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重症监护病房护士死亡应对自我效能与人格特质的相关性:一项横断面研究。

Correlation between death-coping self-efficacy and personality traits of intensive care unit nurses: a cross-sectional study.

作者信息

Zhang Wei-Wei, Zhong Li-Xia, Yang Li-Na, Fu Li

机构信息

Department of Critical Care Medicine, Beijing Friendship Hospital, Capital Medical University, 95 Yongan Road, Xicheng District, Beijing, 100050, China.

出版信息

BMC Nurs. 2025 Jul 8;24(1):888. doi: 10.1186/s12912-025-03430-0.

Abstract

OBJECTIVE

This study aimed to explore the association between different personality traits and death-coping self-efficacy of intensive care unit (ICU) nurses.

METHODS

A total of 350 questionnaires were distributed, and 301 valid questionnaires were finally collected. The research tools included a general information questionnaire and a death-coping self-efficacy questionnaire to collect nurses' demographic information.

RESULTS

The overall score of ICU nurses' death-coping self-efficacy was 98.52 ± 18.18, of which the hospice care dimension had the highest score (44.70 ± 8.25) and the grief coping dimension had the lowest score (28.21 ± 6.76). Personality traits of conscientiousness (p < 0.001), agreeableness (p < 0.001) and openness (p < 0.001) were significantly positively correlated with death-coping self-efficacy, whereas neuroticism was significantly negatively correlated with it (p < 0.001). Multiple linear regression analysis showed that whether or not they had participated in palliative care education courses within 1 year (p = 0.022), the experience of accompanying the death of a family member (p < 0.001), their attitude towards death (p < 0.001), as well as rigour (p = 0.002), agreeableness (p < 0.001) and openness (p < 0.001) were important influencing factors of death-coping self-efficacy, with a model determination coefficient R of 0.373 and an adjusted R of 0.364.

CONCLUSION

The self-efficacy of ICU nurses in coping with death is at a moderate to high level, and different personality traits have a significant impact on their self-efficacy in coping with death. High conscientiousness, agreeableness and openness personality traits help to improve self-efficacy in coping with death, whereas high neuroticism may reduce it.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

目的

本研究旨在探讨重症监护病房(ICU)护士不同人格特质与死亡应对自我效能感之间的关联。

方法

共发放问卷350份,最终收集到有效问卷301份。研究工具包括一般资料问卷和死亡应对自我效能感问卷,以收集护士的人口统计学信息。

结果

ICU护士死亡应对自我效能感总分为98.52±18.18,其中临终关怀维度得分最高(44.70±8.25),悲伤应对维度得分最低(28.21±6.76)。尽责性(p<0.001)、宜人性(p<0.001)和开放性(p<0.001)人格特质与死亡应对自我效能感显著正相关,而神经质与死亡应对自我效能感显著负相关(p<0.001)。多元线性回归分析显示,1年内是否参加过姑息治疗教育课程(p=0.022)、陪伴家人死亡的经历(p<0.001)、对死亡的态度(p<0.001)以及严谨性(p=0.002)、宜人性(p<0.001)和开放性(p<0.001)是死亡应对自我效能感的重要影响因素,模型决定系数R为0.373,调整后R为0.364。

结论

ICU护士应对死亡的自我效能感处于中高水平,不同人格特质对其应对死亡的自我效能感有显著影响。高尽责性、宜人性和开放性人格特质有助于提高应对死亡的自我效能感,而高神经质可能会降低这种自我效能感。

临床试验编号

不适用。

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