突发公共卫生事件下情绪调节策略在护士替代性创伤与职业认同间的中介效应

Mediating effect of emotion regulation strategies on nurses'vicarious traumatization and professional identity in public health emergencies

目的探讨临床护士情绪调节策略在替代性创伤和职业认同间的中介效应。方法采用护士职业认同评定量表(PIS)、替代性创伤问卷(VT)、情绪调节方式量表(ERQ)对临沂市某两所三级甲等医院354名护士进行横断面调查。结果临床护士职业认同总分为(103.28±19.819)分,替代性创伤总分为(81.43±25.804)分,情绪调节策略总分为(44.18±9.790)分。临床护士PIS评分与替代性创伤评分呈负相关,在情绪调节策略中,PIS评分与表达抑制评分呈负相关,与重新评价评分呈正相关,均P<0.05。路径分析表明,替代性创伤可以直接预测情绪调节策略和护士职业认同,情绪调节策略在替代性创伤与护士职业认同之间起部分中介作用。结论突发公共卫生背景下,临床护士替代性创伤、情绪调节策略与护士职业认同密切相关,提示护理管理者应重视护士的心理健康状况,及时采取干预措施,有针对性地对其进行心理调适,使其更好的投入到工作中,从而提高护士的职业认同感。

Objective To explore the mediating effect of clinical nurses'emotion regulation strategies on vicarious traumatization and professional identity.Methods A cross-sectional survey of 354 nurses from two upper first-class hospitals in Linyi city was conducted by using the Professional Identity Rating Scale(PIS),vicarious traumatization Questionnaire(VT)and Emotion Regulation Questionnaire(ERQ).Results The total score of clinical nurses'professional identity was(103.28±19.819),the total score of vicarious traumatization was(81.43±25.804),and the total score of emotion regulation strategy was(44.18±9.790).The PIS score of clinical nurses was negatively correlated with vicarious traumatization score.In the emotion regulation strategy,PIS score was negatively correlated with expression inhibition score and positively correlated with reevaluation score,all P<0.05.Path analysis showed that vicarious traumatization could directly predict emotional regulation strategies and nurses'professional identity,and emotional regulation strategies partially mediated the relationship between vicarious traumatization and nurses'professional identity.Conclusion Under the background of public health emergency,the vicarious traumatization and emotion regulation strategies of clinical nurses are closely related with their professional identity,which suggests nursing managers should pay attention to mental health of nurses,take timely intervention measures,make targeted psychological adjustment,so as to make them go better into work,and to improve nurses'professional identity.