摘要
目的探讨儿科护士社会支持、应对方式与心理健康的关系。方法2018年10-11月,方便抽样法选取重庆某三级甲等儿童医院381名儿科护士为研究对象,使用社会支持评定量表、简易应对方式量表、90项症状清单(symptom checklist-90,SCL-90),对其社会支持、应对方式及心理健康状况进行调查。结果儿科护士社会支持总分与SCL-90总分及除偏执外的各因子分呈负相关(r=-0.20^-0.10,均P<0.05),积极应对方式与SCL-90总分及各因子分呈负相关(r=-0.32^-0.19,均P<0.01),消极应对方式与SCL-90总分及各因子分呈正相关(r=0.19~0.26,均P<0.01)。路径分析结果显示,社会支持对积极应对方式有正向预测作用(路径系数β=0.45,P<0.01),对SCL-90总分的直接效应不明显(路径系数β=-0.04);积极应对方式对SCL-90总分有负向预测作用(路径系数β=-0.31,P<0.01),消极应对方式对SCL-90总分有正向预测作用(路径系数β=0.28,P<0.01)。结论积极应对方式在社会支持与心理健康之间起完全中介作用,社会支持通过促进积极应对方式来提高个人心理健康水平。
Objective To study the relational model of pediatric nurses’social support,coping styles and mental health status.Methods From October to November 2018,381 pediatric nurses from a children’s Hospital in Chongqing were selected by convenience sampling method to investigate their social support,coping style and mental health using social support rating scale,simple coping style scale and symptom checklist-90(SCL-90).Results The total score of social support of pediatric nurses was negatively correlated with the total score of SCL-90(r:-0.20 to-0.10,all P<0.05)(except for paranoia),the positive coping style was negatively correlated with the total score of SCL-90 and each factor score(r:-0.32 to-0.19,all P<0.01),the negative coping style was positively correlated with the total score of SCL-90 and each factor score(r:0.19 to 0.26,all P<0.01).The results of path analysis showed that social support had a positive predictive effect on the positive coping style(path coefficientβ=0.45,P<0.01),but had no significant direct effect on the total score of SCL-90(path coefficientβ=-0.04);the positive coping style had a negative predictive effect on the total score of SCL-90(path coefficientβ=-0.31,P<0.01),and the negative coping style had a positive predictive effect on the total score of SCL-90(path coefficientβ=0.28,P<0.01).Conclusions Positive coping style plays an intermediary role between social support and mental health.Social support improves the level of personal mental health by promoting positive coping style.
作者
郭小利
尹华英
GUO Xiaoli;YIN Huaying(Hematology Department,Children’s Hospital of Chongqing Medical University, Chongqing 400014, China;Children Development and Psychology Department,Children’s Hospital of Chongqing Medical University)
出处
《解放军护理杂志》
CSCD
北大核心
2020年第3期50-53,共4页
Nursing Journal of Chinese People's Liberation Army
基金
重庆市教委高校人文社会科学研究项目(16SKGH020)