首页|积极应对方式在重症监护室护士心理弹性与替代性创伤间的中介作用

积极应对方式在重症监护室护士心理弹性与替代性创伤间的中介作用

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目的 探讨积极应对方式在重症监护室护士心理弹性与替代性创伤间的中介效应。方法 采用便利抽样法以重症监护室护士为研究对象进行调查,调查工具包括一般资料问卷、灾难者救助替代性创伤问卷、心理弹性量表和简易应对方式量表。结果 242名重症监护室护士替代性创伤得分为(85。02±19。54)分,心理弹性得分为(65。47±16。37)分,积极应对、消极应对维度得分分别为(25。10±6。52)、(13。65±5。29)分;替代性创伤与心理弹性、积极应对方式得分均呈负相关(r=-0。49、-0。41,P<0。01),而心理弹性与积极应对方式、消极应对方式分别呈正相关(r=0。62、0。35,P<0。01);Bootstrap检验结果显示,积极应对方式在心理弹性和替代性创伤间的中介效应占总效应的24。5%。结论 重症监护室护士的替代性创伤水平较高,其积极应对方式在心理弹性与替代性创伤间发挥部分中介作用。临床护理管理者应重视提高重症监护室护士的心理弹性和积极应对能力,实施预防替代性创伤的对策,改善其身心健康状况。
Mediating effect of positive coping styles on relationship between psychological resilience and vicarious traumatization in nurses in Intensive Care Unit
Objective To explore the mediating effect of positive coping styles on the relationship between resilience and vicarious trauma in nurses in Intensive Care Unit(ICU).Methods Nurses in ICU were recruited through convenience sampling and surveyed by the general information question-naire,the Disaster Relief Vicarious Trauma Scale,the Resilience Scale,and the Simplified Coping Style Questionnaire.Results For the 242 nurses in ICU,the mean score of vicarious trauma was(85.02±19.54),the mean score of resilience was(65.47±16.37),and the mean scores of posi-tive and negative coping styles were(25.10±6.52)and(13.65±5.29)respectively.Vicarious trauma was negatively correlated with resilience and positive coping styles(r=-0.49,-0.41,P<0.01),while resilience was positively correlated with both positive and negative coping styles(r=0.62,0.35,P<0.01).Bootstrap test results showed that positive coping styles mediated 24.5%of the total effect between resilience and vicarious trauma.Conclusion Nurses in ICU have a high lev-el of vicarious trauma,and their positive coping styles partially mediate the relationship between resil-ience and vicarious trauma.Clinical nursing managers should emphasize enhancing ICU nurses'resili-ence and positive coping abilities,implementing strategies to prevent vicarious trauma,and improving their physical and mental health.

Intensive Care Unitvicarious traumaresiliencecoping stylesmediating effect

陈臻、王昱、许彬、朱姝芹、许勤

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南京医科大学护理学院,江苏南京,211300

南京医科大学第一附属医院神经外科重症监护室,江苏南京,210029

重症监护室 替代性创伤 心理弹性 应对方式 中介作用

国家自然科学基金资助项目

72004099

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(17)