新冠肺炎疫情下医务人员专念与应激反应的关系:品格优势的中介作用

Mindfulness and stress reaction of medical workers facing COVID-19 pandemic:the mediating role of character strength

目的评估新冠肺炎疫情下医务人员的应激反应症状,并考察品格优势在专念与应激反应之间的中介作用。方法于2020年2月15~17日基于方便取样法,使用斯坦福急性应激反应问卷(SASRQ)、兰格专念量表(LMS)和简明优势量表(BSS)对某省两市536名医务人员进行网络调查。结果医务人员的应激反应阳性症状发生率为0.4%,各维度阳性症状发生率分别为:分离症状(0.7%)、回避(6.0%)、社会功能损害(8.2%)、再体验(11.2%)、焦虑(22.8%)。在控制人口学变量后,专念正向预测意志力(β=0.36,P<0.001)、亲和力(β=0.40,P<0.001)和生命力(β=0.56,P<0.001);意志力负向预测SASRQ(β=-0.20,P<0.001);而专念(β=-0.09,P>0.05)、亲和力(β=0.10,P>0.05)和生命力(β=0.07,P>0.05)对SASRQ的预测作用无统计学意义。进一步中介效应检验结果显示,意志力在专念与SASRQ之间起中介作用(β=-0.07,95%CI=[-0.12,-0.04])具有统计学意义。结论新冠疫情期间医务人员存在一定程度的应激反应症状,意志力在专念与急性应激反应之间起中介作用。

Objective To investigate the stress reaction of medical workers facing COVID-19 pandemic,as well as the mediating role of character strength between mindfulness and stress reaction to COVID-19 pandemic.Methods During 15-17^(th),February 2020,536 medical workers from two cities were surveyed by Stanford Acute Stress Reaction Questionnaire(SASRQ),Langer Mindfulness Scale(LMS)and Brief Strengths Scale(BSS)based on convenient sampling through questionnaire online platform.Results The screened positive rate for overall SASRQ was 0.4%,and the screened positive rates of specific symptoms were 0.7%(respectively dissociative symptoms),6.0%(avoidance),8.2%(social function damage),11.2%(re-experience)and 22.8%(anxiety),respectively.After controlling gender,work unit and work categories in epidemic prevention and control,LMS negatively predicted temperance strength(β=0.36,P<0.001),intellectual strength(β=0.56,P<0.001),and interpersonal strength(β=0.40,P<0.001);LMS(β=-0.09,P>0.05),intellectual strength(β=0.07,P>0.05),and interpersonal strength(β=0.10,P>0.05)did not predict SASRQ;only temperance strength(β=-0.20,P<0.001)negatively predicted the score of SASRQ;temperance strength mediates between LMS and SASRQ(β=-0.07,95%CI=[-0.12,-0.04]).Conclusion The medical workers exhibited certain symptoms of stress reaction,and temperance strength mediates the relationship between mindfulness and acute stress reaction to COVID-19 pandemic in medical workers.