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中国护士应对方式、生活事件与心理韧性的关系:一项采用结构方程模型的横断面研究

Relationships between coping style, life events, and resilience among nurses in China: a cross-sectional study using structural equation modeling.

作者信息

Huang Ying, Zhou Ye, Zhao Xiaofen, Bian Weiwei, Li Yumei

机构信息

Department of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Zhizaoju Road, No.639, Shanghai, 200011, China.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Zhizaoju Road, No.639, Shanghai, 200011, China.

出版信息

BMC Nurs. 2025 May 14;24(1):525. doi: 10.1186/s12912-025-03194-7.

Abstract

BACKGROUND

Resilience is the ability to adapt and implement effective actions to maintain mental health during adversity, benefiting patients when exhibited by nurses. It encompasses personal and environmental factors. However, few studies have explored their combined impact on nurses' resilience.

AIMS

This study investigated the mediating role of coping style in the relationships between life events and resilience among Chinese nurses.

METHODS

This study employed a cross-sectional correlational design and followed the STROBE guidelines. Convenience sampling was used to recruit 1,068 clinical nurses from government hospitals in China. Data were collected online using three validated self-reported questionnaires between March and April 2022. Pearson's correlation analysis and structural equation modeling were utilized for data analysis.

RESULTS

Significant relationships were found between education level, hospital level, professional title, and resilience, as well as between life events, coping style, and resilience. Life events directly and negatively influenced resilience and coping style. Coping style mediated the relationship between life events and resilience.

CONCLUSIONS

Nursing managers should provide training to enhance nurses' understanding of mental coping strategies for managing challenges. This will help mitigate the emotional impact of stress, thereby improving nurses' ability to adapt to and implement strategies that promote mental well-being in challenging circumstances.

摘要

背景

心理韧性是在逆境中适应并采取有效行动以维持心理健康的能力,护士具备心理韧性会使患者受益。它包括个人和环境因素。然而,很少有研究探讨它们对护士心理韧性的综合影响。

目的

本研究调查应对方式在中国护士生活事件与心理韧性关系中的中介作用。

方法

本研究采用横断面相关设计,并遵循STROBE指南。采用便利抽样法从中国公立医院招募了1068名临床护士。2022年3月至4月期间,使用三份经过验证的自填式问卷在线收集数据。采用Pearson相关分析和结构方程模型进行数据分析。

结果

发现教育水平、医院级别、职称与心理韧性之间存在显著关系,生活事件、应对方式与心理韧性之间也存在显著关系。生活事件直接且消极地影响心理韧性和应对方式。应对方式在生活事件与心理韧性之间起中介作用。

结论

护理管理者应提供培训,以增强护士对应对挑战的心理应对策略的理解。这将有助于减轻压力的情感影响,从而提高护士在具有挑战性的情况下适应并实施促进心理健康策略的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c20/12076851/8c2a144190ab/12912_2025_3194_Fig1_HTML.jpg

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