Liu Jing, Wei Sha, Qiu Guohong, Li Ni, Wang Delin, Wu Xiaohou, Gan Xiangzhi, Yi Hongmei
Department of Gynecology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Prev Med Rep. 2023 May 27;34:102266. doi: 10.1016/j.pmedr.2023.102266. eCollection 2023 Aug.
Psychological resilience helps individuals to actively respond to various emergencies, but its mediating role between the rumination and post-traumatic growth (PTG) of nurses remains unknown. Our study aimed to explore the extent to which psychological resilience mediates the association between rumination and PTG among nurses working in mobile cabin hospitals. This cross-sectional survey was conducted on 449 medical team members working in mobile cabin hospitals to support the prevention and control of coronavirus disease 2019 in Shanghai, China in 2022. Pearson correlation analysis was applied to assess the correlation between rumination, psychological resilience, and PTG. Structural equation models were used to examine the mediating role of psychological resilience between rumination and PTG. Our study results showed that deliberate rumination directly promoted psychological resilience and PTG and had positive effects on PTG through the mediating effect of psychological resilience. Invasive rumination had no direct effect on PTG. However, it had a negative effect on PTG through the mediating effect of psychological resilience. Together the results of this study indicate that the mediating effect of psychological resilience was significant in the association of rumination and PTG among mobile cabin hospital nurses, with a higher individual psychological resilience level helping nurses to achieve PTG. Therefore, targeted interventions should be implemented to improve nurses' psychological resilience and guide their rapid growth.
心理韧性有助于个体积极应对各种突发事件,但其在护士的反刍思维与创伤后成长(PTG)之间的中介作用尚不清楚。我们的研究旨在探讨心理韧性在方舱医院工作的护士反刍思维与PTG之间的中介作用程度。本横断面调查针对2022年在中国上海为支持新型冠状病毒肺炎防控工作而在方舱医院工作的449名医疗团队成员开展。采用Pearson相关分析评估反刍思维、心理韧性和PTG之间的相关性。使用结构方程模型检验心理韧性在反刍思维与PTG之间的中介作用。我们的研究结果表明,深思熟虑的反刍思维直接促进心理韧性和PTG,并通过心理韧性的中介作用对PTG产生积极影响。侵入性反刍思维对PTG没有直接影响。然而,它通过心理韧性的中介作用对PTG产生负面影响。本研究结果共同表明,心理韧性的中介作用在方舱医院护士反刍思维与PTG的关联中具有显著性,个体心理韧性水平越高,越有助于护士实现PTG。因此,应实施有针对性的干预措施,以提高护士的心理韧性并引导其快速成长。