护士职业紧张、心理资本和失眠的关系:心理资本的中介作用
Relationship between Occupational Stress, Psychological Capital and Insomnia among Nurses:The mediating effect of psychological capital
投稿时间:2022-07-31  修订日期:2022-10-31
DOI:
中文关键词:  护士  职业紧张  心理资本  失眠
英文关键词:Nurse  Occupational stress  Psychological capital  Insomnia
基金项目:
作者单位地址
贺浪 空军军医大学护理系 陕西省西安市长乐西路169号
郑文凯 内蒙古医科大学基础医学院 
郞红娟 空军军医大学护理系 
尼春萍 空军军医大学护理系 
杜娟 空军军医大学护理系 西安 陕西省西安市长乐西路169号
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中文摘要:
      目的 探讨护士失眠的影响因素,并检验心理资本在护士职业紧张与失眠关系间的中介作用。方法 于2021年3月-5月,采用分层随机抽样法选取某三甲医院的810名护士为研究对象。采用付出-回报失衡问卷(ERI)、心理资本量表(PCQ)和阿森斯失眠量表(AIS)分别评定其职业紧张、心理资本和失眠情况,采用Process中介效应检验分析心理资本在护士职业紧张与失眠之间的中介作用。结果 回收有效问卷658份(81.23%),护士付出-回报比与AIS评分呈正相关(r=0.379,P?0.01),与PCQ评分呈负相关(r=-0.275,P?0.01);PCQ评分与AIS评分呈负相关(r=-0.402,P?0.01)。护士职业紧张可以负向预测心理资本(β=-11.024,t=-7.324,P<0.01)以及正向预测失眠(β=4.117,t=10.478,P<0.01);心理资本可负向预测失眠(β=-0.087,t=-9.083,P<0.01)。当心理资本作为中介变量加入时,职业紧张对失眠的预测作用有统计学意义(β=3.158,t=8.185,P<0.01)。结论 心理资本在护士职业紧张和失眠间起部分中介作用。
英文摘要:
      Objective To explore the influencing factors of nurses’ insomnia, and to test the mediating effect of psychological capital on the relationship between nurses’ occupational stress and insomnia. Methods 810 nurses from a Class ⅲ Grade A hospital were selected by stratified random sampling from March to May 2021. The Effort-Reward Imbalance questionnaire (ERI), Psychological Capital Questionnaire (PCQ) and Athens-Insomnia Scale (AIS) were used to evaluate the occupational stress, psychological capital and insomnia of nurses, respectively. The mediation effect of psychological capital between occupational stress and insomnia in nurses was analyzed by PROCESS mediation test. Results 658 (81.23%) questionnaires were effectively collected. It was found that nurses' effort-reward ratio was positively correlated with AIS score (r=0.379, P<0.01), and negatively correlated with PCQ score (r=-0.275, P<0.01). Nurses' PCQ score was negatively correlated with AIS score (r=-0.402, P<0.01). Nurses' occupational stress could negatively predict psychological capital (β=-11.024, t=-7.324, P<0.01) and positively predict insomnia (β=4.117, t=10.478, P<0.01). Psychological capital could negatively predict insomnia (β=-0.087, t=-9.083, P<0.01). When psychological capital was included as a mediating variable, the predictive effect of occupational stress on insomnia was statistically significant (β=3.158, t=8.185, P<0.01). Conclusion Psychological capital plays a partial mediating role between occupational stress and insomnia in nurses.
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