Lei Juanjuan, Lai Huijing, Zhong Siting, Zhu Xiaoli, Lu Dianyu
School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, People's Republic of China.
Department of Surgery, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Guangzhou, People's Republic of China.
J Multidiscip Healthc. 2024 Jun 4;17:2741-2754. doi: 10.2147/JMDH.S461895. eCollection 2024.
The primary objective of this cross-sectional study was to examine the prevalence of different types of intimate partner violence (IPV) among female nurses employed in public hospitals across China. Additionally, the study sought to investigate the relationship between nurses' psychological resilience and their experiences of work thriving and work alienation in the aftermath of IPV.
This cross-sectional study utilized an online self-report survey to collect data from a sample of 522 female nurses working in public healthcare facilities across several major cities in China. The survey instrument collected information on participants' sociodemographic characteristics, experiences of intimate partner violence (IPV), psychological resilience, work thriving, and work alienation. The Kruskal-Wallis one-way ANOVA test was used to compare outcome variables across IPV exposure groups, and multiple linear regression modeling was subsequently performed to examine the associations between the dependent variables (work thriving and work alienation) and the independent variables, including IPV exposure and resilience.
The overall prevalence of IPV reported by the female nurse participants was 74.26%. Specifically, the rates of emotional IPV, physical IPV, and sexual IPV were 74.06%, 24.27%, and 7.53%, respectively. The results indicated that total IPV exposure, the three IPV subtypes, psychological resilience, work thriving, and work alienation were all significantly and positively interrelated. IPV scores demonstrated a negative association with psychological resilience and work thriving, but a positive association with work alienation. Importantly, psychological resilience was found to be positively correlated with work thriving and negatively correlated with work alienation.
The findings suggest that psychological resilience plays a pivotal role, both directly and indirectly, in influencing the work-related outcomes of female nurses who have experienced IPV. Specifically, resilience was positively associated with thriving at work and directly negatively associated with work alienation, though a partial mediating effect of resilience was also observed.
本横断面研究的主要目的是调查中国公立医院女护士中不同类型亲密伴侣暴力（IPV）的患病率。此外，该研究旨在调查护士的心理复原力与她们在经历IPV后工作蓬勃发展和工作疏离感之间的关系。
本横断面研究采用在线自我报告调查，从中国几个主要城市的公共医疗机构工作的522名女护士样本中收集数据。该调查工具收集了参与者的社会人口学特征、亲密伴侣暴力（IPV）经历、心理复原力、工作蓬勃发展和工作疏离感等信息。使用Kruskal-Wallis单因素方差分析测试来比较IPV暴露组之间的结果变量，随后进行多元线性回归建模，以检查因变量（工作蓬勃发展和工作疏离感）与自变量之间的关联，包括IPV暴露和复原力。
参与调查的女护士报告的IPV总体患病率为74.26%。具体而言，情感IPV、身体IPV和性IPV的发生率分别为74.06%、24.27%和7.53%。结果表明，IPV总暴露、三种IPV亚型、心理复原力、工作蓬勃发展和工作疏离感均显著正相关。IPV得分与心理复原力和工作蓬勃发展呈负相关，但与工作疏离感呈正相关。重要的是，发现心理复原力与工作蓬勃发展呈正相关，与工作疏离感呈负相关。
研究结果表明，心理复原力在直接和间接影响经历过IPV的女护士的工作相关结果方面都起着关键作用。具体而言，复原力与工作中的蓬勃发展呈正相关，与工作疏离感直接呈负相关，不过也观察到复原力有部分中介作用。
