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应对方式在约旦护士压力与生活质量关系中的中介作用。

The Mediation Roles of Coping Modalities on the Relationship Between Stress and Quality of Life Among Jordanian Nurses.

机构信息

Department of Community and Mental Health Nursing Faculty of Nursing Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan.

College of Health Sciences University of Doha for Science and Technology, Doha, Qatar.

出版信息

ScientificWorldJournal. 2024 Sep 30;2024:4434406. doi: 10.1155/2024/4434406. eCollection 2024.

Abstract

Nurses are at the frontline, dealing with people's most immense healthcare needs in stressful and demanding work environments. Consequently, it is essential to thoroughly examine how various coping mechanisms might affect the relationship between stress and quality of life (QOL). This study aimed to examine the mediation effect of both problem-focused coping (PFC) and emotion-focused coping (EFC) mechanisms on mitigating the effect of stress on the QOL among Jordanian nurses. A multisite cross-sectional descriptive correlational design was used in this study. An online survey was completed by 203 nurses using a convenience sampling technique between October 2023 and January 2024. The study included nurses working in different Jordanian healthcare sectors including governmental, private, and university-affiliated hospitals. Several measures were used to collect data, including questionnaires on sociodemographics, QOL, coping, and stress. Two models were hypothesized for this study. The two models were analyzed using Andrew Hayes Process Macro Model 4 for testing the mediation effects. Additionally, descriptive and correlational analyses were run prior to the main analysis. The results showed that coping significantly mediated the relationship between stress and QOL with variations between PFC and EFC. In conclusion, psychological distress symptoms were common among Jordanian nurses; psychological distress, coping, and QOL are correlating variables. Nurses' stress levels and coping modalities can predict QOL with a superior effect of PFC compared with EFC. Strategies should be put in place to improve effective coping to improve nurses' QOL. The results of this study have important implications for nursing education, practice, future research, and policy.

摘要

护士处于第一线,在充满压力和高要求的工作环境中处理人们最迫切的医疗保健需求。因此,彻底研究各种应对机制如何影响压力与生活质量(QOL)之间的关系至关重要。本研究旨在检验问题聚焦应对(PFC)和情绪聚焦应对(EFC)机制在减轻约旦护士压力对 QOL 影响方面的中介效应。本研究采用多地点横断面描述性相关设计。2023 年 10 月至 2024 年 1 月期间,采用便利抽样技术,有 203 名护士在线完成了这项研究。研究包括在约旦不同医疗保健部门工作的护士,包括政府、私营和大学附属医院。使用了几种措施来收集数据,包括社会人口统计学、QOL、应对和压力问卷。本研究提出了两个模型。使用 Andrew Hayes Process Macro Model 4 分析了这两个模型,以检验中介效应。此外,在进行主要分析之前,还进行了描述性和相关性分析。结果表明,应对在压力与 QOL 之间的关系中具有显著的中介作用,PFC 和 EFC 之间存在差异。结论是,约旦护士中常见心理困扰症状;心理困扰、应对和 QOL 是相关变量。护士的压力水平和应对方式可以预测 QOL,PFC 比 EFC 的效果更好。应采取措施提高有效的应对能力,以提高护士的 QOL。本研究结果对护理教育、实践、未来研究和政策具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e11/11458282/cc1a24b3d548/TSWJ2024-4434406.001.jpg

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