Li Jiafeng, Ye Jing, Yang Xiaolan, Sun Huan, Yan Hui, Yuan Yiwen, Peng Yang, Tang Xiangdong
Mental Health Center, West China Hospital of Sichuan University, Chengdu, China.
Sleep Medicine Center, The First People's Hospital of Yunnan, Kunming, China.
Front Psychiatry. 2024 Sep 27;15:1473005. doi: 10.3389/fpsyt.2024.1473005. eCollection 2024.
This study aimed to investigate the psychological stress experienced by frontline medical staff during the Yangbi Earthquake and to understand how coping strategies and social support influence stress responses.
From days 3 to 14 post-earthquake, online questionnaires were administered to frontline medical staff to assess perceived social support, coping strategies, and psychological stress responses using the Perceived Social Support Scale (PSSS), Trait Coping Strategies Questionnaire (TCSQ), and Stress Response Questionnaire (SRQ). Data analysis included correlation analysis to explore relationships between variables, multiple linear regression to identify key predictors of stress, and path analysis to determine direct and indirect effects.
A total of 253 valid questionnaires were analyzed, with a participant composition of 81.82% females and 18.18% males, and the majority being nurses (62.06%). Psychological stress responses varied by gender and age, with females and older age groups showing higher physical stress responses (P < 0.05). Correlation and regression analyses indicated that negative coping and lower levels of social support were associated with increased stress responses (P < 0.05). Path analysis revealed that intra-family and extra-family support influenced stress responses directly and indirectly through coping strategies (P < 0.05).
This study suggests that perceived social support directly influences stress responses in frontline medical personnel during disasters, with coping strategies mediating this effect. Future research should explore these dynamics over time through longitudinal studies.
本研究旨在调查漾濞地震期间一线医护人员所经历的心理压力,并了解应对策略和社会支持如何影响压力反应。
在地震发生后的第3天至第14天,通过在线问卷对一线医护人员进行调查,使用领悟社会支持量表(PSSS)、特质应对策略问卷(TCSQ)和应激反应问卷(SRQ)评估领悟社会支持、应对策略和心理应激反应。数据分析包括相关分析以探索变量之间的关系、多元线性回归以确定压力的关键预测因素,以及路径分析以确定直接和间接效应。
共分析了253份有效问卷,参与者构成中女性占81.82%,男性占18.18%,大多数为护士(62.06%)。心理应激反应因性别和年龄而异,女性和年龄较大的群体表现出更高的身体应激反应(P<0.05)。相关分析和回归分析表明,消极应对和较低水平的社会支持与应激反应增加有关(P<0.05)。路径分析显示,家庭内和家庭外支持通过应对策略直接和间接影响应激反应(P<0.05)。
本研究表明,领悟社会支持直接影响灾难期间一线医护人员的应激反应,应对策略在其中起中介作用。未来的研究应通过纵向研究随时间探索这些动态变化。