您的位置：山东大学 -> 科技期刊社 -> 《山东大学学报（医学版）》

山东大学学报 (医学版) ›› 2020, Vol. 58 ›› Issue (2): 103-108.doi: 10.6040/j.issn.1671-7554.0.2019.992

• • 上一篇    下一篇

正念和反刍在护士工作压力与睡眠质量关系中的链式中介作用

李佳欢1,王娟1,陈擎仪1,李艳艳1,赵静2,曹枫林1   

  1. 1.山东大学护理学院护理心理教研室, 山东 济南 250012;2.山东大学第二医院质量管理办公室, 山东 济南 250033
  • 出版日期:2020-02-10 发布日期:2022-09-27
  • 通讯作者: 曹枫林. E-mail:caofenglin2008@126.com

Chain mediating effects of mindfulness and rumination on the relationship between job stress and sleep quality among nurses

LI Jiahuan1, WANG Juan1, CHEN Qingyi1, LI Yanyan1, ZHAO Jing2, CAO Fenglin1   

  1. 1. Department of Nursing Psychology, School of Nursing, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Quality Control, The Second Hospital of Shandong University, Jinan 250033, Shandong, China
  • Online:2020-02-10 Published:2022-09-27

PDF (PC)

142

摘要： 目的 探讨正念和反刍在护士工作压力与睡眠质量间的中介作用。 方法 采用中国护士工作压力源量表(NJSS)、匹兹堡睡眠质量指数(PSQI)、正念能力量表(SIM-C)及反刍思维量表(RRS)对济南市某所三级甲等医院的712名护士进行问卷测量,使用Amos21.0建立链式中介模型。 结果 正念维度-有觉知的行动得分与工作压力总分、反刍总分和PSQI总分均呈负相关(r=-0.26、r=-0.47、r=-0.22,均P<0.001),反刍总分与工作压力总分、PSQI总分均呈正相关(r=0.36、r=0.36,均P<0.001)。结构方程模型显示有觉知的行动和反刍在工作压力与睡眠质量间起链式中介作用(χ2/df=2.28,GFI=0.963,AGFI=0.947,NFI=0.948,IFI=0.970,CFI=0.970,TLI=0.962,PNFI=0.743,PGFI=0.666,RMSEA=0.042)。Bootstrap检验结果表明,该链式多重中介效应的95%CI为(0.12,0.21)。 结论 工作压力可以直接作用于护士的睡眠质量,也可以通过有觉知的行动和反刍间接作用于其睡眠质量。

关键词: 正念, 反刍, 睡眠质量, 护士

Abstract: Objective To explore the mediating role of mindfulness and rumination on the relationship between job stress and sleep quality in nurses. Methods A total of 712 nurses were surveyed with questionnaires of Nurse Job Stressors Inventory(NJSS), Pittsburgh Sleep Quality Index(PSQI), Short Inventory of Mindfulness Capability(SIM-C)and Ruminative Responses Scale(RRS). A chain mediation model was built using Amos21.0. Results The acting with awareness score was negatively correlated with scores of NJSS, RRS and PSQI(r=-0.26, r=-0.47, r=-0.22, all P<0.001). RRS score was positively correlated with scores of NJSS and PSQI(r=0.36, r=0.36, both P<0.001). The structural equation model showed that acting with awareness and rumination had chain mediating effects between job stress and sleep quality(χ2/df=2.28, GFI=0.963, AGFI=0.947, NFI=0.948, IFI=0.970, CFI=0.970, TLI=0.962, PNFI=0.743, PGFI=0.666, RMSEA=0.042). Bootstrap test showed that 95%CI of the chain mediating effects of acting with awareness and RRS were 0.12 and 0.21. Conclusion Job stress affects sleep quality through both mindfulness and rumination.

Key words: Mindfulness, Rumination, Sleep quality, Nurses

中图分类号: 

