三甲医院手术室护士心理弹性、情绪调节和心理负荷的相关性研究

Psychosocial resilience,emotion regulation and mental workload of operating room nurses:A study on something about an A-level of Grede Ⅲ hospital

目的调查手术室护士心理负荷现状,研究心理负荷与心理弹性和情绪调节的关系。方法 2018年6月—2019年2月间采用方便抽样的方法选取山东省某三甲医院手术室护士223名,采用一般资料调查表、任务负荷指数量表、心理弹性量表和情绪调节量表分别调查护士一般资料、心理负荷、心理弹性和情绪调节方式。结果手术室护士心理负荷总均分(61.49±12.68),护士心理负荷与心理弹性和情绪调节方式均呈显著负相关(r=-0.306/-0.347,均P<0.01);心理弹性(β=-0.229,P<0.001)和情绪调节方式中的认知重评(β=0.393,P<0.001)可以预测心理负荷38.0%的变异;情绪调节在心理弹性和心理负荷关系间具有中介作用,Bootstrap检验间接效应的95% CI 为-0.434^-0.135(P<0.001)。结论手术室护士心理负荷较高,心理弹性和情绪调节方式是心理负荷的重要影响因素;情绪调节方式可以介导心理弹性和心理负荷的关系。因此通过干预改善手术室护士的心理弹性和情绪调节可能是降低护士心理负荷的有效途径。

Objective To investigate the current situation of mental workload of operating room nurses and analyze its correlation with pschosocial resilience and emotion regulation. Methods A convenience sample of 223 operating room nurses selected from June 2018 to February 2019 were enrolled into this study,the measurement of socio-demographic,National Aeronautics and Space Administration-Task Load Index(NASA-TLX),the 10-item Connor-Davidson Resilience Scale(CD-RISC) and Emotion Regulation Questionnaire(ERQ) were used for assessing the general information,mental workload,pschosocial resilience,emotion regulation,respectively. Results The score of NASA-TLX were(61.49±12.68). NASA-TLX scores was negatively correlated with resilience(r=-0.306,P<0.01) and emotion regulation(r=-0.347,P<0.01). Psychosocial resilience and emotion regulation could predict 38.0% variance of mental workload. The Bootstrap-generated 95%CI was -0.434^-0.135(P<0.001),but did not include 0,which indicated that emotion regulation significantly mediated the relationship between resilience and mental workload. Conclusions Moderate to severity mental workload were experienced by operating room nurses. To ameliorate psychosocial resilience and emotion regulation by intervention strategies could be an effective approach to reduce the occurrence of mental workloads.