不同情绪调节策略预测护士职业倦怠和抑郁症状的优势分析

Predictors of nurses′job burnout and depressive symptoms:A dominance analysis of diverse emotion regulation strategies

目的探讨4种情绪调节策略(认知重评、表达抑制、反刍和正念)预测护士职业倦怠和抑郁症状的相对重要性。方法采用马氏职业倦怠量表——人类服务行业版、9项患者健康问卷、情绪调节问卷、反刍思维量表和正念能力量表对2所三级甲等医院的1037名护士进行了横断面问卷评估。结果优势分析结果表明,反刍、认知重评和正念分别解释职业倦怠41.38%(0.132/0.319)、30.09%(0.096/0.319)和28.53%(0.091/0.319)的方差;反刍和正念分别占抑郁的已预测方差的68.56%(0.362/0.528)和24.43%(0.129/0.528)。结论反刍和正念是护士职业倦怠和抑郁症状的重要预测因素,因此减少反刍思维和增强正念水平是缓解护士职业倦怠和抑郁症状的重要途径。

Objective To examine the relative importance of four emotion regulation strategies(i.e.cognitive reappraisal,expressive suppression,rumination and mindfulness)in explaining job burnout and depression of nurses.Methods We conducted a cross-sectional study with questionnaires for 1037 nurses from two general hospitals.Maslach Burnout Inventory-Human Service Survey(MBI-HSS),the Patient Health Questionnaire-9(PHQ-9),Emotion Regulation Questionnaire(ERQ),Ruminative Responses Scale(RRS)and Short Inventory of Mindfulness Capability(SIM-C)were assessed.Results Dominance analysis revealed that in terms of job burnout,rumination,cognitive reappraisal and mindfulness could explain 41.38%(0.132/0.319),30.09%(0.096/0.319)and 28.53%(0.091/0.319).In terms of depression,rumination and mindfulness could explain 68.6%(0.362/0.528)and 24.43%(0.129/0.528).Conclusions Rumination and mindfulness were important predictors of job burnout and depression of nurses.This study indicates that reducing ruminative responses and enhancement of mindfulness are the important approach to reduce nurses′job burnout and depression.