苑杰, 郭鑫, 庞静娟, 路月英, 贾娜娜, 吕少博, 王静. 心理弹性在工作相关因素与护士抑郁关系中的作用[J]. 环境与职业医学, 2017, 34(9): 785-791. DOI: 10.13213/j.cnki.jeom.2017.17148
引用本文: 苑杰, 郭鑫, 庞静娟, 路月英, 贾娜娜, 吕少博, 王静. 心理弹性在工作相关因素与护士抑郁关系中的作用[J]. 环境与职业医学, 2017, 34(9): 785-791. DOI: 10.13213/j.cnki.jeom.2017.17148
YUAN Jie, GUO Xin, PANG Jing-juan, LU Yue-ying, JIA Na-na, LÜ Shao-bo, WANG Jing. Role of resilience in relationship between job related factors and depression in nurses[J]. Journal of Environmental and Occupational Medicine, 2017, 34(9): 785-791. DOI: 10.13213/j.cnki.jeom.2017.17148
Citation: YUAN Jie, GUO Xin, PANG Jing-juan, LU Yue-ying, JIA Na-na, LÜ Shao-bo, WANG Jing. Role of resilience in relationship between job related factors and depression in nurses[J]. Journal of Environmental and Occupational Medicine, 2017, 34(9): 785-791. DOI: 10.13213/j.cnki.jeom.2017.17148

心理弹性在工作相关因素与护士抑郁关系中的作用

Role of resilience in relationship between job related factors and depression in nurses

  • 摘要: 目的 分析护士抑郁与工作相关因素及心理弹性间的关系,并探讨心理弹性在其中的作用。

    方法 采用整群抽样法,在唐山市4所医院中抽取535名护士,运用中国护士工作压力源量表、工作家庭冲突量表、工作资源量表、心理弹性量表及流调中心用抑郁量表对其进行调查,并通过SPSS 22.0软件对数据进行分析,不同亚组抑郁得分比较采用独立样本t检验或单因素方差分析,多组间两两比较采用SNK(s)法;采用Pearson相关分析护士抑郁与工作相关因素的相关性;采用分层回归分析心理弹性与工作相关因素的交互作用对护士抑郁的调节效应进行检验,并对心理弹性在护士抑郁与工作相关因素中的中介效应进行检验。

    结果 不同年龄、学历、每周工作时间、职务、用工性质、月收入及健康状况的护士抑郁量表得分比较,差异有统计学意义(P < 0.05);护士抑郁与工作压力源、工作家庭冲突量表得分均呈正相关(r=0.281、0.461,P < 0.05),而与工作资源、心理弹性量表得分均呈负相关(r=-0.253、-0.340,P < 0.05);心理弹性在护士抑郁与工作压力源间具有调节作用(b=0.109,P < 0.01);心理弹性在护士抑郁与工作家庭冲突及工作资源间的中介效应显著(P < 0.05),中介效应值分别为0.0446、-0.0794,分别占总效应的11.36%、48.30%。

    结论 护士抑郁水平与工作压力源、工作家庭冲突、工作资源及心理弹性密切相关,工作压力源、工作家庭冲突及工作资源不仅可以直接影响护士抑郁,而且还可以通过心理弹性对其产生间接影响。

     

    Abstract: Objective To assess the relationship of depression with job related factors and resilience, and explore the role of resilience among them.

    Methods Nurses (n=535) from four hospitals in Tangshan City were selected by cluster sampling method and interviewed using Chinese Nurse Job Stressors Questionnaire, Work-Family Conflict Scale, Job Resources Questionnaire, Connor-Davidson Resilience Scale, and Center for Epidemiological Studies Depression Scale. SPSS 22.0 software was used for statistical analysis. The scores of depression in different subgroups were compared by independent samples t-test or one-way analysis of variance (ANOVA), followed by post hoc comparisons using SNK(s) method. The correlations between job related factors and depression in nurses were assessed by Pearson correlation analysis. Hierarchical regression analysis was used to test the regulatory effect of the interaction between resilience and job related factors on depression, as well as the intermediary effect of resilience on the relationship between job related factors and depression.

    Results There were statistically significant differences in depression scale scores among the nurses of different age, educational le vel, working hours per week, position, employment form, monthly income, and health status groups (P < 0.05). Depression scale score was positively correlated with job stressors questionnaire score and work-family conflict scale score (r=0.281, 0.461, P < 0.05), and negatively with job resources questionnaire score and resilience scale score (r=-0.253, -0.340, P < 0.05). Resilience moderated the relationship between job stressors and depression (b=0.109, P < 0.01). Resilience had an obvious intermediary effect between work-family conflict/job resources and depression (P < 0.05), and the intermediary effect values were 0.044 6 and -0.079 4, respectively, accounting for 11.36% and 48.30% of total effect, respectively.

    Conclusion Job stressors, work-family conflict, job resources, and resilience are closely related to depression in the interviewed nurses. Job stressors, work-family conflict, and job resources pose not only a direct effect on depression, but also an indirect effect through resilience.

     

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