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焦虑和抑制控制在护理人员的同情疲劳和网络成瘾障碍之间起连锁中介作用。

Anxiety and inhibitory control play a chain mediating role between compassion fatigue and Internet addiction disorder among nursing staff.

作者信息

Tan Xinxin, Li Zhongzheng, Peng Hong, Tian Min, Zhou Jiong, Tian Ping, Wen Jingrui, Luo Shenglin, Li Yan, Li Ping, Liu Yang

机构信息

School of Medicine, Jishou University, Jishou, 416000, Hunan, China.

National Hospital of Traditional Chinese Medicine of Xiangxi Tujia and Miao Autonomous Prefecture, Jishou, 416000, Hunan, China.

出版信息

Sci Rep. 2025 Apr 10;15(1):12211. doi: 10.1038/s41598-025-95832-y.

Abstract

Mental health problems among nurses are prevalent and harmful. Nurses worldwide have encountered serious mental health issues. Although fatigue has been proven to lead to substance abuse or addictive behaviors (such as internet addiction), there is a lack of sufficient data on whether there is a connection with compassion fatigue. Compassion fatigue is a common mental health problem in helping professions. Anxiety and inhibitory control have been demonstrated to be associated with internet addiction, but the mediating role between them in the state of compassion fatigue remains to be further explored. Therefore, this study aims to investigate the chain-mediating effect of anxiety and inhibitory control between compassion fatigue and internet addiction in the nurse population. From July to August 2024, a questionnaire survey was conducted using a convenience sampling method in 7 hospitals in Hunan Province, China. A total of 516 front-line clinical nurses were included, among whom 17 were male and 499 were female. Subjective data on compassion fatigue, internet addiction, anxiety, and inhibitory control were collected and analyzed. SPSS 26.0 and its PROCESS macro-plugin were used for data analysis. After controlling for age and gender, compassion fatigue was found to be a significant predictor of internet addiction (β = 0.40, P < 0.001). However, when anxiety and inhibitory control were added, the prediction of compassion fatigue on internet addiction in the nurse population remained significant (β = 0.18, P < 0.001). Eventually, the research results show that compassion fatigue can predict internet addiction through anxiety and inhibitory control. It is recommended that nursing managers provide appropriate emotional interventions for nurses with compassion fatigue or adjust the shift-scheduling and leave system to prevent the occurrence of internet addiction.

摘要

护士群体中的心理健康问题普遍存在且有害。全球护士都曾遭遇严重的心理健康问题。尽管疲劳已被证明会导致药物滥用或成瘾行为(如网络成瘾),但关于其与同情疲劳是否存在关联,仍缺乏足够数据。同情疲劳是助人行业中常见的心理健康问题。焦虑和抑制控制已被证明与网络成瘾有关,但它们在同情疲劳状态下的中介作用仍有待进一步探索。因此,本研究旨在探讨护士群体中同情疲劳与网络成瘾之间焦虑和抑制控制的链式中介效应。2024年7月至8月,在中国湖南省的7家医院采用便利抽样法进行问卷调查。共纳入516名一线临床护士,其中男性17名,女性499名。收集并分析了关于同情疲劳、网络成瘾、焦虑和抑制控制的主观数据。使用SPSS 26.0及其PROCESS宏插件进行数据分析。在控制年龄和性别后,发现同情疲劳是网络成瘾的显著预测因素(β = 0.40,P < 0.001)。然而,当加入焦虑和抑制控制后,护士群体中同情疲劳对网络成瘾的预测仍具有显著性(β = 0.18,P < 0.001)。最终,研究结果表明,同情疲劳可通过焦虑和抑制控制预测网络成瘾。建议护理管理者对有同情疲劳的护士提供适当的情绪干预,或调整排班和休假制度,以预防网络成瘾的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9a2/11982181/1e275dead02c/41598_2025_95832_Fig1_HTML.jpg

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