云浮市某三级甲等医院护士安全防护态度在正念水平和积极应对方式间的中介效应

Mediating effect of nurses'safety protection attitude onmindfulness leveland positive coping style in a grade-A tertiary hospitalin Yunfu City

目的调查云浮市某三级甲等医院护士积极应对方式现状,探索护士正念水平对积极应对方式的影响及安全防护态度的中介效应。方法选取2021年3—5月云浮市某三级甲等医院250名注册护士为研究对象,采用五因素正念度量表、安全防护态度量表、简易应对方式问卷进行调查,并采用χ2检验、LSD-t检验、方差分析进行不同亚组间各项评分水平比较。结果广东省云浮市某三级甲等医院250名护士积极应对方式得分为(3.37±0.93)分,正念水平得分为(3.42±0.70)分,安全防护态度得分为(3.41±0.82)分;Pearson检验结果显示,正念水平与安全防护态度、正念水平与积极应对方式、安全防护态度与积极应对方式均显著相关(r=0.627、0.613、0.530,均P<0.01);不同婚姻状况、月收入、护龄、职称、科室护士积极应对方式得分差异均有统计学意义(均P<0.05);不同护龄、月收入、职称、科室亚组间护士安全防护态度得分差异均有统计学意义(均P<0.05);结构方程模型分析显示,护士安全防护态度在正念水平和积极应对方式间存在中介效应(RMSE=0.06),拟合优度(R2)=0.365;Bootstrap分析结果显示,安全防护态度的中介效应为13.5%,正念水平与积极应对方式的直接效应效应为86.50%。结论正念水平对护士积极应对方式有直接预测作用,护士安全防护态度在正念水平与积极应对方式间起部分中介作用,采取有效干预改善护士的正念水平和提高安全防护态度是增加其积极应对方式的有效途径。

Objective To investigate the status quo of positive coping styles of nurses in a grade-A tertiary hospital in Yunfu City,explore the effect of nurses'mindfulness level on positive coping styles and mediating effect ofsafety protection attitudes.Methods From March to May 2021,250 registered nurses from a grade-A tertiary hospitalin Yunfu City were selected as the research objects.The five-factor mindfulness scale,safety protection attitude scale,and simple coping style questionnaire were adopted,and theχ2 test,LSD-t test,and variance were used to compare the score levels of different subgroups.Results The positive coping style score of 250 nurses from a grade-A tertiary hospital in Yunfu City of Guangdong Province was(3.37±0.93)points,the mindfulness level score was(3.42±0.70)points,and the safety protection attitude score was(3.41±0.82)points.Pearson test results showed that there were significant correlation between mindfulness level and safety protection attitude,mindfulness level and positive coping style,safety protection attitude and positive coping style(r=0.627,0.613,0.530,all P<0.01).There were statistically significant differences in the positive coping style score among nurses in different marital status,monthly income,nursing age,professional title,department(all P<0.05).There were statistically significant differences in the safety protection attitude scoreamong nurse subgroups in different nursing age,monthly income,professional title,department(all P<0.05).The structural equation model analysis showed that nurses'safety protection attitudes had mediation benefits between mindfulness styleandpositive copingstyle(RMSE=0.06),goodness of fit(R2)=0.365.Bootstrap analysis results showed that the mediation effect of safety protection attitudes was 13.5%,and the direct effect value of mindfulness level and safety protection attitude was 86.50%.Conclusion The mindfulnesslevel has a direct predictive effect on the positive coping style of nurses,the safety protection attitude of nurses plays a part of the mediating role between themindfulnesslevel and positive coping style,and taking effective intervention to improve themindfulnesslevel and safety protection attitudeof nurses can increase their positive coping style effectively.