心理灵活性在护理实习生人文关怀品质与临床沟通能力间的中介效应分析

doi:10.3761/j.issn.1672-9234.2026.07.013

中华护理教育 ›› 2026, Vol. 23 ›› Issue (7): 850-855.doi: 10.3761/j.issn.1672-9234.2026.07.013

心理灵活性在护理实习生人文关怀品质与临床沟通能力间的中介效应分析

周楠¹(), 李育玲²^,^*(), 刘晓梅³, 卫怡帆¹, 张欣荣¹

¹ 山西医科大学护理学院太原市 030001
² 山西医科大学第一医院护理部太原市 030001
³ 山西医科大学第一医院精神卫生科太原市 030001

收稿日期:2026-01-20 出版日期:2026-07-15 发布日期:2026-07-17
通讯作者: *李育玲，E-mail：liyuling5646@163.com
作者简介:周楠：女，本科（硕士在读），护士，E-mail：zhoun0921@163.com
第一联系人：作者贡献声明
周楠负责论文选题、数据收集与分析、论文撰写；李育玲、刘晓梅负责指导论文撰写、行文核查及研究整体质量控制；卫怡帆、张欣荣负责数据收集与分析。
基金资助:
山西医科大学教育教学研究项目(XJ2025120)

The mediating effect on psychological flexibility between humane care quality and clinical communication competence of nursing interns

ZHOU Nan¹(), LI Yuling²^,^*(), LIU Xiaomei³, WEI Yifan¹, ZHANG Xinrong¹

¹ School of Nursing， Shanxi Medical University， Taiyuan 030001， China
² Department of Nursing, the First Hospital of Shanxi Medical University， Taiyuan 030001， China
³ Department of Psychiatry， the First Hospital of Shanxi Medical University， Taiyuan 030001， China

Received:2026-01-20 Online:2026-07-15 Published:2026-07-17
Contact: *LI Yuling，E-mail：liyuling5646@163.com
Supported by:
Shanxi Medical University Education and Teaching Research Project(XJ2025120)

摘要/Abstract

摘要：

目的探讨心理灵活性在护理实习生人文关怀品质与临床沟通能力间的中介效应，为提高护理实习生临床沟通能力提供理论参考。方法采用便利抽样法选取山西省某三级甲等医院的332名护理实习生为调查对象，采用一般资料调查表、护士人文关怀品质测评量表、多维心理灵活性量表简版、护生临床沟通能力测评量表进行调查，通过构建结构方程模型验证心理灵活性在人文关怀品质和临床沟通能力之间的中介效应。结果护理实习生人文关怀品质得分为（124.89±16.02）分，心理灵活性得分为（60.92±9.14）分，临床沟通能力得分为（86.34±11.98）分；人文关怀品质、临床沟通能力与心理灵活性呈两两正相关（P<0.001）；心理灵活性在护理实习生人文关怀品质与临床沟通能力间发挥中介效应，占总效应的 44.48%。结论心理灵活性是护理实习生人文关怀品质与临床沟通能力的中介变量。护理教育者应当重视护理实习生心理灵活性的影响，制订针对性的干预措施提高护理实习生的人文关怀品质和心理灵活性，进而增强其临床沟通能力。

关键词: 护理专业学生, 临床沟通能力, 心理灵活性, 人文关怀品质, 中介效应

Abstract:

Objective To explore the mediating effect on psychological flexibility between humane care quality and clinical communication competence of nursing interns，and to provide a reference for improving the clinical communication competence of nursing interns. Methods A convenience sampling method was used to select 332 nursing interns from the First Hospital of Shanxi Medical University. The survey tools were the General Information Questionnaire，Nurse’s Humane Care Quality Scale，Simplified Multidimensional Psychological Flexibility Scale and Clinical Communication Competence Scale of nursing students，and a structural equation model was constructed to verify the mediating effect of psychological flexibility in the relationship between humane care quality and clinical communication competence. Results The total scores of humane care quality，psychological flexibility and clinical communication competence were 124.89±16.02，60.92±9.14，and 86.34±11.98，respectively. Humane care quality，clinical communication competence，psychological flexibility were all positively correlated（P<0.001）. The nursing interns’ psychological flexibility played a mediating role between humane care quality and clinical communication competence，accounting for 44.48% of the total effect. Conclusion The nursing interns’ psychological flexibility acts as a mediator between humane care quality and clinical communication competence. Nursing educators should pay attention to the importance of psychological flexibility in nursing interns，and formulate targeted interventions to improve the interns’ humane care quality and psychological flexibility，thereby enhancing their clinical communication compe-tence.

Key words: Nursing Students, Clinical Communication Competence, Psychological Flexibility, Humane Care Quality, Mediating Effect

周楠, 李育玲, 刘晓梅, 卫怡帆, 张欣荣. 心理灵活性在护理实习生人文关怀品质与临床沟通能力间的中介效应分析[J]. 中华护理教育, 2026, 23(7): 850-855.

ZHOU Nan, LI Yuling, LIU Xiaomei, WEI Yifan, ZHANG Xinrong. The mediating effect on psychological flexibility between humane care quality and clinical communication competence of nursing interns[J]. Chinese Journal of Nursing Education, 2026, 23(7): 850-855.

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参考文献 19

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心理灵活性在护理实习生人文关怀品质与临床沟通能力间的中介效应分析

The mediating effect on psychological flexibility between humane care quality and clinical communication competence of nursing interns

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