  • R574
[1] Pallesen S, Bjorvatn B, Mageroy N, et al. Measures to counteract the negative effects of night work[J]. Scand J Work Environ Health, 2010, 36(2): 109-120.
[2] Matheson A, OBrien L, Reid JA. The impact of shiftwork on health: a literature review[J]. J Clin Nurs, 2014, 23(23-24): 3309-3320.
[3] Dong H, Zhang Q, Sun Z, et al. Sleep disturbances among Chinese clinical nurses in general hospitals and its influencing factors[J]. BMC Psychiatry, 2017, 17(1): 241.
[4] Bobbio A, Bellan M, Manganelli AM. Empowering leadership, perceived organizational support, trust, and job burnout for nurses: a study in an Italian general hospital[J]. Health Care Manage Rev, 2012, 37(1): 77-87.
[5] Bishop SR. Mindfulness: a proposed operational definition [J]. Clinical Psychology: Science and Practice, 2004, 11(3): 230-241.
[6] Murphy MJ, Mermelstein LC, Edwards KM, et al. The benefits of dispositional mindfulness in physical health: a longitudinal study of female college students [J]. J Am Coll Health, 2012, 60(5): 341-348.
[7] 滕姗, 赵久波, 张小远, 等. 大学生正念和睡眠质量在负性生活事件与抑郁情绪间的链式中介作用[J]. 中华行为医学与脑科学杂志, 2017, 26(9): 815-819. TENG Shan, ZHAO Jiubo, ZHANG Xiaoyuan, et al. Chain mediating effect of mindfullness and sleep quality between negative life events and depression among college students [J]. Chinese Journal of Behavioral Medicine and Brain Science, 2017, 26(9): 815-819.
[8] Baer RA, Smith GT, Hopkins J, et al. Using self-report assessment methods to explore facets of mindfulness [J]. Assessment, 2006, 13(1): 27-45.
[9] Curado D, Barros V, Opaleye E, et al. The role of mindfulness in the insomnia severity of female chronic hypnotic users [J]. Int J Behav Med, 2018, 25(5): 526-531.
[10] Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. Rethinking Rumination [J]. Perspect Psychol Sci, 2008, 3(5): 400-424. doi: 10.2307/40212262
[11] Slavish DC, Graham-Engeland JE. Rumination mediates the relationships between depressed mood and both sleep quality and self-reported health in young adults[J]. J Behav Med, 2015, 38(2): 204-213.
[12] Carney CE, Edinger JD, Meyer B, et al. Symptom-focused rumination and sleep disturbance [J]. Behav Sleep Med, 2006, 4(4): 228-241.
[13] 李小妹, 刘彦君. 护士工作压力源及工作疲溃感的调查研究[J]. 中华护理杂志, 2000, 35(11): 645-649. LI Xiaomei, LIU Yanjun. Job stressors and burnout among staff nurses [J]. Chinese Journal of Nursing, 2000, 35(11): 645-649.
[14] 刘贤臣, 唐茂芹, 胡蕾, 等. 匹兹堡睡眠质量指数的信度和效度研究[J]. 中华精神科杂志, 1996(2): 103-107.
[15] 汪向东, 王希林, 马弘. 心理卫生评定量表手册[J]. 中国心理卫生杂志, 1999(增刊): 376.
[16] Duan W, Li J. Distinguishing dispositional and cultivated forms of mindfulness: item-level factor analysis of five-facet mindfulness questionnaire and construction of short inventory of mindfulness capability [J]. Front Psychol, 2016, 7. doi: 10.3389/fpsyg.2016.01348.
[17] Nolen-Hoeksema S, Morrow J. A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake [J]. J Pers Soc Psychol, 1991, 61(1): 115-121. doi: 10.1037/0022-3514.61.1.115
[18] 韩秀, 杨宏飞. Nolen-Hoeksema反刍思维量表在中国的试用[J]. 中国临床心理学杂志, 2009, 17(5): 550-551. HAN Xiu, YANG Hongfei. Chinese version of nolen-hoeksema ruminative responses scale(RRS)used in 912 college students: reliability and validity [J]. Chinese Journal of Clinical Psychology, 2009, 17(5): 550-551.
[19] 徐慰, 张倩, 刘兴华. 大学生正念水平对知觉压力与睡眠问题的中介作用[J]. 中华行为医学与脑科学杂志, 2013, 22(6): 545-547. XU Wei, ZHANG Qian, LIU Xinghua. The mediating role of mindfulness level on relationship between perceived stress and sleep problems [J]. Chinese Journal of Behavioral Medicine and Brain Science, 2013, 22(6): 545-547.
