负性生活事件、反刍和睡眠质量对病区护士情绪状态影响的路径分析

Path analysis of negative life events,rumination and sleep quality on emotional state in ward nurses

目的探讨负性生活事件、反刍和睡眠质量对病区护士情绪状态的影响路径,为减少负性生活事件、反刍和睡眠质量对情绪状态的不良影响提供决策依据。方法采用广泛性焦虑量表(GAD-7)、抑郁症筛查量表(PHQ-9)、反刍量表(RRS)、匹兹堡睡眠质量指数(PSQI)和生活事件量表对某三级甲等综合医院850名病区护士进行问卷调查,采用SPSS 22.0和AMOS 21.0进行统计学分析及结构方程模型拟合。结果焦虑、抑郁与负性生活事件、反刍和睡眠质量呈正相关(r=0.25~0.75,P<0.01),负性生活事件可以直接对情绪状态产生影响,也可以通过反刍、睡眠质量间接对情绪状态产生间接影响,其对情绪状态影响的总效应为0.34,其中直接效应为0.09,占总效应的26.47%;通过其他路径产生的间接效应为0.25,占总效应的73.53%。结论负性生活事件、反刍和睡眠质量对其情绪状态的影响存在多条作用路径。

Objective To explore the influence path of negative life events,rumination and sleep quality on emotional state in ward nurses,so as to provide reference for a targeted intervention.Methods The GAD 7 Scale,PHQ-9 Scale,Ruminative Responses Scale,Pittsburgh Sleep Quality Index and Stressful Life Events Scale and Stressful Life Events Scale were used to investigate 850 ward nurses in a tertiary hospital.SPSS 22.0 and AMOS 21.0 were used to analyze the data.Results Anxiety and depression was positively correlated with negative life events,rumination and sleep quality(r=0.25-0.75,P<0.01).Negative life events directly influenced emotional state,or indirectly influenced emotional state by rumination and sleep quality.The total effect of negative life events on emotional state was 0.34,of which the direct effect was 0.09(26.47%),and the indirect effect was 0.25(73.53%).Conclusion Negative life events,rumination and sleep quality affect the emotional state in multiple pathways.