摘要
[目的]探讨心理资本在护理人员抑郁倾向与职业紧张之间的中介作用。[方法]应用整群随机抽样法于2014年4月—10月抽取上海市6所三级甲等医院工龄≥1年的护理人员720人,应用一般资料调查表、心理资本问卷、付出-回报失衡问卷和流调用抑郁自评量表进行问卷调查。[结果]参加轮班(t=-3.806,P=0.000)和有慢性病(t=-2.659,P=0.008)的护理人员抑郁倾向明显;外在付出和内在投入与护理人员抑郁症状存在正相关关系(r值分别为0.307,0.146,P<0.05),回报、心理资本与抑郁倾向呈负相关(r值分别为-0.478,-0.406,P<0.05);分层回归和结构方程模型的结果显示心理资本在护理人员职业紧张和抑郁症状之间起部分中介作用。[结论]合理安排排班,以降低护理人员抑郁水平;提高护理人员的回报,减少护理人员的外在付出和内在投入,提高护理人员的心理资本水平,可减少护理人员职业紧张,进而避免护理人员抑郁倾向的出现。
Objective：To probe into the mediating effect of psychological capital for depression tendency and oc-cupational stress among nursing staff.Methods：A total of 720 nursing （seniority≥1 year）from 6 third grade class A hospitals in Shanghai city from April to October in 2014 were selected by using the cluster random sam-pling method.The questionnaire survey was conducted by adopting general information questionnaire,psycho-logical capital questionnaire,pay return imbalance questionnaire and depression self rating scale.Results：The nursing staff＇s depression tendency in the shift（t=-3.806,P=0.000）and the chronic disease（t=-2.659,P=0.008）were obvious.There was a positive correlation between external pay and internal return and the depres-sive symptoms of nurses（r=0.307,0.146,P〈0.05）.Return and psychological capital were negatively correla-ted with depression tendency（r=-0.478,-0.406,P〈0.05）.The results of hierarchical regression and struc-tural equation modeling showed that psychological capital played a partial mediating effect between occupational stress and depressive symptoms among nurses.Conclusion：Reasonable arrangements for the scheduling system could reduce the depression level of nursing staff.To enhance return of nursing staff could reduce the external pay and internal return of nursing staff.To improve the level of psychological capital of nurses could reduce the occupational stress of nurses,so as to avoid the emergence of depression tendency of nursing staff.
出处
《护理研究（上旬版）》
2016年第9期3128-3132,共5页
Chinese Nursing Researsh
关键词
护理人员
职业紧张
心理资本
抑郁倾向
中介作用
相关性
nursing staff
occupational stress
psychological capital
depression tendency
mediating effect
correlation
