抗逆力在肿瘤科护士心理一致感与职业生涯状况间的中介作用

杨英; 盖海云; 安芳芳; 马明会; 聂亚娥

doi:10.13898/j.cnki.issn.1000-2200.2023.05.028

抗逆力在肿瘤科护士心理一致感与职业生涯状况间的中介作用

Mediating role of resilience in the relationship between

摘要

摘要:
目的探讨抗逆力在肿瘤科护士心理一致感与职业生涯状况间的中介作用。
方法采用便利抽样法，使用一般资料调查表、医护人员抗逆力评价量表、心理一致感量表、职业生涯状况评价量表对肿瘤科的320名护士进行调查。
结果肿瘤科护士抗逆力、心理一致感、职业生涯状况的得分依次为(60.48±8.66)分、(58.25±10.11)分、(83.53±9.56)分。抗逆力与心理一致感和职业生涯状况间均呈正相关关系(P <0.01)；抗逆力各维度与心理一致感和职业生涯状况各维度间亦均呈正相关关系(P <0.01)。抗逆力在心理一致感与职业生涯状况间的中介作用为15.2%，占总效应的19.3%，且中介作用具有显著性(Z=4.956 > 1.96)。
结论肿瘤科护士抗逆力、心理一致感及职业生涯状况分别处于中等、低等、中等水平。抗逆力在心理一致感与职业生涯状况间起部分中介作用。医院管理者应从影响护士心理一致感与抗逆力的因素共同出发，促进肿瘤科护士职业生涯的良性发展。

Abstract:
ObjectiveTo explore the mediating role of resilience in the relationship between psychological congruence and career status of oncology nurses.
MethodsThe convenience sampling method was used to investigate 320 nurses in the Department of Oncology by using the general data questionnaire, the evaluation scale of medical staff′s stress resistance, the sense of psychological agreement scale and the career status evaluation scale.
ResultsThe scores of resilience, psychological congruence and career status of oncology nurses were (60.48±8.66), (58.25±10.11) and (83.53±9.56) points, respectively.There was a positive correlation between resilience and psychological congruence and career status (P <0.01).There was also a positive correlation between the dimensions of resilience and psychological congruence and the dimensions of career status (P <0.01).The mediating effect of resilience on the relationship between psychological congruence and career status was 15.2%, accounting for 19.3% of the total effect, and the mediating effect was significant (Z=4.956 > 1.96).
ConclusionsOncology nurses′ resilience, sense of psychological congruence and career status are at medium, low and medium levels, respectively.Resilience plays a partial mediating role in the relationship between psychological congruence and career status.Hospital managers should start from the factors that affect nurses′ sense of psychological congruence and resilience to promote the benign development of oncology nurses′ career.

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