沈阳市某医院临床医生心理弹性现状及其与社会支持、应对方式的关系研究
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摘要
目的:探析临床医生心理弹性现状及其与社会支持、应对方式之间的关系,进而为医院管理层制定相关措施提升临床医生心理健康水平提供科学依据。方法:以心理弹性量表、社会支持评定量表、简易应对方式问卷为调查工具,对沈阳市某医院340名临床医生进行调查。结果:临床医生心理弹性得分为(67.45±10.86),其中,力量性得分最高,乐观性得分最低,仅有14.9%的临床医生心理弹性处于高水平;不同职称、学历、压力程度的临床医生心理弹性得分差异有统计学意义(P<0.05);心理弹性及各维度与社会支持及各维度呈显著的正相关(P<0.01),心理弹性及各维度与积极应对呈正相关,与消极应对呈负相关(P<0.01)。结论:临床医生心理弹性整体水平不高,学历、职称、压力程度是临床医生心理弹性水平的影响因素,心理弹性在社会支持和应对方式间起中介作用。
Objective: To explore the resilience status and its relationship with social support and coping style among clinicians,and provide a scientific basis for formulating relevant measures for hospital management to improve the mental health level of clinicians. Methods: A total of 340 clinicians in a Hospital in Shenyang were investigated by using CD-RISC、SSRS、SCSQ. Results: The clinician's resilience score was(67.45±10.86),among them,the highest score was strength,the lowest score was optimism. Only 14.9% of the clinicians were at a high level of resilience. There was a significant difference in clinician's resilience score among different titles,degree of education and stress level(P<0.05). Resilience and their dimensions were positively correlated with social support and their dimensions(P < 0. 01). Resilience and their dimensions were positively correlated with positive coping styles,and negatively correlated with negative coping styles(P<0.01). Conclusion: The overall level of resilience of clinicians is not high. The degree of education,title and stress is the influencing factor of the resilience of clinicians,and resilience plays an intermediary role between social support and coping styles.
Objective: To explore the resilience status and its relationship with social support and coping style among clinicians,and provide a scientific basis for formulating relevant measures for hospital management to improve the mental health level of clinicians. Methods: A total of 340 clinicians in a Hospital in Shenyang were investigated by using CD-RISC、SSRS、SCSQ. Results: The clinician's resilience score was(67.45±10.86),among them,the highest score was strength,the lowest score was optimism. Only 14.9% of the clinicians were at a high level of resilience. There was a significant difference in clinician's resilience score among different titles,degree of education and stress level(P<0.05). Resilience and their dimensions were positively correlated with social support and their dimensions(P < 0. 01). Resilience and their dimensions were positively correlated with positive coping styles,and negatively correlated with negative coping styles(P<0.01). Conclusion: The overall level of resilience of clinicians is not high. The degree of education,title and stress is the influencing factor of the resilience of clinicians,and resilience plays an intermediary role between social support and coping styles.
引文
[1]畅相韦.心理弹性概念研究综述[J].四川职业技术学院学报,2014,24(1):88-90.
[2]唐青峰,张国琴.恶性肿瘤患者主要照顾者心理弹性在社会支持与应对方式间的中介效应[J].现代预防医学,2017,44(24):4478-4481.
[3]CONNOR K M,DAVIDSON J R. Development of a new resilience scale:the Connor-Davidson Resilience Scale(CD-RISC)[J]. Depress anxiety,2003,18(2):76-82.
[4]YU X N,ZHANG J X. Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale(CD-RISC)with Chinese people[J]. Soc Behav Personal,2007,35(1):19-31.
[5]杨宏飞,张小燕.大学生的完美主义与心理健康的关系[J].中国心理卫生杂志,2004,18(9):647-648.
[6]汪向东,王希林,马弘,等.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999.
[7]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.
[8]苏茜,郭蕾蕾,刘堃,等.临床护士心理弹性现状及其影响因素的研究[J].医学与哲学(B),2013,34(11):68-71.
[9]任雅欣,周英,黄美凌,等.护士心理弹性状况及其影响因素[J].中华行为医学与脑科学杂志,2014,23(3):258-260.
[10]樊华.沈阳市某三甲医院临床医生心理弹性现状及其影响因素研究[D].吉林大学,2017.
[11]滑树红,何爽,吴瑞.心理弹性在非现役文职护理人员社会支持和心理健康间的中介效应[J].职业与健康,2017,33(18):2511-2514.
[2]唐青峰,张国琴.恶性肿瘤患者主要照顾者心理弹性在社会支持与应对方式间的中介效应[J].现代预防医学,2017,44(24):4478-4481.
[3]CONNOR K M,DAVIDSON J R. Development of a new resilience scale:the Connor-Davidson Resilience Scale(CD-RISC)[J]. Depress anxiety,2003,18(2):76-82.
[4]YU X N,ZHANG J X. Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale(CD-RISC)with Chinese people[J]. Soc Behav Personal,2007,35(1):19-31.
[5]杨宏飞,张小燕.大学生的完美主义与心理健康的关系[J].中国心理卫生杂志,2004,18(9):647-648.
[6]汪向东,王希林,马弘,等.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999.
[7]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.
[8]苏茜,郭蕾蕾,刘堃,等.临床护士心理弹性现状及其影响因素的研究[J].医学与哲学(B),2013,34(11):68-71.
[9]任雅欣,周英,黄美凌,等.护士心理弹性状况及其影响因素[J].中华行为医学与脑科学杂志,2014,23(3):258-260.
[10]樊华.沈阳市某三甲医院临床医生心理弹性现状及其影响因素研究[D].吉林大学,2017.
[11]滑树红,何爽,吴瑞.心理弹性在非现役文职护理人员社会支持和心理健康间的中介效应[J].职业与健康,2017,33(18):2511-2514.