职业压力对护士一般健康水平的影响: 神经质与应对方式的中介作用
The Influence of Occupational Stress on Nurses’ Health: The Mediating Effects of Neuroticism and Coping Styles

作者: 文 锶 , 曹梦露 , 陈思瑶 , 汤永隆 :西南大学心理学部,重庆;

关键词: 职业压力神经质应对方式一般健康水平护士中介作用Occupational Stress Neuroticism Coping Styles General Health Nurses Mediating Effect

摘要: 研究目的:探讨职业压力对护士一般健康水平影响的可能机制,为护理行业的领导者和管理者针对护士的健康问题制定有效的预防和干预方案提供一些借鉴。方法:以方便取样的方法邀请重庆市五所医院的临床护士347名,用Weiman职业压力量表(WOSS),神经质量表,应付方式问卷(CSQ)和自测健康评定量表(SRHMS)进行调查。结果:研究建构的模型对护士一般健康水平的整体解释率为33%。职业压力主要通过五种途径影响护士的一般健康水平:1) 直接负向影响护士的一般健康水平;2) 以情绪中心应对为中介,和3) 以情绪中心应对与问题中心应对一起为链式中介,间接影响护士的一般健康水平;4) 以神经质为中介,和5) 以神经质与问题中心应对一起为链式中介,间接影响护士的一般健康水平。结论:护士的神经质水平和面对压力时所采用的应对方式在职业压力与他们的一般健康水平的关系间起中介作用。

Abstract: Objective: To explore the potential mechanism underlying the relationship between occupational stress and nurses’ general health, and to provide reference for drafting effective prevention and intervention aiming to nurses’ health problem. Methods: Adopted convenient sampling method and investigated 347 clinical nurses from five hospitals in Chongqing Province with Weiman Occupational Stress Scale (WOSS), Neuroticism Scale, Coping Style Questionnaire (CSQ) and Self-related Health Measurement Scale (SRHMS). Results: The total contribution of the best model to nurses’ general health was 33%. Occupational stress affected nurses’ general health through five paths: 1) directly had negative effect on nurses’ general health; 2) indirectly affected nurses’ general health via emotion-focused coping, and 3) two kinds of coping styles together respectively; 4) indirectly affected nurses’ general health via neuroticism level, and 5) neuroticism level and problem-focused coping together respectively. Conclusion: Nurses’ neuroticism level and coping styles used to response to stress have mediating effects on the relationship between occupational stress and their general health.

文章引用: 文 锶 , 曹梦露 , 陈思瑶 , 汤永隆 (2014) 职业压力对护士一般健康水平的影响: 神经质与应对方式的中介作用 。 心理学进展, 4, 252-262. doi: 10.12677/AP.2014.42037

参考文献

[1] 温忠麟, 侯杰泰(2004). 结构方程模型检验, 拟合指数与卡方准则. 心理学报, 2期, 186-194.

[2] 肖计划, 许秀峰(1996). “应付方式问卷”效度与信度研究. 中国心理卫生杂志, 4期, 164-168.

[3] 许军, 解亚宁, 李博, 胡敏燕(2002). 自测健康评定量表修订版 (SRHMSV1.0)的效度研究. 中国临床康复, 14期, 2082-2085.

[4] 许军, 李博, 胡敏燕, 李海燕(2002). 自测健康评定量表修订版的信度研究. 中国行为医学科学, 3期, 341-343.

[5] AbuAlRub, R.F. (2004). Job stress, job performance, and social support among hospital nurses. Journal of Nursing Scholarship, 36, 73-78.

[6] Bolger, N., & Zuckerman, A. (1995). A framework for studying personality in the stress process. Journal of Personality and Social Psychology, 69, 890.

[7] Boyes, M.E., & French, D.J. (2010). Neuroticism, stress, and coping in the context of an anagram-solving task. Personality and Individual Differences, 49, 380-385.

[8] Bramsen, I., van der Ploeg, H.M., van der Kamp, L.J.Th., & Adèr, H.J. (2002). Exposure to traumatic war events and neuroticism: The mediating role of attributing meaning. Personality and Individual Differences, 32, 747-760.

[9] Carter, P.A., & Acton, G.J. (2006). Personality and coping: Predictors of depression and sleep problems among caregivers of individuals who have cancer. Journal of gerontological nursing, 32, 45.

[10] Chang, E.M.L., Bidewell, J.W., Huntington, A.D., Daly, J., Johnson, A., Wilson, H., & Lambert, C.E. (2007). A survey of role stress, coping and health in Australian and New Zealand hospital nurses. International Journal of Nursing Studies, 44, 1354-1362.

[11] Collins, R.L., Gollnisch, G., & Morsheimer, E.T. (1998). Work stress, coping, and substance use among female nurses. Drug Addiction Research and the Health of Women, 319-337.

[12] Costa, P.T., & McCrae, R.R. (1987). Neuroticism, somatic complaints, and disease: Is the bark worse than the bite? Journal of Personality, 55, 299-316.

[13] Costa, P.T., & McCrae, R.R. (1992). Revised neo personality inventory (neo pi-r) and neo five-factor inventory (neo-ffi). Odessa: Psychological Assessment Resources Odessa.

[14] De Gucht, V., Fischler, B., & Demanet, C. (1999). Immune dysfunction associated with chronic professional stress in nurses. Psychiatry Research, 85, 105-111.

[15] Herman-Stabl, M.A., Stemmler, M., & Petersen, A.C. (1995). Approach and avoidant coping: Implications for adolescent mental health. Journal of Youth and Adolescence, 24, 649-665.

