Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (1): 89-94.doi: 10.6040/j.issn.1671-7554.0.2023.0972

• Medical Psychology • Previous Articles    

Effects of occupational stress on quality of life among nurses: a moderated mediation model

ZHU Hongting1, REN Minmin2, WANG Hui3, SUN Xiangjie4, FENG Danjun3   

  1. 1. Department of Health Management Center, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    2. Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China;
    3. School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    4. Department of Orthopedic Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Published:2024-02-02

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Abstract: Objective To explore the relationship between occupational stress and quality of life of nurses, the mediating effects of psychological distress on the relationship between occupational stress and quality of life, as well as the moderating effects of neuroticism in the relationship between occupational stress, psychological distress and quality of life. Methods Totally 459 nurses were surveyed with questionnaires of 8-Item Short Form, Occupational Role Questionnaire, Psychological Distress Scale and the neuroticism subscale of the Big Five Personality Scale. The mediating effects were verified with PROCESS. Results The occupational stress was positively correlated with psychological distress (r=0.513, P<0.01), but negatively related with quality of life(r=-0.409, P<0.01). Psychological distress played a significant mediating role in the relationship between occupational stress and quality of life. In addition, neuroticism had a moderating effect on the relationship between occupational stress, psychological distress and quality of life. Conclusion Occupational stress can reduce the quality of life of nurses directly or indirectly through increased psychological distress. In addition, high level of neuroticism exacerbates the negative effects of occupational stress on psychological distress and quality of life.

Key words: Quality of life, Occupational stress, Psychological distress, Neuroticism, Nurses

CLC Number: 

