Department of Nursing, MacKay Medical College, New Taipei City, Taiwan.
Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan.
Appl Nurs Res. 2024 Oct;79:151845. doi: 10.1016/j.apnr.2024.151845. Epub 2024 Sep 2.
Technological advancements have extended the lifespan of individuals with congenital heart disease (CHD), but physical and mental health issues can affect their life and job satisfaction.
This study examined whether grit can protect full-time employed adults with CHD from depression by exploring its mediating role between depressive symptoms and life or job satisfaction.
A cross-sectional design involved 181 adults with CHD assessed using the Patient Health Questionnaire, Grit-10, Satisfaction with Life Scale, and Basic Psychological Need Satisfaction at Work Scale. Data analysis was conducted with SPSS and Smart PLS software for partial least squares structural equation modeling, adhering to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.
Indicated that depressive symptoms were negatively correlated with grit, life satisfaction, and job satisfaction, while grit was positively correlated with both satisfaction measures. Grit partially mediated the relationship between depressive symptoms and life/job satisfaction, accounting for 30.70 % and 29.11 % of the variance, respectively.
Grit significantly mitigates the negative impact of depressive symptoms on life and job satisfaction in full-time employed adults with CHD. Nurses should identify signs of depression in adults with CHD and evaluate their grit levels. Interventions to increase grit and reduce depressive symptoms could enhance life and job satisfaction.
技术进步延长了先天性心脏病 (CHD) 患者的寿命,但身心健康问题可能会影响他们的生活和工作满意度。
本研究通过探讨坚韧人格在抑郁症状与生活或工作满意度之间的中介作用,检验坚韧人格是否可以保护患有 CHD 的全职成年人免受抑郁的影响。
采用横断面设计,使用患者健康问卷、坚韧人格量表 10 项、生活满意度量表和基本心理需求满足度工作量表对 181 名 CHD 成人进行评估。使用 SPSS 和 Smart PLS 软件进行偏最小二乘结构方程建模,数据符合观察性研究的报告强化标准(STROBE)。
结果表明,抑郁症状与坚韧人格、生活满意度和工作满意度呈负相关,而坚韧人格与这两个满意度衡量指标呈正相关。坚韧人格部分中介了抑郁症状与生活/工作满意度之间的关系,分别解释了 30.70%和 29.11%的方差。
坚韧人格显著减轻了抑郁症状对 CHD 全职成年人生活和工作满意度的负面影响。护士应识别 CHD 成年人的抑郁迹象,并评估其坚韧人格水平。增加坚韧人格和减少抑郁症状的干预措施可以提高生活和工作满意度。