摘要
目的探讨手术室护士恢复体验、痛苦表露和自我效能感对负性情绪的影响及作用机制,为手术室护士提高恢复体验水平、降低负性情绪提供理论依据和实践指导。方法便利抽样法于2023年5月选取4所综合医院手术室护士270例为研究对象,采用一般资料调查表、恢复体验量表、抑郁-焦虑-压力量表、痛苦表露指数量表、一般自我效能感量表对其进行横断面调查。采用Hayes的SPSS-Process程序的模型6进行中介效应检验。结果270名手术室护士中男48名,女222名,年龄为(32.07±5.27)岁,手术室护士恢复体验、负性情绪、痛苦表露、自我效能感得分分别为(42.36±9.67)、(25.37±11.25)、(38.13±9.41)、(24.37±4.57)分。不同年龄、职称、手术室工作年限、职位的手术室护士恢复体验得分比较,差异均有统计学意义(F值为3.04~10.44,均P<0.05)。恢复体验对负性情绪具有直接负向预测作用(β=-0.268,P<0.001),直接效应为46.69%;痛苦表露和自我效能感在恢复体验与负性情绪间存在部分中介效应,独立中介效应分别为16.38%、30.31%,链式中介效应为6.62%。掌握体验和控制体验是抑郁、焦虑的影响因素,差异均有统计学意义(t值为-3.71~-2.11,均P<0.05),放松体验和心理脱离是压力的影响因素,差异均有统计学意义(t=-2.52、-2.30,均P<0.05),痛苦表露和自我效能感均是负性情绪3个维度的影响因素,差异均有统计学意义(t值为-3.34~-2.13,均P<0.05)。结论手术室护士恢复体验是影响负性情绪的积极心理因素,痛苦表露和自我效能感是二者间重要的心理机制。管理者应关注护士负性情绪,重视护士痛苦表露和自我效能感的中介效应,采取更加主动的措施降低负性情绪水平。
Objective To explore the effect and mechanism of recovery experience,distress disclosure and self-efficacy on negative emotion in operating room nurses.Methods The 270 operating room nurses from 4 general hospitals were selected as the research objects by convenience sampling method in May 2023,and cross-sectional investigation was carried out with general data questionnaire,Recovery Experience Scale,Depression-Anxiety-Stress Scale,Distress Disclosure Index Scale and General Self-Efficacy Scale.Model 6 of Hayes′SPSS-Process program was used to test the mediation effect.Results Among 270 nurses in the operating room,there were 48 males and 222 females,aged(32.07±5.27)years old.The scores of recovery experience,negative emotion,distress disclosure and self-efficacy of operating room nurses were(42.36±9.67),(25.37±11.25),(38.13±9.41)and(24.37±4.57)points,respectively.The scores of recovery experience of operating rooms nurses with different ages,professional titles,working years in operating rooms and positions were statistically different(F values were 3.04 to 10.44,all P<0.05).Recovery experience had a direct negative predictive effect on negative emotion(β=-0.268,P<0.01),and the direct effect was 46.69%.Distress disclosure and self-efficacy had partial mediating effects between recovery experience and negative emotion,independent mediating effects were 16.38%,30.31%,and chain mediating effects were 6.62%,respectively.Mastering experience and controlling experience were the influencing factors of depression and anxiety,and the differences were statistically significant(t values were-3.71 to-2.11,all P<0.05).Relaxation experience and psychological detachment were the influencing factors of stress,and the differences were statistically significant(t=-2.52,-2.30,both P<0.05).Distress disclosure and self-efficacy were the factors influencing the three dimensions of negative emotion,and the differences were statistically significant(t values were-3.34 to-2.13,all P<0.05).Conclusions The recovery experience of o
作者
刘怀燕
高建萍
赵瑞霞
张锐
刁志平
Liu Huaiyan;Gao Jianping;Zhao Ruixia;Zhang Rui;Diao Zhiping(Department of Operating Room,Affiliated Hospital of Jining Medical College,Jining 272100,China)
出处
《中国实用护理杂志》
2024年第15期1166-1173,共8页
Chinese Journal of Practical Nursing
关键词
自我效能感
手术室护士
恢复体验
负性情绪
痛苦表露
Self-efficacy
Operating room nurses
Recovery experience
Negative emotions
Distress disclosure
