边境地区护士传染病突发事件应对能力的影响路径分析

Influential path analysis of nurses′ability to cope with infectious disease outbreaks in border areas

目的了解边境地区护士传染病突发事件应对能力现状及其影响路径,为提升护士传染病突发事件应对能力提供参考。方法采用多阶段分层整群抽样法,选取云南边境区域3个市(州)的1215名护士作为研究对象。使用心理资本问卷、体面劳动感知问卷和医护人员传染病突发事件应对能力问卷进行调查。结果护士心理资本、体面劳动感知和传染病突发事件应对能力评分分别为(4.11±1.10)分、(3.48±0.81)分、(3.55±0.96)分;心理资本、体面劳动感知与传染病突发事件应对能力呈正相关(均P<0.05);心理资本对传染病突发事件应对能力起直接作用,体面劳动感知在心理资本和传染病突发事件应对能力间起中介作用,中介效应占总效应的49.34%。结论云南边境地区护士心理资本、体面劳动感知与传染病突发事件应对能力均处于中等水平,心理资本和体面劳动感知对传染病突发事件应对能力有正向预测作用,提升护士心理资本和体面劳动感知是提高传染病突发事件应对能力的有效途径。

Objective To understand the present situation of infectious disease outbreak coping ability of border nurses as well as its impact path,in order to provide reference for the promotion of nurses′infectious disease outbreak coping ability.Methods Using multi-stage stratified cluster sampling method,1,215 nurses from three cities(states)in the border region of Yunnan were selec-ted as the research participants.The Psychological Capital Questionnaire Revised(PCQ-R),Decent Work Perception Questionnaire(DWPS),and a questionnaire on healthcare workers′ability to cope with infectious disease outbreaks were used to conduct the surveys.Results The scores of nurses′psychological capital,decent work perception and infectious disease outbreak coping ability were(4.11±1.10),(3.48±0.81),and(3.55±0.96),respectively;psychological capital,decent work perception and infectious di-sease outbreak coping ability were positively correlated(P<0.05 for all);psychological capital played a direct role in infectious disease outbreak coping ability,and decent work perception had a mediating role between psychological capital and infectious di-sease outbreak coping ability,with the mediating effect accounted for 49.34%of the total effect.Conclusion The psychological ca-pital,decent work perception and infectious disease outbreak coping ability of Yunnan border nurses are all at medium levels.Psychological capital and decent work perception have positive predictive effects on infectious disease outbreak coping ability,improving nurses′psychological capital and decent work perception is an effective way to promote the infectious disease outbreak coping ability.