安宁疗护女性护士正念自我照护对专业生活品质的影响:有调节的中介效应
Impact of mindful self-care among female palliative care nurses on the quality of professional life:a moderated mediation effect
杜鑫 1段晴楠 1李亚霖 1薛云珍 1刘晓洋1
作者信息
- 1. 山西医科大学人文社会科学学院(山西太原,030001)
- 折叠
摘要
目的 对安宁疗护女性护士的专业生活品质现状进行调查,依据医疗保健专业健康模型,探讨正念自我照护与专业生活品质的关系,以期引导安宁疗护女性护士用积极有效的方式应对同情疲劳,提高专业生活品质.方法 采用方便抽样法选取山西省10所安宁疗护试点医院内300名女性护士,使用简化版正念自我照护量表、简式弹性量表、专业生活品质量表、简版心理健康连续体量表进行问卷调查.结果 安宁疗护女性护士专业生活品质量表中同情满意度维度为(33.84±7.15)分,同情疲劳维度为(51.22±10.36)分;正念自我照护与同情满意度呈正相关(r=0.635,P＜0.05),与同情疲劳呈负相关(r=-0.320,P＜0.05).心理弹性在正念自我照护与同情满意度间起部分中介作用,在正念自我照护与同情疲劳间起完全中介作用(P＜0.05).正念自我照护与心理弹性之间受到情绪幸福感的调节(P＜0.05).结论 多数安宁疗护女性护士专业生活品质处于中高度水平,心理弹性在正念自我照护和专业生活品质之间起中介作用,情绪幸福感在正念自我照护与心理弹性间起调节作用.护理管理者应重视正念自我照护在安宁疗护女性护士职业健康中的积极作用,提高其自我同情能力和应对同情疲劳的能力,以保障安宁疗护队伍的稳定发展.
Abstract
Objective To investigate the current status of professional quality of life(ProQOL)among female palliative care nurses and explore the relationship between mindful self-care and ProQOL based on the Healthcare Professional Wellness Model,in order to guide female palliative care nurses to cope with compassion fatigue in a positive and effective way and improve their ProQOL.Methods A convenience sampling method was employed to conduct a questionnaire survey among 300 female nurses in 10 pilot hos-pice organizations in Shanxi Province.The Brief-Mindful Self-Care Scale,CD-RISC-10,ProQOL Scale,and the Mental Health Continuum Short Form were used for the survey.Results In the ProQOL Scale for female palliative care nurses,the dimension of compassion satisfaction scored(33.84±7.15),while compassion fatigue scored(51.22±10.36).Mindful self-care among female palliative care nurses showed a positive effect on compassion satisfaction(r=0.635,P＜0.05)and a negative effect on compassion fatigue(r=-0.320,P＜0.05).Psychological resilience partially mediated the relationship between mindful self-care and com-passion satisfaction,while it fully mediated the relationship between mindful self-care and compassion fatigue.The association be-tween mindful self-care and psychological resilience was moderated by emotional well-being.Conclusion The majority of palliative care nurses demonstrate a moderate to high level of ProQOL.Psychological resilience acts as a mediator between mindful self-care and ProQOL,while emotional well-being serves as a moderator between mindful self-care and psychological resilience.Nursing managers should recognize the positive role of mindful self-care in the occupational health of palliative care nurses,enhancing their self-compassionate capacity to cope with compassion fatigue to ensure the stable development of the palliative care workforce.
关键词
护士/安宁疗护/专业生活品质/正念自我照护/同情满意度/同情疲劳/心理弹性/情绪幸福感Key words
nurses/palliative care/professional quality of life/mindful self-care/compassion satisfaction/compassion fa-tigue/psychological resilience/emotional well-being引用本文复制引用
出版年
2024
NETL
NSTL
万方数据