自我效能感调节自尊在护理人员职场欺凌与心理健康间的中介作用

The mediation role of self-esteem between workplace bullying and mental health among nurses：the moderating effect of self-efficacy

目的探讨职场欺凌、一般自我效能感、自尊对护理人员心理健康的影响。方法采用职场欺凌行为问卷、一般自我效能感量表、自尊量表和一般健康问卷对南宁市6所医院450名护理人员进行测评。结果34．7％的护理人员在过去的六个月内遭受职场欺凌；职场欺凌[（23．78±6．94）分]与心理健康[（36．63±4．53）分]呈显著负相关（r=-0．32，P〈0．01）、一般自我效能感[（26．86±4．82）分]、自尊[（30．62±4．08）分]与心理健康均呈显著正相关（r=0．45、0．44，P〈0．01）；职场欺凌对护理人员心理健康具有显著的负向影响（β=-0．25，P〈0．01），自尊在其中具有部分中介作用；一般自我效能感在职场欺凌与心理健康的关系问具有调节作用，同时这一调节作用是部分地通过自尊为中介而产生。结论职场欺凌对护理人员心理健康具有负向预测作用，一般自我效能感通过自尊调节了职场欺凌对护理人员心理健康的影响。

Objective To investigate the impact of workplace bullying,general self-efficacy, self-esteem on mental health of nurses. Methods With random sampling,450 nurses from six hospitals in Nanniug of Guangxi were selected to complete questionnaire survey. Results 34.7% of nurses were reported to have been subjected to bullying at their workplace. Workplace bullying（23.78±6.94） showed significantly nega- tive relationship with mental health （36.63±4.53） （ r= -0.32, P〈0.01 ）, while general self-efficacy （ 26.86± 4.82） and self-esteem（30.62±4.08） showed significantly positive correlations with mental health（ r= 0.45, 0.44, P〈0.01 ）. Workplace bullying had a significantly negative effect on mental health （ β=-0.25, P〈 0.01 ）, and the relationship was affected by general self-efficacy and self-esteem. Conclusion Workplace bullying can influent nurses＇ mental health through self-esteem and the relationship is moderated by general self-efficacy.