工作压力对护士焦虑情绪的影响：心理危机脆弱性的调节作用

The Influence of Work Stress on Nurses’ Anxiety: The Regulating Effect of Psychological Crisis Vulnerability

摘要: 目的：探究工作压力、心理危机脆弱性与护士焦虑情绪的关系。方法：采用随机抽样的方法抽取341名护理人员，使用焦虑自评量表、中国护士工作压力源量表和心理危机脆弱性量表进行问卷调查。结果：护士焦虑症状的发生率为41.1% (140/341)，焦虑自评量表标准分为49.43 ± 8.508，明显高于国内常模29.78 ± 0.46 (t = 42.643, p < 0.01)；护士焦虑情绪与工作压力呈正相关(r = 0.222, p < 0.01)，工作压力对焦虑情绪有显著的正向预测作用；护士焦虑情绪与心理危机脆弱性呈正相关(r = 0.340, p < 0.01)，心理危机脆弱性对焦虑情绪有显著的正向预测作用；心理危机脆弱性的主效应显著(β = 0.303, t = 5.785, p < 0.01)，工作压力和心理危机脆弱性的交互作用显著(β = 0.164, t = 3.264, p < 0.01)。结论：工作压力通过心理危机脆弱性的调节作用影响焦虑情绪。

Abstract: Objective: To explore the relationship between nurse anxiety, work stress and psychological crisis vulnerability. Methods: A random sampling method was used to extract 341 nursing staff, using the Self-rating Anxiety Scale, the Chinese Nurse Work Stress Source Scale and the Psychological Crisis Vulnerability Scale. Results: The incidence of anxiety symptoms in nurses was 41.1% (140/341); the Self-rating Anxiety Scale standard was 49.43 ± 8.508, which was significantly higher than the domestic norm (t = 42.643, p < 0.01). Nurses' anxiety and work pressure were significantly positive (r = 0.222, p < 0.01). Work stress had a significant positive predictive effect on anxiety; nurse anxiety and psychological crisis vulnerability were significantly positively correlated (r = 0.340, p < 0.01); psychological crisis vulnerability has a significant positive predictive effect on anxiety. There is a significant positive predictive effect on anxiety; the main effect of psychological crisis vulnerability is significant (β = 0.303, t = 5.785, p < 0.01), and the interaction between work stress and psychological crisis vulnerability is significant (β = 0.164, t = 3.264, p < 0.01). Conclusions: Work stress affects anxiety through the regulation of psychological crisis vulnerability.