社会支持及应对方式在护士人格特征与心理健康间的中介作用

doi:10.3761/j.issn.1672-9234.2019.07.015

Abstract

Abstract: Objective To explore the mediating effects of perceived social support and coping style between nurses' personality characteristics and mental health. Methods A total of 1 589 nurses from tertiary general hospitals in Shandong Province were assessed with the general information questionnaire,Symptom Check List 90（SCL-90）,Eysenck Personality Questionnaire（EPQ）,Perceived Social Support Scale（PSSS）,and Trait Coping Style Questionnaire（TCSQ）. Results The score of the nurses' mental health was（159.75±55.22）. The psychoticism,extroversion and neuroticism of personality characteristics,perceived social support,and the positive coping were the influencing factors of mental health,and those factors could explain 36.0% of total variance of mental health. Perceived social support and positive coping were the meditators between nurses' personality characteristics and mental health. Conclusion Nursing managers should promote nurses' mental health by improving the level of nurses' perceived social support and positive coping according to nurses' personality characteristics.

Key words: Nurses, Mental Health, Personality, Social Support, Coping Behavior

Yuan WANG,Chun-lan LIU. The mediating effects of social support and coping style between nurses' personality characteristics and mental health[J].Chinese Journal of Nursing Education, 2019, 16(7): 536-540.

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References 26

[1]	罗函渝,林雪琴,廖必芳. 256名护士心理症状与工作环境感知及应对方式的相关性分析[J]. 护理学报,2015,22(18):68-70.
[2]	李婷婷. 改善护士执业环境关注护士心理健康——访北京大学第六医院院长陆林[J]. 中国护理管理,2017,17(3):295-296.
[3]	周倩倩,赵斌,李丽萍. 护士职业认同可视化知识图谱分析[J]. 中华护理教育,2018,15(1):76-79.
[4]	刘海霞,林林,张晓丽,等. 新医改形势下护理人员心理健康影响因素研究[J]. 中国卫生事业管理,2016(3):221-224.
[5]	Karaiskos D,Mavragani CP,Sinno MH,et al.Psychopathological and personality features in primary Sjogren's syndrome--associations with autoantibodies to neuropeptides[J]. Rheumatology(Oxford),2010,49(9):1762-1769.
[6]	Lazarus RS,Folkmal S.Stress appraisal and coping process[M]. New York:McGraw-Hill,1984.
[7]	陈园园,王梦欣,栾晓嵘,等. 规范化培训期间新入职护士心理健康状况[J]. 中华劳动卫生职业病杂志,2016,34(7):498-501.
[8]	林影,江琴. 医学生情绪调节自我效能感与社会支持、应对方式的关系[J]. 中国健康心理学杂志,2016,24(7):1017-1020.
[9]	胡淑芳,刘芳娥,梅梓. 社会支持和应对方式与医学生心理健康[J]. 中国健康心理学杂志,2013,21(2):291-292.
[10]	王征宇. 症状自评量表(SCL-90)[J]. 上海精神医学,1984(2):68-70.
[11]	龚耀先. 艾森克人格问卷手册[M]. 长沙:湖南医学院出版社,1986.
[12]	姜乾金,祝一虹. 特质应对问卷的进一步探讨[J]. 中国行为医学科学,1999,8(3):167-169.
[13]	姜乾金. 领悟社会支持量表(PSSS)[M]//汪向东,王希林,马弘.心理卫生评定手册(增订版). 北京:中国心理卫生杂志社,1999.
[14]	姜乾金. 领悟社会支持[J]. 中国行为医学科学,2001(10):41-43.
[15]	温忠麟,侯杰泰,马什赫伯特. 结构方程模型检验:拟合指数与卡方准则[J]. 心理学报,2004,36(2):186-194.
[16]	王姿欢,俞文兰,沈壮,等. 不同行业职业女性症状自评量表(SCL-90)测评结果分析[J]. 中华劳动卫生职业病杂志,2017, 35(11):840-843.
[17]	张敏莉,顾小红,朱军. 809名体检者SCL-90测评结果分析[J]. 重庆医学,2017,46(14):1963-1965.
[18]	徐广明,张佩佩,王芳,等. 家庭结构与功能对居民心理健康的影响——城乡差异比较案例分析[J]. 中国社会医学杂志,2014, 31(6):407-410.
[19]	高骥,刘圁圁,林碧芳. 组织支持感在护士边界弹性能力和工作家庭平衡间的调节作用[J]. 中华护理教育,2016,13(8):587-591.
[20]	万婠,车晓艳,张正,等. 无精子症病人心理健康与人格特征的相关性研究[J]. 护理研究,2017,31(1B):215-217.
[21]	Van Bogaert P,Timmermans O,Weeks SM,et al.Nursing unit teams matter:impact of unit-level nurse practice environment,nurse work characteristics,and burnout on nurse reported job outcomes,and quality of care,and patient adverse events--a cross-sectional survey[J]. Int J Nurs Stud,2014,51(8):1123-1134.
[22]	马丽媛,陈瑜. 积极心理学视角下护士主观幸福感与人格特征关系的研究[J]. 中国实用护理杂志,2014,30(34):12-16.
[23]	刘海龙,张玉芳. 护士认知情绪调节现状及培养策略[J]. 现代临床护理,2016,15(2):62-65.
[24]	刘淑梅. 合理情绪疗法对急诊科护士压力应对方式的影响[J]. 中华护理杂志,2012,47(7):619-622.
[25]	陈萌阳,李尚儒,刘晓婷,等. 空巢老人心理健康与人格特征及应对方式的关系[J]. 中国健康心理学杂志,2017,25(4):606-609.
[26]	刘红敏,李天民. 护理带教教师人格特征对职业倦怠的影响研究[J]. 中华护理教育,2015,12(8):597-600.

