Yan Miaomiao, Zhang Lijuan, Qin Dan, Zhou Zhongtao, Wu Yigao, Hou Nuoyu, Tao Xiubin
Nursing Department, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, China.
College of Nursing, Wannan Medical College, Wuhu, Anhui, China.
Front Public Health. 2024 Dec 24;12:1497076. doi: 10.3389/fpubh.2024.1497076. eCollection 2024.
Perceived stress is recognized as a significant risk factor for depressive symptoms, while psychological resilience and wellbeing are considered crucial protective factors. However, the intricate relationships among these variables in undergraduate nursing interns remain largely unexplored. This study aims to investigate the mediating role of psychological resilience in the relationship between perceived stress and depressive symptoms, as well as the moderating influence of wellbeing on this mediation.
From March 1 to 31, 2024, a cluster sampling survey was conducted to examine senior nursing undergraduates from a medical college in Anhui Province who were engaged in clinical practice at various hospitals. The surveyed hospitals were all Grade III, and Class A teaching institutions situated in Anhui, Jiangsu, Zhejiang, Shanghai, and other provinces. According to the Lewinsohn behavioral theory of depression, the study measured perceived stress, depressive symptoms, wellbeing, and psychological resilience using the Chinese Perceived Stress Scale (CPSS), Patient Health Questionnaire 9 (PHQ-9), Oxford Happiness Questionnaire (OHQ), and the Chinese version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). The PROCESS v4.0 macro was utilized to evaluate the mediating role of psychological resilience and the moderating role of wellbeing.
A total of 299 valid samples were included. Perceived stress, depressive symptoms, psychological resilience, and wellbeing were significantly correlated. Psychological resilience partially mediated the relationship between perceived stress and depressive symptoms [indirect effect = 0.111, 95% Boot CI (0.065, 0.162)]. Wellbeing also moderated the relationship between psychological resilience and depressive symptoms [B = 0.007, 95% Boot CI (0.003, 0.011)].
The mental health of undergraduate nursing interns warrants attention. To reduce perceived stress and depressive symptoms, interventions should focus on enhancing psychological resilience and wellbeing among these interns.
感知压力被认为是抑郁症状的一个重要风险因素，而心理韧性和幸福感则被视为关键的保护因素。然而，本科护理实习生中这些变量之间的复杂关系在很大程度上仍未得到探索。本研究旨在探讨心理韧性在感知压力与抑郁症状之间关系中的中介作用，以及幸福感对这种中介作用的调节影响。
2024年3月1日至31日，采用整群抽样调查法，对安徽省某医学院从事临床实习的高年级护理本科生进行调查。被调查医院均为位于安徽、江苏、浙江、上海等省份的三级甲等教学机构。根据Lewinsohn抑郁行为理论，本研究使用中国感知压力量表（CPSS）、患者健康问卷9（PHQ - 9）、牛津幸福感问卷（OHQ）和中文版10项Connor - Davidson韧性量表（CD - RISC - 10）来测量感知压力、抑郁症状、幸福感和心理韧性。使用PROCESS v4.0宏程序来评估心理韧性的中介作用和幸福感的调节作用。
共纳入299个有效样本。感知压力、抑郁症状、心理韧性和幸福感之间存在显著相关性。心理韧性部分中介了感知压力与抑郁症状之间的关系[间接效应 = 0.111，95% 自助置信区间（0.065，0.162）]。幸福感也调节了心理韧性与抑郁症状之间的关系[B = 0.007，95% 自助置信区间（0.003，0.011）]。
本科护理实习生的心理健康值得关注。为了减轻感知压力和抑郁症状，干预措施应侧重于提高这些实习生的心理韧性和幸福感。
