摘要
目的探讨压力知觉和积极应对方式在助产士心理弹性和创伤后成长间的链式中介作用。方法于2023年4月—7月,采用便利抽样法,选取四川省24所三级甲等医院2年内参与或目睹过创伤性分娩事件的349名助产士作为调查对象,应用一般资料调查表、简体中文版创伤后成长评定量表、心理弹性量表、中文版压力知觉量表、简易应对方式问卷对其进行调查。结果共回收有效问卷320份。320名助产士心理弹性得分为(87.18±7.35)分,压力知觉得分为(20.31±3.12)分,积极应对方式得分为(28.64±3.93)分,创伤后成长得分为(76.09±9.42)分。助产士心理弹性、压力知觉、积极应对方式、创伤后成长4个变量两两间具有相关性(均P<0.05)。中介效应分析结果显示,助产士心理弹性对创伤后成长的直接效应显著,效应值为0.341;压力知觉和积极应对方式不仅分别在助产士心理弹性和创伤后成长之间起中介作用(效应值分别为0.103、0.122),还在两者间起链式中介作用(效应值为0.037),中介效应占总效应的43.4%。结论心理弹性可直接影响助产士的创伤后成长,也可分别通过压力知觉、积极应对方式的中介作用及两者间的链式中介作用间接影响助产士的创伤后成长。护理管理者应助力助产士增强心理弹性、降低压力知觉水平、培养积极应对方式,从而促进其实现创伤后成长。
Objective To explore the chain mediating effect of perceived stress and positive coping strategies on the psychological resilience and post-traumatic growth of midwives.Methods Convenience sampling method was used with 349 midwives surveyed from 24 tertiary hospitals in Sichuan Province.General information questionnaire,Simplified Chinese version of Posttraumatic Growth Inventory,Chinese version of Connor Davidson Resilience Scale,Chinese version of Perceived Stress Scale,and Simplified Coping Style Questionnaire were employed in investigation.Results A total of 320 midwives were finally included.The midwives'psychological resilience score(87.18±7.35),perceived stress score(20.31±3.12),positive coping style score(28.64±3.93),and post-traumatic growth score(76.09±9.42)were all correlated to each other(all P<0.05).The mediation effect results showed that psychological resilience has a significant direct effect on post-traumatic growth,with an effect value of 0.341.Besides,stress perception and positive coping styles not only played a significant individual mediating role between psychological resilience and post-traumatic growth,with effect values of 0.103 and 0.122,respectively,but also played a significant chain mediating role.The effect value was 0.037,and the mediating effect accounted for 43.4%of the total effect.Conclusion The psychological resilience of midwives can directly affect post-traumatic growth,and also indirectly affect post-traumatic growth through the individual and chain mediating effects of stress perception and positive coping strategies.Nursing managers should help to improve the psychological resilience of midwives and to reduce individual stress perception,enhance coping abilities to achieve positive growth.
作者
郑瑜
王鑫
邓媛
王佳
ZHENG Yu;WANG Xin;DENG Yuan;WANG Jia
出处
《中华护理教育》
CSCD
2024年第4期454-460,共7页
Chinese Journal of Nursing Education
基金
2022年四川省护理科研课题(H22035)
2023年成都市医学科研课题(2023112)。
关键词
助产士
韧性
心理
创伤后成长
压力知觉
应对方式
中介效应分析
Midwifery
Resilience,Psychological
Posttraumatic growth
Stress perception
Coping behavior
Mediation analysis