项目	人数	心理健康总分（${ \overline {x} \pm s}$）	统计量值	P 值
性别			1.776^1）	0.084
男	39	179.97±72.38
女	1 550	159.24±54.66
婚姻状况			0.581^2）	0.561
未婚	664	158.80±54.75
已婚/再婚	877	162.80±56.33
离婚/丧偶	48	156.43±54.59
教育水平			2.472^2）	0.060
中专	16	153.00±47.05
大专	476	158.89±53.78
本科	1 052	161.13±56.17
硕士及以上	45	138.96±47.13
年龄（岁）			13.892^2）	<0.001
<25	259	146.33±45.66
25~	1 048	165.86±57.81
36~	206	152.61±48.75
≥46	76	140.62±51.01
家庭结构			2.861^2）	0.036
夫妻家庭	361	155.73±53.25
标准核心家庭	325	156.92±54.52
扩大家庭	321	167.16±59.83
独居	582	159.75±53.90

项目	心理健康
积极应对	-0.218
消极应对	0.253
外向性	-0.114
神经质	0.561
精神质	0.273
掩饰度	-0.261
社会支持	-0.134

自变量	模型1	模型2	模型3
年龄	-0.101^1）	0.016	0.014
夫妻家庭	-0.026	0.012	0.018
标准核心家庭	0.046	0.045	0.050
扩大家庭	0.090^1）	0.067^1）	0.068^1）
外向性	-	-0.089^1）	-0.048^2）
神经质	-	0.529^1）	0.497^1）
精神质	-	0.154^1）	0.133^1）
掩饰度	-	0.010	0.008
积极应对	-	-	-0.098^1）
消极应对	-	-	0.040
领悟社会支持	-	-	-0.059^1）
F值	4.521^1）	105.530^1）	80.494^1）
R²	0.011	0.348	0.360
ΔR²	0.011	0.337	0.012

效应分解	神经质	外向性	精神质	社会支持	积极应对
总效应	0.534	-0.096	0.153	-0.067	-0.086
直接效应	0.519	-0.062	0.135	-0.061	-0.086
间接效应	0.015	-0.034	0.017	-0.006	<0.001

The mediating effects of social support and coping style between nurses' personality characteristics and mental health

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