摘 要: 目的 分析某儿童医院护患纠纷事件下护士的压力负荷、 负性情绪与家庭支持型主管行为(FSSB)的关系。方法 选择2022年5月—2023年5月某儿童医院儿科遭遇过护患纠纷事件的96名护士,采用压力负荷量表(SOS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、FSSB量表进行调查,分析儿科护患纠纷事件下护士的压力负荷、负性情绪(抑郁/焦虑)、FSSB的相关性,同时验证FSSB在儿科护患纠纷事件下护士压力负荷与负性情绪间的中介作用。结果 研究对象的压力负荷总均分(73.59±12.48)分; 抑郁总均分(55.32±9.51)分,无抑郁35.4%、轻度抑郁43.8%、中度抑郁19.8%、重度抑郁1.0%;焦虑总均分(53.84±11.12)分,无焦虑36.5%、轻度焦虑33.3%、中度焦虑24.0%、重度焦虑6.3%;FSSB总均分(12.09±3.39)分。儿科护患纠纷事件下护士压力负荷与抑郁/焦虑呈正相关(P<0.05),与FSSB呈负相关(P<0.05)。压力负荷负向预测FSSB、正向预测抑郁/焦虑(P均<0.05); FSSB负向预测抑郁/焦虑(P<0.05)。以抑郁为因变量、压力负荷为自变量,以FSSB作为中介变量构建模型进行中介效应检测,显示中介效应显著,间接效应占总效应的57.1%,直接效应占总效应的 42.9%;以焦虑为因变量、压力负荷为自变量、FSSB为中介变量构建模型的中介效应显著,间接效应占总效应的63.3%,直接效应占总效应的36.7%。结论 儿科护患纠纷事件下护士的压力负荷能够直接或通过FSSB间接影响负性情绪。 |
关键词: 儿科 护患纠纷 护士 压力负荷 负性情绪 家庭支持型主管行为(FSSB) |
中图分类号: R395.6
文献标识码: A
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基金项目: |
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Psychological burden of pediatric nurses under nurse-patient disputes and impact of family supportive supervisory behavior on it |
WANG Yanan,ZHAI Shifen,WANG Xuejing,LIU Lili
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National Children s Medical Center/Beijing Childrens Hospital Affiliated Capital Medical University,Beijing 100045,China
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Abstract: Objective To analyze the relationship between stress load,negative emotions,and family supportive supervisory behavior(FSSB)in pediatric nurses under nurse-patient dispute events at a certain childrens hospital.Methods A total of 96 nurses who experienced nurse-patient disputes in a pediatric a childrens hospital from May 2022 to May 2023 were selected for the questionnaire surveys using the Stress Overload Scale(SOS),Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),and FSSB scale,the correlation between stress load,negative emotions(depression/anxiety),and FSSB in these nurses was analyzed,meantime,the mediating effect of FSSB between the stress load and the negative emotions in these nurses was verified as well.Results The results showed that the total average score of stress load of these nurses was (73.59±12.48) points;the total average score of depression was (55.32±9.51) points, with 35.4% of the study subjects had no depression,43.8% experienced mild depression,19.8% experienced moderate depression,and 1.0% experienced severe depression;the total average score of anxiety was (53.84±11.12)points,but 36.5% of them had no anxiety,33.3% had mild anxiety,24.0% had moderate anxiety, and 6.3% had severe anxiety; the total average score of FSSB was (12.09±3.39) points.The stress load of these nurses was positively correlated with depression/anxiety(P<0.05),but negatively correlated with FSSB(P<0.05),the stress load may be able to negatively predict FSSB and positive predict depression/anxiety(P<0.05),while FSSB may be able to negatively predict depression/anxiety(P<0.05).A model constructed with depression as the dependent variable,stress load as the independent variable,and FSSB as the mediating variable for mediating effect testing,the results showed a significant mediating effect with indirect effect accounting for 57.1% of the total effect,and the direct effect accounting for 42.9% of the total effect;the model showed as well that if the model was constructed with anxiety as the dependent variable,stress load as the independent variable, and FSSB still as the intermediary variable, the mediating effect was obvious,too,with indirect effect accounting for 63.3% of the total effects,and direct effect accounting for 36.7% of the total effects.Conclusion The results suggested that the stress load of nurses under pediatric nurse-patient disputes can directly affect negative emotions or indirectly affect negative emotions through FSSB. |
Keywords: pediatrics nurse-patient dispute nurses stress load negative emotions family supportive supervisory behavior (FSSB) |