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心理弹性对助产士创伤后成长的影响:感知压力和积极应对策略的中介作用。

Effect of Psychological Resilience on Posttraumatic Growth Among Midwives: The Mediating Roles of Perceived Stress and Positive Coping Strategies.

机构信息

Department of Obstetrics, Chengdu Fifth People's Hospital, Chengdu, China.

Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

出版信息

Nurs Open. 2024 Nov;11(11):e70076. doi: 10.1002/nop2.70076.

DOI:10.1002/nop2.70076
PMID:39487579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11530409/
Abstract

AIM

To explore the relationship between midwives' psychological resilience and posttraumatic growth, and the mediating role of perceived stress and positive coping strategies.

DESIGN

A multicentre cross-sectional survey was used.

REVIEW METHODS

Data were conducted among 339 midwives from 24 Grade III A hospitals in Sichuan Province from April to July 2023, using the Chinese version of the Connor Davidson Resilience Scale, Chinese version Perceived Stress Scale, Simplified Coping Style Questionnaire, Chinese-Posttraumatic Growth Inventory and General Demographic Data Questionnaire. A descriptive statistical approach, Pearson's correlation analysis and the Mplus 8.3 were used to analyse the available data.

RESULTS

There was a significant correlation between psychological resilience, perceived stress, positive coping strategies and PTG. Psychological resilience could have a direct positive impact on PTG of midwives, but it could also indirectly affect PTG of midwives through three pathways: the mediating effect of perceived stress, the mediating effect of positive coping strategies and the chain mediating effect of perceived stress and positive coping strategies.

CONCLUSION

Results suggest that nursing managers should help to improve the psychological resilience of midwives and to reduce individual stress perception, enhance coping abilities and achieve positive growth.

IMPACT

Prior to data collection, we obtained approval from the nursing department of each hospital. Midwives who met the inclusion and exclusion criteria gave informed consent and invited to participate in this study.

REPORTING METHOD

This study was guided by STROBE.

PATIENT OR PUBLIC CONTRIBUTION

During the data collection phase, 349 midwives took the time to carefully answer the questionnaire items related to this study.

摘要

目的

探讨助产士心理弹性与创伤后成长的关系,以及感知压力和积极应对策略的中介作用。

设计

采用多中心横断面调查。

方法

于 2023 年 4 月至 7 月,选取四川省 24 家三级甲等医院的 339 名助产士,采用中文版康纳-戴维森韧性量表、中文版感知压力量表、简易应对方式问卷、中文版创伤后成长量表及一般人口学资料问卷进行调查。采用描述性统计分析、Pearson 相关分析和 Mplus8.3 软件进行数据分析。

结果

心理弹性、感知压力、积极应对策略与创伤后成长均呈显著正相关。心理弹性对助产士创伤后成长有直接正向预测作用,还可以通过感知压力、积极应对策略的中介作用及感知压力和积极应对策略的链式中介作用间接影响助产士的创伤后成长。

结论

护理管理者应帮助提高助产士的心理弹性,降低个体感知压力,增强应对能力,实现积极成长。

影响

在收集数据之前,我们获得了每家医院护理部门的批准。符合纳入和排除标准的助产士在知情同意的情况下,应邀参与了这项研究。

报告规范

本研究遵循 STROBE 报告规范。

患者或公众参与

在数据收集阶段,349 名助产士认真回答了与本研究相关的问卷条目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11530409/13868194d300/NOP2-11-e70076-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11530409/3b7fd7ec71bb/NOP2-11-e70076-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11530409/13868194d300/NOP2-11-e70076-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11530409/3b7fd7ec71bb/NOP2-11-e70076-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff2/11530409/13868194d300/NOP2-11-e70076-g001.jpg

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