survey data of 262 health workers extracted from the 2018 Chinese Family Panel Studies, a structural equation model with partial least square approach was established. The results showed that social trust was linked to both subjective wellbeing (β = 0.251, < 0.01) and mental health (β = -0.210, < 0.01). The effect of social trust on mental health was partially mediated by subjective wellbeing (51.87%). The association between social trust and subjective wellbeing was moderated by socioeconomic status: social trust has a stronger effect on subjective wellbeing in those with higher socioeconomic status. Erosion of social trust may present a serious risk to mental health and subjective wellbeing of health workers. High socioeconomic status can amplify the effect of social trust.
医护人员的心理健康问题在中国乃至全球都日益受到关注。医护人员与患者之间的信任关系是高质量医疗服务的基础，而目前这种关系正受到严重威胁。本研究旨在确定社会信任与医护人员主观幸福感和心理健康之间的关联。利用从2018年中国家庭追踪调查中提取的262名医护人员的调查数据，建立了一个采用偏最小二乘法的结构方程模型。结果表明，社会信任与主观幸福感（β = 0.251，P < 0.01）和心理健康（β = -0.210，P < 0.01）均相关。社会信任对心理健康的影响部分由主观幸福感介导（51.87%）。社会经济地位调节了社会信任与主观幸福感之间的关联：社会信任对社会经济地位较高者的主观幸福感影响更强。社会信任的侵蚀可能会给医护人员的心理健康和主观幸福感带来严重风险。较高的社会经济地位会放大社会信任的影响。
