军队某部医院监护室护士觉察压力的影响因素及路径研究

Study of influencing factors and impact path of perceived stress in nurses in care units of a military hospital

目的探讨军队某部医院监护室护士觉察压力影响因素,研究道德敏感性、人文关怀能力在追求成功动机与觉察压力间的中介作用路径。方法采用横断面调查方法,于2022年3月采用一般资料调查表、成就动机量表、道德敏感性问卷、人文关怀能力评价量表与觉察压力量表对246名解放军总医院监护室护士进行问卷调查。影响因素采用多元线性逐步回归分析,作用路径采用AMOS 24.0软件进行分析。结果军队某部医院监护室护士觉察压力得分为(34.75±9.63)分。健康类APP使用意愿、相对收入感受、遭遇心理暴力、追求成功动机、道德敏感性及人文关怀能力对觉察压力的预测作用差异均有统计学意义(t=3.718、2.067、4.829、3.052、6.853、15.013,均P<0.05)。道德敏感性在追求成功动机与觉察压力间的中介效应值为0.07,占总效应的20.00%;人文关怀能力在追求成功动机与觉察压力间的中介效应值为0.11,占总效应的31.43%;道德敏感性、人文关怀能力在追求成功动机与觉察压力间的链式中介效应值为0.08,占总效应的22.86%。结论军队某部医院监护室护士的觉察压力受到健康类APP使用意愿、遭遇心理暴力等因素的影响,道德敏感性、人文关怀能力在追求成功动机与觉察压力间具有链式中介作用。可通过提高道德敏感性、人文关怀能力水平来降低觉察压力。

Objective To investigate the influencing factors of perceived stress among nurses in care units of a military hospital,and then to explore mediating effects of moral sensitivity and humanistic care ability between motivation for success and perceived stress.Methods In March 2022,246 nurses in care units of General Hospital of PLA were investigated by the cross-sectional survey.The general data questionnaire,the achievement motivation scale,the humanistic care ability evaluation scale,the moral sensitivity questionnaire and the perceived stress scale were adopted to collect data.The influencing factors were analyzed by multiple linear principal component regression,the action path was analyzed by AMOS 24.0 software.Results The score of perceived stress among nurses in care units of a military hospital was(34.78±9.63)points.Willingness to use health apps,subjective income perception,experiencing psychological violence,motivation for success,moral sensitivity and humanistic care ability to perceived stress prediction effect were statistically significant(t=3.718,2.067,4.829,3.052,6.853,15.013,all P<0.05).The mediating effect value of moral sensitivity between motivation for success and perceived stress was 0.07,which accounting for 20.00%of the total effect,and the mediating effect value of humanistic care ability was 0.11,which accounting for 31.43%of the total effect.The chain mediating effect value of moral sensitivity and humanistic care ability between motivation for success and perceived stress was 0.08,which accounting for 22.86%of the total effect.Conclusions The perceived stress of nurses in care units of a military hospital was affected by the willingness to use health apps and experiencing psychological violence and so on,and moral sensitivity and humanistic care ability plays chain mediating effect between motivation for success on perceived stress.Perceived stress can be reduced by increasing the level of moral sensitivity and humanistic care ability.