[16] Hiroto, D.S., & Seligman, M.E. (1975). Generality of learned helplessness in man. Journal of Personality and Social Psychology, 31, 311.

[17] Johnson, M. (2003). The vulnerability status of neuroticism: Over-reporting or genuine complaints? Personality and Individual Differences, 35, 877-887.

[18] Josephson, M., Lindberg, P., Voss, M., Alfredsson, L., & Vingård, E. (2008). The same factors influence job turnover and long spells of sick leave—A 3-year follow-up of Swedish nurses. The European Journal of Public Health, 18, 380-385.

[19] Kalichman, S.C., Gueritault-Chalvin, V., & Demi, A. (2000). Sources of occupational stress and coping strategies among nurses working in AIDS care. Journal of the Association of Nurses in AIDS Care, 11, 31-37.

[20] Kraemer, H.C., Stice, E., Kazdin, A., Offord, D., & Kupfer, D. (2001). How do risk factors work together? Mediators, moderators, and independent, overlapping, and proxy risk factors. American Journal of Psychiatry, 158, 848-856.

[21] Lambert, V.A., Lambert, C.E., Itano, J., Inouye, J., Kim, S., Kuniviktikul, W., & Ito, M. (2004). Cross-cultural comparison of workplace stressors, ways of coping and demographic characteristics as predictors of physical and mental health among hospital nurses in Japan, Thailand, South Korea and the USA (Hawaii). International Journal of Nursing Studies, 41, 671-684.

[22] Lazarus, R.S. (1993). Coping theory and research: Past, present, and future. Fifty Years of the Research and Theory of RS Lazarus: An Analysis of Historical and Perennial Issues, 366-388.

[23] Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer Publishing Company.

[24] McCrae, R.R, & Costa, P.T. (1986). Personality, coping, and coping effectiveness in an adult sample. Journal of Personality, 54, 385-404.

[25] McNaughton, N. (2003). The neuropsychology of anxiety: An enquiry into the function of the septo-hippocampal system. Oxford: Oxford University Press.

[26] McNeely, E. (2005). The consequences of job stress for nurses’ health: time for a check-up. Nursing Outlook, 53, 291-299.

[27] McNiel, J.M., & Fleeson, W. (2006). The causal effects of extraversion on positive affect and neuroticism on negative affect: Manipulating state extraversion and state neuroticism in an experimental approach. Journal of Research in Personality, 40, 529-550.

[28] Narumoto, J., Nakamura, K., Kitabayashi, Y., Shibata, K., Nakamae, T., & Fukui, K. (2008). Relationships among burnout, coping style and personality: Study of Japanese professional caregivers for elderly. Psychiatry and Clinical Neurosciences, 62, 174-176.

[29] Ormel, J., & Rijsdijk, F.V. (2000). Continuing change in neuroticism during adult-hood—Structural modelling of a 16-year, 5-wave community study. Personality and Individual Differences, 28, 461-478.

[30] Prosser, D., Johnson, S., Kuipers, E., Szmukler, G., Bebbington, P., & Thornicroft, G. (1997). Perceived sources of work stress and satisfaction among hospital and community mental health staff, and their relation to mental health, burnout and job satisfaction. Journal of Psychosomatic Research, 43, 51-59.

[31] Roth, S., & Cohen, L.J. (1986). Approach, avoidance, and coping with stress. American Psychologist, 41, 813.

[32] Rowe, M.M. (1999). Teaching health-care providers coping: results of a two-year study. Journal of Behavioral Medicine, 22, 511-527.

[33] Schaefer, J.A., & Moos, R.H. (1996). Effects of work stressors and work climate on long-term care staff's job morale and functioning. Research in Nursing & Health, 19, 63-73.

[34] Sveinsdottir, H., Biering, P., & Ramel, A. (2006). Occupational stress, job satisfaction, and working environment among Icelandic nurses: A cross-sectional questionnaire survey. International Journal of Nursing Studies, 43, 875-889.

[35] Tennant, C. (2001). Work-related stress and depressive disorders. Journal of Psychosomatic Research, 51, 697-704.

[36] Tsai, S.-L. (1993). Chinese nurse stress in Taiwan, Republic of China. Issues in Mental Health Nursing, 14, 275-285.

[37] Tyson, P.D., & Pongruengphant, R. (2004). Five-year follow-up study of stress among nurses in public and private hospitals in Thailand. International Journal of Nursing Studies, 41, 247-254.

[38] Tyson, P.D., Pongruengphant, R., & Aggarwal, B. (2002). Coping with organizational stress among hospital nurses in Southern Ontario. International Journal of Nursing Studies, 39, 453-459.

[39] Weiman, C.G. (1977). A study of occupational stressor and the incidence of disease/risk. Journal of Occupational and Environmental Medicine, 19, 119-122.

[40] Xianyu, Y.Y., & Lambert, V.A. (2006). Investigation of the relationships among workplace stressors, ways of coping, and the mental health of Chinese head nurses. Nursing & Health Sciences, 8, 147-155.

[41] Yau, S.Y., Xiao, X.Y., Lee, L.Y.K., Tsang, A.Y.K., Wong, S.L., & Wong, K.F. (2012). Job stress among nurses in China. Applied Nursing Research, 25, 60-64.

[42] You, L.-M., Aiken, L.H., Sloane, D.M., Liu, K., He, G.-P., Hu, Y., & Liu, H.-P. (2013). Hospital nursing, care quality, and patient satisfaction: Cross-sectional surveys of nurses and patients in hospitals in China and Europe. International Journal of Nursing Studies, 50, 154-161.

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