摘要
目的调查精神科护士自我效能感与自我接纳及应对方式的关系,并探讨自我效能感在自我接纳和积极应对方式的中介作用。方法采用一般资料问卷、简易应对方式量表、自我接纳问卷对山东省的6家地市级精神病专科医院的813名临床精神科护士进行问卷调查,并对调查结果进行分析。结果精神科护士自我效能感得分(2.40 ± 0.54)分,积极应对方式得分(2.09 ± 0.47)分,与国分内常模比较差异均有统计学意义(t=-15.072、12.76,P<0.01)。自我接纳总分为(42.28 ± 4.91)分,自我接纳因子(21.76 ± 3.60)分,自我评价因子为(20.53 ± 3.36)分,与国内常模比较差异均无统计学意义(P>0.05)。精神科护士积极应对方式与自我效能感、自我接纳和自我评价均呈正相关(P<0.01),消极应对方式与自我接纳、自我评价呈负相关(P<0.01),自我接纳和自我效能是应对方式的重要预测变量,自我效能在自我接纳和应对方式中起部分中介作用,中介效应量0.155,95%CI(0.117~0.202)。结论提高精神科护士自我效能感是改善精神科护士应对方式的有效途径之一。
Objective To investigate the relationship between psychiatric nurses' self-efficacy, self-acceptance and coping style, and to explore the intermediary role of psychiatric nurses′ self-efficacy in self-acceptance and positive coping style. Methods Totally 813 clinical nurses in 6 prefectural and municipal psychiatric hospitals in Shandong Province were investigated with general information questionnaire, simple coping style scale and self-acceptance questionnaire, and the results were analyzed. Results The scores of self-efficacy and positive coping styles of psychiatric nurses were (2.40 ±0.54) and (2.09 ±0.47) points.The difference was statistically significant (t=-15.072, 12.76, P < 0.01), the total score of self-acceptance was (42.28 ±4.91) points, the score of self-acceptance factor was (21.76 ±3.60) points, the score of self-evaluation factor was (20.53 ±3.36) points. There was no significant difference compared with the domestic norm (P>0.05). Positive coping style was positively correlated with self-efficacy, self-acceptance and self-evaluation (P < 0.01), negative coping style was negatively correlated with self-acceptance and self-evaluation (P<0.01). Self-acceptance and self-efficacy were important predictors of coping style, Self-efficacy plays an intermediary role in self-acceptance and coping style, and the mediating effect was 0.155, 95%CI (0.117-0.202). Conclusion Improving self-efficacy of psychiatric nurses was one of the effective ways to improve coping style of nurses.
作者
张炜
孙菲菲
卢庆华
Zhang Wei;Sun Feifei;Lu Qinghua(Ward 15th, Shandong Mental Health Center, Ji′nan 250014, China;Nursing Department of Shandong Mental Health Center, Ji′nan 250014, China)
出处
《中国实用护理杂志》
2019年第21期1667-1671,共5页
Chinese Journal of Practical Nursing
基金
山东省医药卫生科技发展计划项目(2018WS296).
关键词
自我接纳
自我效能
应对方式
中介
Self-efficacy
Self-acceptance
Coping style
Mediation
