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[老年护士职业健康社会心理决定因素模型的验证]

[Validation of a model of psychosocial determinants of occupational health of geriatric nurses].

作者信息

Duquette A, Kérouac S, Sandhu B K, Saulnier P, Lachance L

机构信息

Faculté des sciences infirmières de l'Université de Montréal.

出版信息

Sante Ment Que. 1997 Autumn;22(2):257-78.

PMID:9534587
Abstract

The purpose of this study was to verify a model of relationships between psychosocial factors and health for 8066 francophone nurses working in geriatric care in Québec. A random sample of 1990 subjects was drawn and a participation rate of 77.9% and 55% was obtained for the two-time study taken twelve months apart. Based on the theory of Maddi and Kobasa (1984), the model was reproduced for the two-time periods with the aid of structural equations. The analyses showed that three variables exert a direct influence on psychological distress: professional burnout, occupational stressors and hardiness. Also, variables have a direct effect on burnout: listed in order of importance, these are hardiness, occupational stressors, work support, active strategies of coping and employment status. In dealing with the work stressors, the nurses who are hardy make use of active strategies of coping and look for support form their colleagues. The results of the study help to better understand the psychological and social resources that best favor adaptation of working women in highly demanding work environments. The fallout of the study converges towards the quality of life of helping professionals and towards the cost and quality of health and social services.

摘要

本研究旨在验证魁北克老年护理领域8066名说法语护士的心理社会因素与健康之间的关系模型。抽取了1990名受试者的随机样本,相隔十二个月进行的两次研究参与率分别为77.9%和55%。基于马迪和科巴萨(1984年)的理论,借助结构方程在两个时间段重现了该模型。分析表明,有三个变量对心理困扰有直接影响:职业倦怠、职业压力源和心理韧性。此外,变量对职业倦怠有直接影响:按重要性排序,这些变量依次为心理韧性、职业压力源、工作支持、积极应对策略和就业状况。在应对工作压力源时,具有心理韧性的护士会采用积极应对策略并寻求同事的支持。该研究结果有助于更好地理解最有利于处于高要求工作环境中的职业女性适应的心理和社会资源。该研究的影响涉及帮助专业人员的生活质量以及健康和社会服务的成本与质量。

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