Wu Xiaolu, Tang Lu, Gong Jing
Central Sterile Supply Department, The People's Hospital of Xichang Xichang 615000, Sichuan, China.
Central Operating Room, The Third People's Hospital of Chengdu Chengdu 610000, Sichuan, China.
Am J Transl Res. 2024 Jun 15;16(6):2563-2570. doi: 10.62347/PWLM8459. eCollection 2024.
This study aims to explore the impact of family social support affects anxiety levels and mental toughness among nursing staff, and to identify the pathways of how mental toughness develops.
We selected 256 nursing staff from the Third People's Hospital of Chengdu using a convenience sampling method. Participants completed a questionnaire assessing family social support, anxiety level and mental toughness of the nursing staff. The questionnaires included the general information questionnaire, Perceived Social Support Scale (PSSS), Self-Rating Anxiety Scale (SAS), and the Connor-Davidson resilience scale (CD-RISC). Then, we analyzed the correlation between nursing staff' family social support, anxiety symptoms and mental toughness by using Pearson correlation. Finally, we analyzed the effect of family social support on mental toughness and anxiety levels by using linear regression, and analyzed the path of family social support and psychological toughness on anxiety symptoms by using structural equation modeling.
We finally collected 246 valid questionnaires with a valid recovery rate of 96.09%. 116 (47.15%) nursing staff reported a moderate level of family social support, with a mean PSSS score of (58.98 ± 7.64). Anxiety risk was identified in 43.39% of participants, with a mean SAS score of 50.47 ± 10.96. In terms of mental toughness, 104 (42.28%) nursing staff exhibited a low level of mental toughness, and 116 (47.15%) demonstrated moderate level of mental toughness with CD-RISC score of (58.23 ± 10.12). Correlation analyses revealed a strong negative correlation between the family social support, mental toughness and their anxiety (r = -0.586, -0.516, respectively), and a strong positive correlation between family social support and mental toughness (r = 0.571). Regression analysis showed that family social support was a significant negative predictor for anxiety ( = -0.841, = -9.488), but a significant positive predictor for mental toughness ( = 0.756, = 11.669). Mediation analysis indicated that mental toughness mediated 26.28% of the relationship between family social support and anxiety levels.
Family social support can significantly reduce anxiety levels in nursing staff directly, as well as indirectly by increasing mental toughness.
本研究旨在探讨家庭社会支持对护理人员焦虑水平和心理韧性的影响，并确定心理韧性发展的途径。
我们采用便利抽样法从成都市第三人民医院选取了256名护理人员。参与者完成了一份评估护理人员家庭社会支持、焦虑水平和心理韧性的问卷。问卷包括一般信息问卷、领悟社会支持量表（PSSS）、自评焦虑量表（SAS）和康纳-戴维森心理韧性量表（CD-RISC）。然后，我们使用Pearson相关性分析护理人员的家庭社会支持、焦虑症状和心理韧性之间的相关性。最后，我们使用线性回归分析家庭社会支持对心理韧性和焦虑水平的影响，并使用结构方程模型分析家庭社会支持和心理韧性对焦虑症状的路径。
我们最终收集到246份有效问卷，有效回收率为96.09%。116名（47.15%）护理人员报告家庭社会支持水平中等，PSSS平均得分为（58.98±7.64）。43.39%的参与者被确定有焦虑风险，SAS平均得分为50.47±10.96。在心理韧性方面，104名（42.28%）护理人员表现出低水平的心理韧性，116名（47.15%）表现出中等水平的心理韧性，CD-RISC得分为（58.23±10.12）。相关性分析显示，家庭社会支持、心理韧性与其焦虑之间存在强烈的负相关（r分别为-0.586、-0.516），家庭社会支持与心理韧性之间存在强烈的正相关（r = 0.571）。回归分析表明，家庭社会支持是焦虑的显著负向预测因子（β = -0.841，t = -9.488），但却是心理韧性的显著正向预测因子（β = 0.756，t = 11.669）。中介分析表明，心理韧性在家庭社会支持与焦虑水平之间的关系中起26.28%的中介作用。
家庭社会支持可以直接显著降低护理人员的焦虑水平，也可以通过提高心理韧性间接降低焦虑水平。