[20] 梁丽媛. 中学生学业压力对反刍思维和睡眠质量的影响研究[D]. 哈尔滨: 哈尔滨师范大学, 2017.
[21] Hawley LL, Schwartz D, Bieling PJ, et al. Mindfulness practice, rumination and clinical outcome in mindfulness-based treatment [J]. Cognitive Therapy and Research, 2014, 38(1): 1-9.
[22] Heeren A, Philippot P. Changes in ruminative thinking mediate the clinical benefits of mindfulness: preliminary findings [J]. Mindfulness, 2011, 2(1): 8-13.
[23] van Vugt MK, Hitchcock P, Shahar B, et al. The effects of mindfulness-based cognitive therapy on affective memory recall dynamics in depression: a mechanistic model of rumination [J]. Front Hum Neurosci, 2012, 6: 257. doi: 10.3389/fnhum.2012.00257.
[24] Brown KW, Ryan RM. The benefits of being present: Mindfulness and its role in psychological well-being [J]. J Pers Soc Psychol, 2003, 84(4): 822-848.
[25] Montgomery K, Norman P, Messenger AG, et al. The importance of mindfulness in psychosocial distress and quality of life in dermatology patients [J]. Br J Dermatol, 2016, 175(5): 930-936.
[26] Teasdale JD, Zindelsegal, Williams JMG. How does cognitive therapy prevent depressive relapse and why should attentional control(mindfulness)training help? [J]. Behav Res Ther, 1995, 33(1): 25-39.
[27] Gruber R, Cassoff J. The interplay between sleep and 3emotion regulation: conceptual framework empirical evidence and future directions [J]. Curr Psychiatry Rep, 2014, 16(11): 500. doi: 10.1007/s11920-014-0500-x.
[28] Beattie L, Kyle SD, Espie CA, et al. Social interactions, emotion and sleep: A systematic review and research agenda [J]. Sleep Med Rev, 2015, 24: 83-100. doi: 10.1016/j.smrv.2014.12.005.
[29] Jansson-Frojmark M, Norell-Clarke A, Linton SJ. The role of emotion dysregulation in insomnia: Longitudinal findings from a large community sample [J]. Br J Health Psychol, 2016, 21(1): 93-113.
[30] Baglioni C, Spiegelhalder K, Lombardo C, et al. Sleep and emotions: a focus on insomnia[J]. Sleep Med Rev, 2010, 14(4): 227-238.
[1] 卢燕娥,王娟,张烜,毛芳香,孙萌,曹枫林. 护士遭受职场心理暴力的潜在类别分析及其与职业倦怠的关系[J]. 山东大学学报 (医学版), 2022, 60(5): 118-124.
[2] 张云雪,解子惠,吕高荣,申世玉,厉萍. 中文简版共同反刍问卷在1 354名护生中应用的信效度评价[J]. 山东大学学报 (医学版), 2021, 59(7): 85-90.
[3] 王清,周淼,赵迪,厉萍. 医学生心理控制源在正念水平与平静心境间的中介作用[J]. 山东大学学报 (医学版), 2021, 59(5): 104-109.
[4] 王亨,鲜于俊杰,冯圣杰,赵静,李佳欢. 负性生活事件、反刍和睡眠质量对病区护士情绪状态影响的路径分析[J]. 山东大学学报 (医学版), 2021, 59(4): 117-121.
[5] 郝文婷,李洁,景正月,赵丹,袁叶敏,于才婷,周成超. 衰弱在农村慢性病老年人睡眠质量与生活质量间的中介作用[J]. 山东大学学报 (医学版), 2021, 59(2): 102-107.
[6] 白璐,张雨青,房玉英. 正念在不孕症患者生育压力与创伤后应激障碍间的中介及调节作用[J]. 山东大学学报 (医学版), 2021, 59(2): 83-87.
[7] 路翠艳,潘芳,方方. 大学生主动、被动拖延与正念、自我效能感的关系[J]. 山东大学学报 (医学版), 2021, 59(10): 108-113.
[8] 李艳艳,杨蓓,王娟,李佳欢,王颖,曹枫林. 已婚护士工作家庭平衡与边界弹性的关系[J]. 山东大学学报 (医学版), 2020, 58(2): 96-102.
[9] 周军,马铭涓. SimMan3G模拟教学在临床专科培训中的应用[J]. 山东大学学报 (医学版), 2019, 57(9): 109-113.
[10] 栾娜,刘丽媛,王斐,周飞,相玉娟,黄淑亚,郑超,于理想,余之刚. 乳腺癌患者睡眠质量及相关因素分析[J]. 山东大学学报 (医学版), 2019, 57(4): 59-64.
[11] 徐晓芳,薛明玥,吕高荣,侯芳艳,厉萍. 心理资本在不孕不育夫妇中男性正念与心理困扰间的中介作用[J]. 山东大学学报 (医学版), 2019, 57(2): 105-109.
[12] 赵迪,冯秀娟,侯芳艳,吕高荣,徐晓芳,厉萍. 山东农村中年女性绝经综合征与生殖衰老分期、人格和正念的关系[J]. 山东大学学报 (医学版), 2019, 57(12): 92-96.
[13] 王颖,杨蓓,王娟,李艳艳,曹枫林. 累积儿童期逆境对护士抑郁症状的影响[J]. 山东大学学报 (医学版), 2019, 57(11): 83-89.
[14] 张烜,李佳欢,王颖,柴榕,杨蓓,曹枫林. 情绪调节在实习护生正念水平与临床沟通能力之间的中介作用[J]. 山东大学学报 (医学版), 2018, 56(12): 86-91.
[15] 康晓菲,方跃艳,赵迪,冯秀娟,厉萍. 不孕女性患者知觉压力在正念水平与心理困扰间的中介作用[J]. 山东大学学报（医学版）, 2017, 55(9): 105-109.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
版权所有 © 2018 《山东大学学报(医学版)》编辑部　
地址:山东大学科技期刊社（济南市历城区山大南路27号山东大学中心校区明德楼B座721室） 电话: 0531-88366918 E-mail: xbyxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发