情绪调节在护士职业压力与职业倦怠间的中介效应

Mediating effect of emotion regulation on relationship between occupational stress and job burnout of nurses

目的 探讨情绪调节在护士职业压力与职业倦怠之间的中介作用，为制订针对性干预措施提供依据。 方法 采用中国护士工作压力源量表、马氏职业倦怠量表——人类服务行业版、情绪调节问卷和反刍思维量表对济南市3所三级甲等综合性医院的602名临床护士进行调查。运用SPSS 16.0和AMOS 17.0进行统计分析及结构方程拟合。结果 职业倦怠与压力源、表达抑制及反刍呈正相关（r = 0.112~0.576，P〈0.01），与重新评价呈负相关（r =-0.277，P〈0.01）。压力源与表达抑制、反刍呈正相关（r = 0.140~0.403，P〈0.01），与重新评价呈负相关（r =-0.110，P〈 0.01）。职业压力不仅能直接预测职业倦怠，还可以通过重新评价和反刍间接预测职业倦怠。结论 重新评价与反刍在职业压力与职业倦怠之间起部分中介作用。

Objective To explore whether emotion regulation mediates the relationship between occupational stress and job burnout in a large sample of nurses, in order to provide a targeted intervention. Methods Chinese Nurses Stressor Scale, Maslach Burnout Inventory-Human Services Survey, Emotion Regulation Questionnaire and Ruminative Responses Scale were used to investigate 602 nurses working in three tertiary hospitals in Jinan. SPSS 16.0 and AMOS 17.0 software were used to analyze the data. Results Job burnout were positively correlated with stressors, expression suppression and rumination （r = 0.112–0.576, P 〈 0.01）, and negatively correlated with cognitive reappraisal （r =-0.277, P 〈 0.01）. Stressors were positively correlated with expression suppression and rumination （r = 0.140 – 0.403, P 〈 0.01）, and negatively correlated with cognitive reappraisal （r =-0.110, P 〈 0.01）. Occupational stress could make a positive role on job burnout directly. Moreover, in the indirect approach, occupational stress could make a positive role on job burnout through the mediating role of cognitive reappraisal and ruminative, but not expression suppression. Conclusions Cognitive reappraisal and ruminative partially mediated the relationship between occupational stress and job burnout.