摘要
目的探讨护士心理灵活性与领悟社会支持及孤独感的相关性,并分析心理灵活性在其领悟社会支持与孤独感间的中介作用。方法采用一般资料调查表、领悟社会支持量表、接纳与行动问卷第二版中文版、认知融合分问卷及USL-6孤独感量表对河南省某三级甲等医院的1079名护士进行问卷调查。结果护士领悟社会支持、心理灵活性、孤独感得分依次为(59.84±11.17)分、(56.93±16.77)分、(13.97±3.64)分。护士领悟社会支持与心理灵活性和孤独感分别呈负相关(r 1=-0.322,r 2=-0.407;P<0.01),心理灵活性与孤独感呈正相关(r=0.541,P<0.01)。中介作用分析显示,心理灵活性在护士领悟社会支持与孤独感间的总间接效应值为-0.158,占总效应的38.82%;经验性回避和认知融合效应值分别为-0.116、-0.042,分别占总效应的28.50%和10.32%。结论护士孤独感状况有待改善,领悟社会支持与孤独感密切相关,心理灵活性在其领悟社会支持与孤独感间发挥部分中介作用,护理管理者可通过提高护士的心理灵活性来减轻其孤独感。
Objective To explore the correlation between nurses'psychological flexibility,perceived social support and loneliness,and to analyze the mediating effect of psychological flexibility between perceived social support and loneliness.Methods A total of 1079 nurses from a tertiary hospital in He'nan Province were investigated with the general information questionnaire,Perceived Social Support Scale,Chinese Version of the Acceptance and Action Questionnaire-Ⅱ,Cognitive Fusion Questionnaire-Fusion and University of California Los Angeles Loneliness Scale-6.Results The scores of nurses'perceived social support,psychological flexibility and loneliness were(59.84±11.17),(56.93±16.77)and(13.97±3.64),respectively.Nurses'perceived social support was negatively correlated with psychological flexibility and loneliness(r 1=-0.322,r 2=-0.407,P<0.01),and psychological flexibility was positively correlated with loneliness(r=0.541,P<0.01).Mediating effect analysis showed that the total indirect effect value of psychological flexibility between nurses'perceived social support and loneliness was-0.158,accounting for 38.82%of the total effect and the effect values of empirical avoidance and cognitive fusion were-0.116 and-0.042,accounting for 28.50%and 10.32%of the total effect,respectively.Conclusion The loneliness of nurses needs to be improved.Perceived social support is closely related to nurses'loneliness,and psychological flexibility plays a partial mediating role between perceived social support and nurses'loneliness.Nursing managers can alleviate nurses'loneliness by improving their psychological flexibility.
作者
杨莹莹
任峰
张全英
王丽方
李雪
刘赟
贾冠华
YANG Yingying;REN Feng;ZHANG Quanying;WANG Lifang;LI Xue;LIU Yun;JIA Guanhua(Nursing Department,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China;School of Basic Medical Sciences,Xinxiang Medical University,Xinxiang 453003,China;School of Nursing,Xinxiang Medical University,Xinxiang 453003,China)
出处
《护理管理杂志》
CSCD
2024年第10期839-843,864,共6页
Journal of Nursing Administration
基金
2022年河南省医学教育研究项目(Wjlx2022094)。
关键词
护士
孤独感
领悟社会支持
心理灵活性
中介作用
nurse
loneliness
perceived social support
psychological flexibility
mediating effect
作者简介
杨莹莹,硕士,护师;通信作者:张全英,E-mail:zxzzqy@126.com。