首页|护士抑郁症状和共情满意对工作压力影响二次创伤的中介作用

护士抑郁症状和共情满意对工作压力影响二次创伤的中介作用

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目的 了解护士二次创伤状况,并探讨抑郁症状和共情满意在工作压力与二次创伤中的中介作用,为减轻护士二次创伤应激提供依据.方法 通过整群抽样的方法抽取湖北省11家三甲医院的在岗女护士进行问卷调查,调查内容包括护士的一般情况、工作压力、二次创伤、共情满意和抑郁状况.结果 2 172名护士的二次创伤、工作压力、共情满意、抑郁症状得分为23.0(8.0)、83.0(28.0)、33.0(11.0)、42.0(10.0).二次创伤与工作压力、抑郁症状呈正相关(r=0.383、0.392,P<0.01),与共情满意呈负相关(r=-0.137,P<0.01).抑郁症状在工作压力与二次创伤关系中具有部分中介作用,中介效应为0.033[0.027,0.040],占总效应的34.7%,共情满意无中介作用.结论 护士二次创伤得分较高,抑郁症状在工作压力与二次创伤中起部分中介作用,可通过减轻抑郁症状降低护士的二次创伤.
The mediating role of depressive symptoms and compassion satisfac-tion on the impact of work stress on secondary trauma among nurses
Objective To understand the secondary trauma score of nurses,and to analyze the mediating role of depressive symptoms and compassion satisfaction in work stress and secondary trauma,to provide evidence for alleviating secondary traumatic stress of nurses.Methods Female nurses from 11 tertiary grade A hospitals in three regions of Hubei province,were recruited by cluster sampling.General demographic characteristics,nurse work stress,secondary traumatic stress,compassion satisfaction,and depressive symptoms were investigated by questionnaires.Results The median scores(inter-quartile range)of secondary trauma,work stress,compassion satisfaction,and depressive symptoms in 2 172 nurses were 23.0(8.0),83.0(28.0),33.0(11.0),42.0(10.0),respectively.Secondary traumatic was positively associated with work stress and depressive symptoms(r=0.383 and 0.392,P<0.01),but negatively associated with compassion satisfaction(r=-0.137,P<0.01).Depressive symptoms played mediate roles partially between work stress and secondary trauma,and its mediate effect value was 0.033[0.027,0.040],accounting for 34.7%of the total effect.However,compassion satisfaction had no mediating effect.Conclusion The secondary trauma score of nurses is high,and depressive symptoms partially mediate the relationship between work stress and secondary trauma.It is possible to reduce the secondary trauma of nurses by alleviating depressive symptoms.

Clinical nursesWork stressSecondary Traumatic StressCompassion satisfactionDepressive symptoms

黎轶丽、刘丹、郭孟兰、袁靓、余立平、俞斌、燕虹

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武汉大学中南医院放化疗科,湖北 430071

武汉大学公共卫生学院,湖北 430071

武汉大学护理学院

护士 工作压力 二次创伤 共情满意 抑郁症状

2024

工业卫生与职业病
鞍山钢铁集团公司

工业卫生与职业病

CSTPCD
影响因子:0.486
ISSN:1000-7164
年,卷(期):2024.50(1)
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