医院临床护士的职业压力、应对策略与心理健康：一项中介效应分析
Occupational stress, coping strategies, and mental health among clinical nurses in hospitals: a mediation analysis.
作者信息
Jin Fubi, Ni Shaomei, Wang Lin
机构信息
Department of Endocrinology, Zhejiang Hospital, Hangzhou, China.
Department of Cardiology, Zhejiang Hospital, Hangzhou, China.
出版信息
Front Public Health. 2025 May 2;13:1537120. doi: 10.3389/fpubh.2025.1537120. eCollection 2025.
OBJECTIVE
This study aimed to examine the relationship between occupational stress and mental health among clinical nurses, focusing on the mediating role of coping strategies.
METHODS
A cross-sectional survey was conducted among 600 clinical nurses from tertiary hospitals in Hangzhou, China. Data were collected using the Chinese Nurses' Work Pressure Source Questionnaire, the Symptom Checklist-90 (SCL-90), and the Coping Strategies Scale. Mediation analysis was performed using Bootstrap to test the hypothesized mediating effects.
RESULTS
The results showed that occupational stress was positively associated with mental health issues (β = 0.42, < 0.01), and coping strategies partially mediated this relationship (indirect effect = 0.18, 95% CI [0.11, 0.27]). Nurses in high-stress departments (e.g., surgery and ICU) reported significantly higher SCL-90 scores than the national norm ( < 0.05).
CONCLUSION
The findings suggest that positive coping strategies can mitigate the adverse effects of occupational stress on mental health. Interventions targeting coping skills training may improve nurses' well-being and reduce burnout.
目的
本研究旨在探讨临床护士职业压力与心理健康之间的关系，重点关注应对策略的中介作用。
方法
对来自中国杭州三级医院的600名临床护士进行横断面调查。使用《中国护士工作压力源量表》《症状自评量表90项（SCL - 90）》和《应对策略量表》收集数据。采用Bootstrap法进行中介分析，以检验假设的中介效应。
结果
结果表明，职业压力与心理健康问题呈正相关（β = 0.42，<0.01），应对策略部分中介了这种关系（间接效应 = 0.18，95%CI [0.11, 0.27]）。高压力科室（如外科和重症监护室）的护士报告的SCL - 90得分显著高于全国常模（<0.05）。
结论
研究结果表明，积极的应对策略可以减轻职业压力对心理健康的不利影响。针对应对技能培训的干预措施可能会改善护士的幸福感并减少职业倦怠。
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