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中国护士工作-家庭行为角色冲突与日间嗜睡对自杀风险的影响:一项横断面研究。

Work-family behavioral role conflict and daytime sleepiness on suicide risk among Chinese nurses: A cross-sectional study.

作者信息

Gan Qing-Wen, Yuan Yi-Ling, Li Yuan-Ping, Du Yi-Wen, Zheng Li-Lan

机构信息

School of Nursing, Jiangxi Medical College, Shangrao 334099, Jiangxi Province, China.

Department of Nursing, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.

出版信息

World J Psychiatry. 2025 Feb 19;15(2):100859. doi: 10.5498/wjp.v15.i2.100859.

Abstract

BACKGROUND

Work-family conflicts and daytime sleepiness are related to the risk of suicide. At present, no study has investigated the relationship between nurses' work-family behavioral role conflict and suicide risk. Moreover, it has not been confirmed whether, considering the effect of daytime sleepiness on suicide risk, daytime sleepiness mediates the effect of work-family behavioral role conflict and suicide risk.

AIM

To explore the pathway relationships among nurses' work-family behavioral role conflict, daytime sleepiness, and suicide risk.

METHODS

Convenience and purposive sampling methods were used to select 750 nurses from six provinces, including Jiangxi, Sichuan, and Shanxi. The work-family behavioral role conflict scale, the Chinese adult daytime sleepiness scale, and the suicide behavior questionnaire were used for the survey. The data were statistically analyzed SPSS 25.0 software, Pearson correlation analysis was used to explore the correlations between the variables, the PROCESS 4.0 program was used for the mediation effect analysis, and the mediation effect model was tested the bootstrap method.

RESULTS

Nurses' work-family behavioral role conflict and daytime sleepiness were positively correlated with suicide risk ( = 734, 0.717). Work-family behavioral role conflict positively predicted suicide risk ( = 0.118), and daytime sleepiness positively predicted suicide risk ( = 0.152). Daytime sleepiness partially mediated the role of nurses' work-family behavioral role conflict and suicide risk, with a mediation effect value of 0.046 and a mediation effect accounting for 38.98%.

CONCLUSION

The results of the Pearson correlation analysis and mediation effect analysis revealed that nurses' work-family behavioral role conflict has a direct effect on suicide risk and indirectly affects suicide risk through daytime drowsiness symptoms.

摘要

背景

工作与家庭冲突和日间嗜睡与自杀风险相关。目前,尚无研究调查护士工作-家庭行为角色冲突与自杀风险之间的关系。此外,考虑到日间嗜睡对自杀风险的影响,日间嗜睡是否介导工作-家庭行为角色冲突与自杀风险的关系尚未得到证实。

目的

探讨护士工作-家庭行为角色冲突、日间嗜睡与自杀风险之间的路径关系。

方法

采用便利抽样和目的抽样方法,从江西、四川和山西等六个省份选取750名护士。使用工作-家庭行为角色冲突量表、中国成年人日间嗜睡量表和自杀行为问卷进行调查。采用SPSS 25.0软件对数据进行统计分析,采用Pearson相关分析探讨变量之间的相关性,采用PROCESS 4.0程序进行中介效应分析,并采用Bootstrap方法检验中介效应模型。

结果

护士的工作-家庭行为角色冲突和日间嗜睡与自杀风险呈正相关(r = 0.734,0.717)。工作-家庭行为角色冲突正向预测自杀风险(β = 0.118),日间嗜睡正向预测自杀风险(β = 0.152)。日间嗜睡部分介导了护士工作-家庭行为角色冲突与自杀风险的关系,中介效应值为0.046,中介效应占38.98%。

结论

Pearson相关分析和中介效应分析结果显示,护士的工作-家庭行为角色冲突对自杀风险有直接影响,并通过日间嗜睡症状间接影响自杀风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa31/11758053/56f0d7571acc/100859-g001.jpg

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