摘要
目的探讨心理弹性在消化科护理规范化培训学员知觉压力与职业倦怠间的中介作用。方法采用便利抽样法抽取2022年12月至2024年7月在陕西省人民医院消化内科进行规范化培训的156名护理学员作为调查对象,采用一般资料问卷调查表、心理弹性量表(connor-davidson resilience scale,CD-RISC)、中文版压力知觉量表(Chinese perceived stress scale,CPSS)、职业倦怠调查普适量表(maslach burnout inventory general survey,MBI-GS)进行调查。采用Pearson相关分析消化内科护理规范化培训学员知觉压力、心理弹性与职业倦怠的相关性;采用AMOS 24.0统计软件构建结构方程模型分析心理弹性在消化内科护理规范化培训学员知觉压力与职业倦怠间的中介效应,并应用Bias-Corrected Bootstrap法进行心理弹性中介效应的检验。结果156名消化内科护理规范化培训学员知觉压力的总得分为(29.89±0.30)分,心理弹性总得分为(62.45±2.44)分,职业倦怠总得分为(57.85±3.44)分,88名学员存在职业倦怠(占比56.41%),轻度倦怠39名(占25.00%),中度倦怠41名(占26.28%),重度倦怠8名(占5.13%)。Pearson相关分析显示,消化内科护理规范化培训学员知觉压力与职业倦怠呈正相关(r=0.543,P<0.05),与心理弹性呈负相关(r=-0.443,P<0.05);心理弹性与职业倦怠呈负相关(r=-0.478,P<0.05)。Bias-Corrected Bootstrap法检验结果显示:心理弹性在消化内科护理规范化培训学员知觉压力与职业倦怠间具有部分中介效应(P<0.05),其中介效应占比为32.63%。结论消化内科护理规范化培训学员存在中等职业倦怠,且与知觉压力、心理弹性密切相关,其中心理弹性在知觉压力和职业倦怠之间起部分中介作用。因此,临床管理者可通过提高心理弹性改善护理规范化培训学员的感知到的心理压力,从而减少职业倦怠发生。
Objective:To explore the mediating effect of psychological resilience between perceived stress and job burnout among standardized gastroenterology nursing training students.Methods:A total of 156 nursing trainees who received standardized training in the Department of Gastroenterology at Shaanxi Provincial People's Hospital between December 2022 and July 2024 were selected by the convenience sampling method.Data were collected using a general information questionnaire,the Connor-Davidson Resilience Scale,the Chinese Perceived Stress Scale,and the Maslach Burnout Inventory-General Survey.A Pearson correlation analysis was used to examine the relationship among perceived stress,psychological resilience,and job burnout in standardized gastroenterology nursing training students.AMOS 24.0 statistical software was used to construct a structural equation model to analyze the mediating effect of psychological resilience between perceived stress and job burnout in standardized gastroenterology nursing training students.The bias-corrected bootstrap method was applied to test the mediating effect of psychological resilience.Results:The averaged total scores of 156 standardized gastroenterology nursing training students were(29.89±0.30)for perceived pressure,(62.45±2.44)for psychological resilience,and(57.85±3.44)for job burnout.Of the trainees,88(56.41%)exhibited job burnout,including 39(25.00%)with mild burnout,41(26.28%)with moderate burnout,and 8(5.13%)with severe burnout.The Pearson correlation analysis showed that perceived stress was positively correlated with job burnout(r=0.543,P<0.05)and negatively correlated with psychological resilience(r=-0.443,P<0.05),and psychological resilience was negatively correlated with job burnout(r=-0.478,P<0.05).The results of bias-corrected bootstrap test showed that psychological resilience had a partial mediating effect between perceived stress and job burnout among standardized gastroenterology nursing training students(P<0.05),accounting for 32.63%of the total effect.Conclusions:Moderate job burnout was observed in standardized gastroenterology nursing training students.Job burnout was closely related to perceived stress and psychological resilience.Psychological resilience partly mediated the relationship between perceived stress and job burnout.Therefore,clinical managers may alleviate the perceived psychological pressure and subsequently reduce the occurrence of job burnout among standardized nursing training students by increasing psychological resilience.
作者
冯燕
邱烨
王萍
裴景茹
常婧
Feng Yan;Qiu Ye;Wang Ping;Pei Jingru;Chang Jing(Department of Gastroenterology,Shaanxi Provincial People's Hospital,Xi'an 710068,China)
出处
《中华医学教育探索杂志》
2025年第6期853-857,共5页
Chinese Journal of Medical Education Research
基金
陕西省科技项目(2024JC-YBMS-704)。
关键词
消化内科
护理规范化培训
知觉压力
心理弹性
职业倦怠
Department of Gastroenterology
Standardized nursing training
Perceived pressure
Psychological resilience
Job burnout
