山东大学学报(医学版) ›› 2015, Vol. 53 ›› Issue (9): 90-94.doi: 10.6040/j.issn.1671-7554.0.2014.717
刘春琴1, 李华芳2, 田晓红1, 邹桂元1, 厉萍1
LIU Chunqin1, LI Huafang2, TIAN Xiaohong1, ZOU Guiyuan1, LI Ping1
摘要: 目的 探讨精神科护士人格特征与心理困扰的关系及心理弹性的中介作用。方法 采用大五人格问卷(BFI)、心理弹性量表(CD-RISC 10)和凯斯勒10量表(K10)对192名精神科护士进行问卷调查。 结果 精神科护士K10得分为20.66±5.91,80.7%的精神科护士存在不同程度的心理困扰(K10得分≥16)。K10总分与人格特征中的N维度呈显著正相关(P<0.01),与E维度、C维度、心理弹性呈显著负相关(均P<0.01),心理弹性与E维度、C维度呈显著正相关(均P<0.01),与N维度呈显著负相关(P<0.01)。心理弹性部分中介了神经质与心理困扰的关系,中介效应占总效应的25.4%。 结论 神经质人格与心理弹性是影响精神科护士心理困扰发生的重要因素,心理弹性部分中介了神经质人格对心理困扰的影响。
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[1] Feng D, Ji L, Xu L. Mediating effect of social support on the association between functional disability and psychological distress in older adults in rural China: does age make a difference[J]. PLoS One, 2014, 9(6):e100945. doi:10.1371/journal.pone.0100945. [2] Gao YQ, Pan BC, Sun W, et al. Anxiety symptoms among Chinese nurses and the associated factors: across sectional study[J]. BMC Psychiatry, 2012, 12:141. [3] Gao YQ, Pan BC, Sun W, et al. Depressive symptoms among Chinese nurses: Prevalence and the associated factors[J]. J Adv Nurs, 2012, 68(5):1166-1175. [4] 胡奎英, 孟祥兰. 病人自缢后精神科护士焦虑症状及相关因素研究[J]. 护理研究, 2004, 18(11B): 1989. HU Kuiying, MENG Xianglan. A study on anxiety and relevant factors in nurses of psychiatric department after experienced a case committed self-hanging[J]. Chinese Nursing Research, 2004, 18(11B):1989. [5] Goodwin RD, Friedman HS. Health status and the five-factor personality traits in a nationally representative sample[J]. J Health Psychol, 2006, 11(5):643-654. [6] Kotov R, Gamez W, Schmidt F, et al.Linking “big” personality traits to anxiety, depressive, and substance use disorders: a meta-analysis[J]. Psychol Bull, 2010, 136(5):768-821. [7] 张伯华, 胡霜, 张德秀, 等. 汶川地震后一年半绵阳、北川受灾群众心理卫生状况及与五态人格的关系[J]. 山东大学学报: 医学版, 2011, 49(5):132-134,139. ZHANG Bohua, HU Shuang, ZHANG Dexiu, et al. Mental health status of victims in Mianyang and Beichuan 1.5 years after the Wenchuan Earthquake and its correlation with the five-pattern personality[J]. Journal of Shandong University: Health science, 2011, 49(5):132-134,139. [8] 周玉来, 宋国林, 陈宏梅, 等. 军队和私立医院护士心理健康及人格特征[J]. 中国健康心理学杂志, 2014, 22(5): 722-725. ZHOU Yulai, SONG Guolin, CHEN Hongmei, et al. Comparison of the mental health and personality characteristics of nurses in army hospital and private hospital[J]. China Journal of Health Psychology, 2014, 22(5):722-725. [9] Southwick SM, Charney DS. The science of resilience: implications for the prevention and treatment of depression[J]. Science, 2012, 338(6103):79-82. [10] Perron JL, Cleverley K, Kidd S. Resilience, loneliness, and psychological distress among homeless youth[J]. Arch Psychiatr Nurs, 2014, 28(4):226-229. [11] Bonanno GA, Kennedy P, Galatzer-Levy IR, et al. Trajectories of resilience, depression, and anxiety following spinal cord injury[J]. Rehabil Psychol, 2012, 57(3): 236-247. [12] Mealer M, Jones J, Newman J, et al. The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: results of a national survey[J]. Int J Nuts Stud, 2012, 49(3):292-299. [13] 张佳佳, 李敏, 彭李, 等. 