  • R392
[1] Brady S, Arguedas A, Huling J, et al. Job strain, occupation, and bladder health among women [J]. Neurourol Urodyn, 2024, 43(1): 69-80
[2] Kaplan R. The significance of quality of life in health care [J]. Qual Life Res, 2003, 12(Suppl 1): 3-16.
[3] Khatatbeh H, Pakai A, Al-Dwaikat T, et al. Nurses burnout and quality of life: a systematic review and critical analysis of measures used [J]. Nurs Open, 2022, 9(3): 1564-1574.
[4] Jeon M, Kim S, Kim S. Association between resilience, professional quality of life, and caring behavior in oncology nurses: a cross-sectional study [J]. J Korean Acad Nurs, 2023, 3(6): 597-609.
[5] Kong W, Yang Y, Zhang F, et al. Mediating role of occupational stress and job satisfaction on the relationship between neuroticism and quality of life among Chinese civil servants: a structural equation model [J]. Health Qual Life Outcomes, 2020, 18(1): 34. doi: 10.1186/s12955-020-01295-2.
[6] 陈婷, 张庆华, 祁欢. 国内外护士职业压力管理研究进展[J]. 护理实践与研究, 2021, 18(10): 1480-1482.
[7] Cecere L, de Novellis S, Gravante A, et al. Quality of life of critical care nurses and impact on anxiety, depression, stress, burnout and sleep quality: a cross-sectional study [J]. Intensive Crit Care Nurs, 2023, 79: 103494. doi: 10.1016/j.iccn.2023.103494.
[8] Spector PE, Fox S. The stressor-emotion model of counterproductive work behavior [M]. Washington DC: APA Press, 2005.
[9] Riba MB, Donovan KA, Andersen B, et al. Distress management, version 3.2019, NCCN clinical practice guidelines in oncology [J]. J Natl Compr Canc Netw, 2019, 17(10): 1229-1249.
[10] TaAn WF, Al-Dwaikat TN, Dardas K, et al. The relationship between occupational stress, psychological distress symptoms, and social support among Jordanian healthcare professionals [J]. Nursing Forum, 2020, 55(4): 763-771.
[11] Bootsma TI, Wal D, Vlooswijk C, et al. Exploring the interconnectedness between health-related quality of life factors among long-term adolescent and young adult cancer survivors(AYAs): a network analysis [J]. Support Care Cancer, 2024, 32(2): 104. doi: 10.1007/s00520-023-08295-0.
[12] Pearlin LI, Lieberman MA, Menaghan EG, et al. The stress process [J]. J Health Soc Behav, 1981, 22(4): 337-356.
[13] 田苗. 护士心理健康水平现状及其与大五人格特质的关系研究[D]. 扬州: 扬州大学, 2023.
[14] 王珊, 栾荣生, 雷燕, 等. 生命质量8条简明量表中文版开发及其性能评价[J]. 现代预防医学, 2007, 34(6): 1022-1023. WANG Shan, LUAN Rongsheng, LEI Yan, et al. Development and evaluation of Chinese version of Short Form 8 [J]. Modern Preventive Medicine, 2007, 34(6): 1022-1023.
[15] Xu J, Qiu J, Chen J, et al. Lifestyle and health-related quality of life: a cross-sectional study among civil servants in China [J]. BMC Public Health, 2012, 12: 330. doi: 10.1186/1471-2458-12-330.
[16] Feng D, Ji L, Yin Z. Personality, perceived occupational stressor, and health-related quality of life among Chinese judges [J]. Appl Res Qual Life, 2014, 9(4): 911-921.
[17] Kessler RC, Andrews G, Colpe LJ, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress [J]. Psychol Med, 2002, 32(6): 959-976.
[18] John OP, Naumann LP, Soto CJ. Paradigm shift to the integrative big five trait taxonomy [A]. John OP, Robins RW, Pervin LA. Handbook of personality: theory and research [C]. New York: Guilford Press, 2008: 114-158.
[19] 方跃艳, 康晓菲, 王娟, 等. 医学生正念与平静心境的关系: 感知压力的中介和调节效应[J]. 中国健康心理学杂志, 2018, 26(2): 288-292. FANG Yueyan, KANG Xiaofei, WANG Juan, et al. Relationship between mindfulness and inner peace in medical students: the mediating and moderating effect of perceived stress [J]. China Journal of Health Psychology, 2018, 26(2): 288-292.
[20] 朱燕波, 王琦, 陈柯帆, 等. 一般人群健康相关生命质量的预测因素[J]. 中华行为医学与脑科学杂志, 2009, 18(3): 254-259. ZHU Yanbo, WANG Qi, CHEN Kefan, et al. Predictors of health-related quality of life in the general population [J]. Chinese Journal of Behavioral Medicine and Brain Science, 2009, 18(3): 254-259.
[21] 许宽宽. 门诊护理人员职业倦怠相关性因素分析[J]. 中国卫生标准管理, 2022, 13(1): 8-11. XU Kuankuan. Analysis of correlation factors of occupational burnout of outpatient nursing staff [J]. China Health Standard Management, 2022, 13(1): 8-11.
[22] Almogbel Y. The effect of occupational stress on the quality of life of pharmacists in Saudi Arabia [J]. Risk Manag Healthc Policy, 2021, 14: 643-654. doi: 10.2147/RMHP.S281317.
[23] Girma B, Nigussie J, Molla A, et al. Occupational stress and associated factors among health care professionals in Ethiopia: a systematic review and meta-analysis [J]. BMC Public Health, 2021, 21(1): 539. doi: 10.1186/s12889-021-10579-1.
[24] Hasan AA, Tumah H. The correlation between occupational stress, coping strategies, and the levels of psychological distress among nurses working in mental health hospital in Jordan [J]. Perspect Psychiatr Care, 2019, 55(2): 153-160.
[25] 王滔, 汪夕桢, 马利. 情绪应对策略在特殊教育教师职业压力与职业倦怠间的作用: 中介效应还是调节效应[J]. 西南师范大学学报(自然科学版), 2018, 43(4): 102-108. WANG Tao, WANG Xizhen, MA Li. On role of emotion-based coping strategies in association between occupational stress and job burnout in special education teachers: mediation versus moderation [J]. Journal of Southwest University Natural Science Edition, 2018, 43(4): 102-108.
[26] 王钰,徐林燕,周英,等. 企业中青年急性心脑血管事件高危人群健康促进生活方式及影响因素研究[J]. 护理学杂志, 2021, 36(8): 84-86. WANG Yu, XU Linyan, ZHOU Ying, et al. Health-promoting lifestyle and its influencing factors among young and middle-aged high risk population of cardio-cerebrovascular events in enterprises [J]. Journal of Nursing Science, 2021, 36(8): 84-86.
[27] 胡义秋, 彭丽仪, 曾子豪, 等. 儿童期受虐经历对大学生抑郁的影响: 一个有调节的中介模型[J]. 中国临床心理学杂志, 2020, 28(5): 915-918. HU Yiqiu, PENG Liyi, ZENG Zihao, et al. The effect of childhood maltreatment on college students depression: a moderated mediating model [J]. Chinese Journal of Clinical Psychology, 2020, 28(5): 915-918.
[28] 孔雯雯. 公务员神经质、职业压力、工作满意度与生活质量的关系研究[D]. 济南: 山东大学, 2021.
[29] 邬宇涵. 新护士职业压力与心理健康的纵向研究[D]. 兰州: 兰州大学, 2023.
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