抗击新型冠状病毒肺炎临床一线医务人员的人际冲突处理型态与心理韧性水平及其相关性

Interpersonal conflict management pattern and psychological resilience level of medical staff on clinical frontline of fighting coronavirus disease 2019 and their correlation

目的调查抗击新型冠状病毒肺炎(新冠肺炎)临床一线医务人员的人际冲突处理型态与心理韧性水平,并分析两者的相关性。方法纳入90名抗击新冠肺炎的临床一线医务人员,采用人际冲突处理型态量表、心理韧性量表对其进行问卷调查。比较不同特征的医务人员人际冲突处理型态量表各维度得分及心理韧性量表总分。采用Pearson或Spearman检验分析医务人员人际冲突处理型态量表得分与心理韧性量表得分的相关性。结果(1)人际冲突处理型态量表的让步型、逃避型、支配型、整合型维度得分分别为(2.75±0.59)分、(2.59±0.62)分、(2.41±0.62)分、(2.39±0.51)分,均处于较低水平。年龄越大、文化程度越高者整合型维度得分越高,且文化程度越高者支配型、让步型维度得分越高(均P<0.05);不同婚姻状况医务人员的逃避型维度得分差异有统计学意义(P<0.05),其中离异者逃避维度得分最高,其次为未婚者,已婚者逃避维度得分最低。(2)心理韧性量表总分为(62.18±16.64)分,坚韧性、自强性、乐观性维度得分分别为(31.02±9.24)分、(21.80±5.77)分、(9.36±3.01)分;不同性别、年龄、学历、婚姻状况、工作年限、职称、月收入医务人员的心理韧性得分差异均无统计学意义(均P>0.05)。(3)抗击新冠肺炎临床一线医务人员人际冲突处理型态量表的整合型、支配型和逃避型维度得分与心理韧性量表总分均呈负相关(均P<0.05);而让步型维度得分与心理韧性量表各维度得分及总分均无线性相关(均P>0.05)。结论抗击新冠肺炎临床一线医务人员人际冲突处理型态各维度得分均偏低,但处于高心理韧性水平;医务人员的心理韧性水平越高,在处理人际冲突时越不倾向于采取整合、支配和逃避的处理方式。

Objective To investigate the interpersonal conflict management pattern and psychological resilience level of medical staff on the clinical frontline of fighting coronavirus disease 2019(COVID-19),and to analyze the correlation between them.Methods Ninety medical staffs on the clinical frontline of fighting COVID-19 were enrolled,among whom a questionnaire survey was conducted using the interpersonal conflict management pattern scale and the Connor-Davidson Resilience Scale(CD-RISC).The scores for all dimensions of the interpersonal conflict management pattern scale and the total score on CD-RISC were compared between medical staff with different features.Pearson or Spearman test was used to analyze the correlation between the scores on the interpersonal conflict management pattern scale and CD-RISC scores among medical staff.Results(1)The scores for compromising,avoiding,dominating,and integrating dimensions on the interpersonal conflict management pattern scale were 2.75±0.59,2.59±0.62,2.41±0.62,and 2.39±0.51,respectively,which were at lower levels.Those with older age or with a higher educational level yielded higher scores for integrating dimension,those with a higher educational level yielded higher scores for dominating and compromising dimensions(all P<0.05);there was statistically significant difference in the score for avoiding dimension between medical staff with different marital status(P<0.05),wherein the divorced got the highest score for avoiding dimension,followed by the single,and the married got the lowest score for avoiding dimension.(2)The total score on CD-RISC was 62.18±16.64,and the scores for resilience,self-improvement,and optimism dimensions were 31.02±9.24,21.80±5.77,and 9.36±3.01,respectively;no statistically significant difference was found in the CD-RISC scores between male and female medical staff,between medical staff in different age groups,or between medical staff with different educational levels,with different marital status,with different working years,with different professional titles,or with different monthly incomes(all P>0.05).(3)Among medical staff on the clinical frontline of fighting COVID-19,the scores for integrating,dominating,and avoiding dimensions on the interpersonal conflict management pattern scale negatively correlated with the total score on CD-RISC(all P<0.05);whereas the score for compromising dimension did not linearly correlate with the scores for all dimensions on CD-RISC or the total score(all P>0.05).Conclusion Medical staff on the clinical frontline of fighting COVID-19 yield lower scores for all dimensions on the interpersonal conflict management pattern,but are at a high psychological resilience level.Medical staff with a higher psychological resilience level are less inclined to use the integrating,dominating and avoiding styles to deal with interpersonal conflicts.