大学生心理弹性与人格特征、情绪调节方式及中性情绪面孔知觉的关系[J]. 中国临床心理学杂志, 2011, 19(3):347-349. ZHANG Jiajia, LI Min, PENG Li, et al. Relationship between resilience and personality,emotion regulation and affective perception of neutral faces in college students[J]. Chinese Journal of Clinical Psychology, 2011, 19(3):347-349. [14] John OP, Donahue EM, Kentle RL. The big five inventory-versions 4a and 54[M]. Berkeley: University of California, Berkeley, Institute of Personality and Social Research, 1991. [15] 周洁. 大五人格问卷的结构效度分析[J]. 社会心理科学, 2010, 25(1): 22-29. ZHOU Jie. Construct validity of Big Five Inventory[J]. Science of Social Psychology, 2010, 25(1):22-29. [16] Connor KM, Davidson JR T. Development of a new resilience scale:the Connor-Davidson Resilience Scale (CD-RISC)[J]. Depress Anxiety, 2003, 18(2):76-82. [17] Wang L, Shi Z, Zhang Y, et al. Psychometric properties of the 10-item Connor-Davidson Resilience Scale in Chinese earthquake victims[J]. Psychiatry Clin Neurosci, 2010, 64(5): 499-504. [18] Kessler RC, Andrews G, Colpe LJ, et al. Short screening scales to monitor population prevalences and trends in nonspecific psychological distress[J]. Psychol Med, 2002, 32(6):959-976. [19] 徐凌忠, 王建新, 孙辉, 等. Kessler 10在我国的首次应用研究及其重要意义[J]. 卫生软科学, 2005, 19(6):410-412. XU Lingzhong, WANG Jianxin, SUNHui, et al. Researching the application of Kessler 10 for the first time and its important significance[J]. Soft Science of Health, 2005, 19(6):410-412. [20] Department of Human Services. Victorian Population Health Survey 2007[R]. Melbourne, Victoria: Department of Human Services, 2008. [21] 温忠麟, 张雷, 侯杰泰, 等. 中介效应检验程序及其应用[J]. 心理学报, 2004, 36(5): 614-620. WEN Zhonglin, ZHANG Lei, HOU KitTai, et al. Testing and application of the mediating effects[J]. Acta Psychologica Sinica, 2004, 36(5):614-620. [22] 蒋望雁. 7071名护士焦虑抑郁情绪影响因素研究[J]. 实用预防医学, 2012, 10:1592-1593. JIANG Wangyan. Research of anxiety depression status in 7071 nurses[J]. Practical Preventive Medicine, 2012, 10:1592-1593. [23] 陈蕊, 孟红伟. 精神科护士焦虑抑郁情绪和人格特征状况[J]. 医学信息, 2011, 5:1933-1934. CHEN Rui, MENG Hongwei. An investigation on depression and anxiety emotion and characters of psychiatric nurses[J]. Medicine Information, 2011, 5:1933-1934. [24] 李翠芝, 邬劲, 李小龙. 精神科护士心理健康状况的研究461例[J]. 中国实用护理杂志: 中旬版, 2006, 22(8B):63-65. LI Cuizhi, WU Jin, LI Xiaolong. Investigation of mental health status in 461 psychiatric nurses[J]. Chin J Prac Nurs, 2006, 22(8B):63-65. [25] Gramstad TO, Gjestad R, Haver B. Personality traits predict job stress, depression and anxiety among junior physicians[J]. BMC Medical Education, 2013, 13(1):150. [26] 宋凤宁, 黎玉兰, 罗锂, 等. 心理弹性对大学生人格与心理危机的中介作用研究[J]. 中国全科医学, 2014, 17(28):3387-3390. SONG Fengning, LI Yulan, LUO Li, et al. The Study on personality and undergraduate’ mental crisis: the mediating effect of resilience[J]. Chinese General Practice, 2014, 17(28):3387-3390. |
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