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医护人员的同理心和压力心态:自我表露与社会支持的链式中介作用

The empathy and stress mindset of healthcare workers: the chain mediating roles of self-disclosure and social support.

作者信息

Wu Jinxia, Dou Jinhua, Wang Daofeng, Wang Lizhuo, Chen Feng, Lu Guohua, Sun Lin, Liu Jianlan

机构信息

School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, China.

School of Public Health, Shandong Second Medical University, Weifang, Shandong, China.

出版信息

Front Psychiatry. 2024 Sep 12;15:1399167. doi: 10.3389/fpsyt.2024.1399167. eCollection 2024.

DOI:10.3389/fpsyt.2024.1399167
PMID:39328343
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11424417/
Abstract

The hospital is a workplace full of stressful events for healthcare workers (HCWs) due to unpredictable changes in their daily routines. Perceptions of stressful events (stress mindset) have a significant impact on an individual's health and well-being. However, few studies have reported the factors and potential counter mechanisms influencing these perceptions. This study aimed to evaluate the relationship between empathy, self-disclosure, social support, and stress mindset of HCWs, and to explore the mechanism of empathy on stress mindset. Five hundred and eight HCWs (35.2% men and 64.8% women) completed the Interpersonal Reactivity Index (IRI), the Distress Disclosure Index (DDI), the Social Support Rating Scale (SSRS), the Stress Mindset Measure (SMM), and demographic questionnaires online in China. The results showed that empathy was positively linked with stress mindset and positively correlated with self-disclosure and social support. In the multiple mediating model, self-disclosure and social support mediated the association between empathy and stress mindset sequentially. The results imply that empathy, self-disclosure, and social support play a significant role in the formation of HCWs' stress mindset. These findings have substantial ramifications for reducing stress and creating successful government interventions to fortify stress mindset in healthcare.

摘要

由于日常工作中不可预测的变化,医院对医护人员来说是一个充满压力事件的工作场所。对压力事件的认知(压力心态)对个人的健康和幸福有重大影响。然而,很少有研究报告影响这些认知的因素和潜在的应对机制。本研究旨在评估医护人员的同理心、自我表露、社会支持与压力心态之间的关系,并探讨同理心对压力心态的作用机制。在中国,508名医护人员(35.2%为男性,64.8%为女性)在线完成了人际反应指数(IRI)、苦恼表露指数(DDI)、社会支持评定量表(SSRS)、压力心态测量量表(SMM)以及人口统计学调查问卷。结果表明,同理心与压力心态呈正相关,与自我表露和社会支持呈正相关。在多重中介模型中,自我表露和社会支持依次中介了同理心与压力心态之间的关联。研究结果表明,同理心、自我表露和社会支持在医护人员压力心态的形成中发挥着重要作用。这些发现对于减轻压力以及制定成功的政府干预措施以强化医护人员的压力心态具有重大意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b28a/11424417/ea45566d06e4/fpsyt-15-1399167-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b28a/11424417/ea45566d06e4/fpsyt-15-1399167-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b28a/11424417/ea45566d06e4/fpsyt-15-1399167-g001.jpg

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本文引用的文献

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Behav Sci (Basel). 2024 Mar 12;14(3):228. doi: 10.3390/bs14030228.
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Retraction: The association of COVID-19 pandemic stress with health-related quality of life in the kingdom of Saudi Arabia: a cross-sectional analytical study.撤稿声明:沙特阿拉伯王国新冠疫情压力与健康相关生活质量的关联:一项横断面分析研究。
Front Public Health. 2023 Sep 4;11:1284970. doi: 10.3389/fpubh.2023.1284970. eCollection 2023.
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Understanding Nursing Workplace Violence Trends for Safer Clinical Oncology Settings.
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Clin J Oncol Nurs. 2023 Sep 15;27(5):497-505. doi: 10.1188/23.CJON.497-505.
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Depression, anxiety, stress, and PTSD symptoms during the first and second COVID-19 waves: a comparison of elderly, middle-aged, and young people in Iran.在第一波和第二波 COVID-19 期间,老年人、中年人和年轻人的抑郁、焦虑、压力和创伤后应激障碍症状:伊朗的比较。
BMC Psychiatry. 2023 Mar 23;23(1):190. doi: 10.1186/s12888-023-04677-0.
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