ICU护士职业应对自我效能与健康生产力受损的关系:领悟社会支持的作用路径

Relationship between occupational coping self-efficacy and health-related productivity loss in ICU nurses:path analysis of perceived social support

背景相对于显性缺勤而言,护士健康生产力受损的影响更持久,危害和损失也更大。健康生产力受损受自我效能的影响,社会支持程度又会影响健康生产力受损行为,但三者间的影响机制有待进一步研究。目的调查ICU护士领悟社会支持、职业应对自我效能与健康生产力受损现状,并分析领悟社会支持在职业应对自我效能与健康生产力受损之间的作用路径。方法于2021年9月—11月,采用目的抽样法选取四川省8所三级甲等医院的468名ICU护士为研究对象。采用自编一般资料调查表、领悟社会支持量表(PSSS)、护士职业应对自我效能量表(OCSE-N)和健康生产力受损量表(SPS-6)进行调查。采用Pearson相关分析考查各量表评分的相关性,采用Amos 24.0分析领悟社会支持在职业应对自我效能与健康生产力受损之间的作用路径。结果共415名ICU护士完成有效问卷调查。ICU护士PSSS评分为(63.13±11.62)分,OCSE-N评分为(22.24±6.15)分,SPS-6评分为(16.83±4.24)分。检出存在高健康生产力受损的ICU护士共279人(67.23%)。相关分析结果显示,ICU护士PSSS总评分与OCSE-N总评分呈正相关(r=0.348,P<0.05),PSSS总评分与SPS-6总评分呈负相关(r=-0.274,P<0.05),OCSE-N总评分与SPS-6总评分呈负相关(r=-0.421,P<0.05)。ICU护士职业应对自我效能与健康生产力受损的直接效应值为-0.401,领悟社会支持可能是职业应对自我效能与健康生产力受损之间的作用路径(间接效应值为-0.052,占总效应的11.48%)。结论ICU护士职业应对自我效能可能通过领悟社会支持的作用路径影响健康生产力受损。

Background Compared with absenteeism,health-related productivity loss has a long-lasting negative effect,and poses a greater harm and loss.The health-related productivity loss is mediated by self-efficacy,and perceived social support has been shown to have an impact on health-related productivity loss,whereas the interaction mechanism among the three remains unclear.Objective To investigate the status of perceived social support,occupational coping self-efficacy and health-related productivity loss among ICU nurses,and to test the mediation role of perceived social support in the relationship between occupational coping self-efficacy and health-related productivity loss.Methods From September to November,2021,purposive sampling technique was adopted to select 468 ICU nurses in 8 tertiary hospitals in Sichuan Province.Subjects were assessed using self-made general information questionnaire,Perceived Social Support Scale(PSSS),Occupational Coping Self Efficacy Scale for Nurses(OCSE-N)and Stanford Presenteeism Scale-6(SPS-6).Pearson correlation analysis was used to examine the correlation among variables.Amos 24.0 was utilized to test the mediation role of perceived social support in the relationship between occupational coping self-efficacy and health-related productivity loss.Results A total of 415 ICU nurses completed the valid questionnaire survey.ICU nurses scored(63.13±11.62)on PSSS,(22.24±6.15)on OCSE-N,and(16.83±4.24)on SPS-6.Health-related productivity loss was detected in 279 ICU nurses(67.23%).Correlation analysis denoted that PSSS total score was positively correlated with OCSE-N total score(r=0.348,P<0.05),and negatively correlated with SPS-6 total score(r=-0.274,P<0.05).OCSE-N total score was negatively correlated with SPS-6 total score(r=-0.421,P<0.05).The direct effect value of occupational coping self-efficacy on health-related productivity loss was-0.401,and perceived social support showed a mediation role in the relationship between occupational coping self-efficacy and health-related productivity loss(the indirect effect value was-0.052,accounting for 11.48% of the total effect).Conclusion The occupational coping self-efficacy of ICU nurses may affect the healthrelated productivity loss through the action path of perceived social support.