认知情绪调节策略在安宁疗护护士压力负荷与压力反应间的中介效应

Mediating effect of cognitive emotion regulation strategy on stress overload and stress response of palliative care nurses

目的探讨安宁疗护护士压力负荷、不同认知情绪调节策略与压力反应间的现状与其相关关系,为降低安宁疗护护士的压力反应提供参考。方法采用便利抽样法,于2022年2月选取北京市、江苏省、湖南省和安徽省的448名安宁疗护护士作为研究对象,应用一般资料调查表、压力负荷量表、认知情绪调节问卷和压力反应问卷对其进行横断面调查,在分析其得分水平之后,进行相关分析和中介效应分析。结果安宁疗护护士压力负荷得分为66.00(55.00,67.00)分,压力反应得分为80.00(63.00,84.00)分,压力负荷与压力反应呈正相关(r=0.735,P<0.05),积极情绪调节策略与压力反应呈负相关(r=-0.440,P<0.05),消极情绪调节策略与压力反应呈正相关(r=0.747,P<0.05)。认知情绪调节策略在压力负荷与压力反应间起部分中介效应,占总效应的29.6%。结论认知情绪调节是安宁疗护护士压力负荷与压力反应间的中介变量,管理者应加强对安宁疗护护士压力水平和心理健康状态的关注,引导其选择恰当的情绪调节策略,从而降低压力反应、维持身心健康。

Objective To explore the current status and correlation between stress overload,different cognitive emotion regulation strategies and stress response in palliative care nurses,and to provide reference for reducing stress reaction of hospice nurses.Methods A total of 448 palliative care nurses from Beijing City,Jiangsu Province,Hunan Province and Anhui Province were selected as subjects by convenience sampling method in February 2022.The general information questionnaire,Stress Overload Scale,Cognitive Emotion Regulation Questionnaire and Stress Response Questionnaire were used to conduct a cross-sectional survey.After analyzing their scores,correlation analysis and mediating effect analysis were conducted.Results The stress overload score of palliative care nurses was 66.00(55.00,67.00),and the stress response score was 80.00(63.00,84.00).The stress overload was positively correlated with the stress response(r=0.735,P<0.05),and the positive emotion regulation strategy was negatively correlated with the stress response(r=-0.440,P<0.05),negative emotion regulation strategy was positively correlated with stress response(r=0.747,P<0.05).The cognitive emotion regulation strategy had a partial mediating effect between the stress overload and the stress response,accounting for 29.6%of the total effect.Conclusions Cognitive emotion regulation is the mediating variable between stress overload and stress response of palliative care nurses.Managers should pay more attention to the stress level and mental health status of palliative care nurses,and guide them to choose appropriate emotional regulation strategies,so as to reduce stress response and maintain physical and mental health.