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一些护士如何在压力情境中实现创伤后成长?分析希望、生命意义和心理韧性的作用以及应对自我效能感的中介作用。

How do some nurses achieve post-traumatic growth in stressful situations? Analysis of the role of hope, meaning of life, and resilience with the mediating role of coping self-efficacy.

作者信息

Yousefi Afrashteh Majid, Moradi Masoumeh, Rahmandel Leila

机构信息

Department of Psychology, Faculty of Humanities, University of Zanjan, Zanjan, Iran.

出版信息

Heliyon. 2024 Nov 1;10(23):e40038. doi: 10.1016/j.heliyon.2024.e40038. eCollection 2024 Dec 15.

DOI:10.1016/j.heliyon.2024.e40038
PMID:39691200
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11650277/
Abstract

BACKGROUND

This study aimed to investigate the relationship between hope, the meaning of life, resilience, and post-traumatic growth (PTG), with coping self-efficacy as a mediating factor among nurses working in COVID-19 care departments.

METHODS

This was a quantitative cross-sectional study involving 263 nurses from three university hospitals in Zanjan, Iran, in 2022. Data were collected using Connor and Davidson's Resilience Questionnaire, Schneider's Hope scale, Steger's Meaning in Life questionnaire, Tedeschi and Calhoun's PTG inventory, and Chesney's coping self-efficacy scale. Data were analyzed using SPSS-26 and LISREL-10.2 software.

RESULTS

Path analysis was used to analyze the causal model, which demonstrated a good fit with the data., the results showed. The results revealed direct and significant effects of resilience (ƿ<0.05, β = 0.14), hope (ƿ<0.05), β = 0.16), the meaning of life (ƿ<0.05, β = 0.13), and coping self-efficacy (ƿ<0.05, β = 0.20) on PTG among nurses. Additionally, the mediation of coping self-efficacy in the relationship between resilience, hope, meaning of life, and PTG in nurses was confirmed through the analysis of multiple mediators.

CONCLUSION

The study revealed that the combination of resilience, hope, and the meaning of life, mediated by coping self-efficacy, has significant predictive power for PTG in nurses.

摘要

背景

本研究旨在探讨在新冠肺炎护理部门工作的护士中,希望、生命意义、心理韧性和创伤后成长(PTG)之间的关系,并将应对自我效能作为中介因素。

方法

这是一项定量横断面研究,于2022年对伊朗赞詹市三所大学医院的263名护士进行。数据收集采用了康纳和戴维森的心理韧性问卷、施奈德的希望量表、斯特格的生命意义问卷、泰德eschi和卡尔霍恩的创伤后成长量表,以及切斯尼的应对自我效能量表。使用SPSS - 26和LISREL - 10.2软件进行数据分析。

结果

采用路径分析来分析因果模型,结果表明该模型与数据拟合良好。结果显示,心理韧性(p<0.05,β = 0.14)、希望(p<0.05,β = 0.16)、生命意义(p<0.05,β = 0.13)和应对自我效能(p<0.05,β = 0.20)对护士的创伤后成长有直接且显著的影响。此外,通过对多个中介因素的分析,证实了应对自我效能在护士心理韧性、希望、生命意义和创伤后成长之间关系中的中介作用。

结论

该研究表明,由应对自我效能介导的心理韧性、希望和生命意义的组合,对护士的创伤后成长具有显著的预测能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12a/11650277/94886794b08c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12a/11650277/a3552121bd46/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12a/11650277/0b6874ab1a6f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12a/11650277/e8221530206b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12a/11650277/94886794b08c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12a/11650277/a3552121bd46/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12a/11650277/0b6874ab1a6f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12a/11650277/e8221530206b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12a/11650277/94886794b08c/gr4.jpg

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