情绪调节自我效能感在ICU护士叙事能力与反刍性沉思的中介效应分析

Mediating effect of regulatory emotion self-efficacy between narrative competence and rumination of ICU nurses

目的探讨情绪调节自我效能感在ICU护士叙事能力对反刍性沉思影响机制中的中介作用。方法采用便利抽样法,选取2022年6—9月广东省34所三级甲等医院和7所二级甲等医院的472名ICU护士,采用一般资料问卷、事件相关性反刍性沉思量表、医学叙事能力量表和情绪调节自我效能感问卷对其进行调查,采用SPSS 25.0检验中介效应。结果本组ICU护士叙事能力总分为143.00(130.25,155.00)分,反刍性沉思总分为25.00(20.00,36.00)分,情绪调节自我效能感总分为45.00(39.00,48.00)分。叙事能力与侵入性反刍性沉思呈负相关(rs=-0.121,P<0.01);叙事能力与情绪调节自我效能感呈正相关(rs=0.490,P<0.001);叙事能力可正向预测情绪调节自我效能感(β=0.186,P<0.001);情绪调节自我效能感可负向预测反刍性沉思(β=-0.423,P<0.001);情绪调节自我效能感在叙事能力与反刍性沉思之间起遮掩作用,间接效应值为-0.079,占直接效应的85.9%。结论叙事能力对反刍性沉思有直接预测作用,情绪调节自我效能感在叙事能力和反刍性沉思之间发挥遮掩效应。建议护理管理者加强培养ICU护士的叙事能力,提高情绪调节自我效能感,减少压力事件带来的负性反刍。

Objective To investigate the mediating effect of regulatory emotion self-efficacy in the relationship between ICU nurses’narrative competence and rumination.Methods The convenience sampling was used to select 472 ICU nurses from 34 tertiary grade-A hospitals and 7 secondary grade-A second-class hospitals in Guangdong Province from June to September 2022,and they were investigated by using general information questionnaire,Chinese-Event Related Rumination Inventory Scale,Narrative Competence Scale and Regulatory Emotional Regulatory Self-efficacy Questionnaire.SPSS 25.0 was used to test the mediating effect.Results The total score of narrative competence,rumination and regulatory emotion self-efficacy was 143.00(130.25,155.00),25.00(20.00,36.00),and 45.00(39.00,48.00)respectively.Narrative competence was negatively correlated with intrusive rumination(rs=-0.121,P<0.01),but positively with regulatory emotional regulatory self-efficacy(rs=0.490,P<0.001).Narrative competence could positively predict regulatory emotional self-efficacy(β=0.186,P<0.001).Regulatory eEmotional regulatory self-efficacy could negatively predict rumination(β=-0.423,P<0.001),which also played a suppressed role between narrative competence and rumination,and the indirect effect value was-0.079,accounting for 85.9%of the direct effect.Conclusion Narrative competence can directly predict rumination.Regulatory Emotional regulatory self-efficacy has an suppression effect between narrative competence and rumination.It is important to enhance the development of narrative competence among ICU nurses,thus to improve their self-efficacy in emotion regulation.This,in turn,may help reduce negative rumination caused by stressful events.