摘要
目的探讨医生的知觉压力与工作幸福感的关系，以及自我效能感的中介作用。方法对北京地区29所医院的1296名医生进行知觉压力量表（CPSS），自我效能感量表（GSES）以及工作幸福感量表的问卷调查，采用结构方程模型和Bootstrap法，分别考察自我效能感在知觉压力与情感幸福感之间，以及自我效能感在知觉压力与认知幸福感之间的中介作用。结果知觉压力[（37．62±7．20）分]与自我效能感[（2．47±0．55）分]、认知幸福感[（4．16±0．78）分]和情感幸福感[（21．57±5．63）分]均呈负相关（相关系数r=-0．456，P〈0．01；r=-0．406，P〈0．01；r=-0．542，P〈0．01），自我效能感与认知幸福感和情感幸福感均呈正相关（相关系数r=0．510，P〈0．01；r=0．382，P〈0．01）。自我效能感在知觉压力和情感幸福感之间（P〈0．01），以及在知觉压力和认知幸福感之间（P〈0．01）均起部分中介作用，中介效应比例分别为14．5％和463％。结论自我效能感是影响医生工作幸福感的重要变量，提升自我效能感能促进医生感受到更多的工作幸福感。
Objective To explore the relationship between perceived stress and work well-being of medical stuffs, and test the mediating effect of self-efficacy between above two variables. Methods A total of 1 296 doctors from 29 hospitals in Beijing were assessed by work well-being scale, general self-efficacy scale （GSES） and Chinese Perceived Stress Scale （CPSS）. Structural equation modeling （SEM） was conducted to test the mediating effect of self-efficacy on the relationship between perceived stress and work well-being. Results （ 1 ） Perceived stress （ 37.62± 7.20） was negatively correlated with general self-efficacy （ 2.47± 0.55） ,cognitive work well-being（4.16±0.78） and affeetive work well-being（21.57±5.63） （r=-0.456,P〈 0.01 ;r=-0.406,P〈0.01 ;r=-0.542, P〈0.01 ）.General self-efficacy was positively correlated with cognitive work well-being and affective work well-being（ r=0.382,P〈0.01 ;r= 0.510,P〈0.01 ） （2） in the relationship between perceived stress and affective work well-being, general self-efficacy played a partial mediator role （P〈 0.01 ） ,the mediating effect was 14.5%. In the relationship between perceived stress and cognitive work wellbeing,general self-efficacy played a partial mediator role （P〈0.01）, and the mediating effect was 46.3%. Conclusion Perceived stress of medical stuffs influenced their work well-being through self-efficacy. It is advised to improve the medical stuffs＇ self-efficacy in order to raise their level of work well-being.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2017年第9期852-855,共4页
Chinese Journal of Behavioral Medicine and Brain Science
基金
首都卫生管理与政策研究基地项目（2015JD05）
北京市社会科学基金研究基地重点项目（16JDGLA029）
