军队转型期护理人员知觉压力与抑郁关系：主观幸福感的中介作用

Intermediary Role of Subjective Well-Being on Relationship between Perceived Stress and Depression among Nurses during the Military Reform

摘要: 目的：了解主观幸福感在某部队疗养院护理人员知觉压力与抑郁间的作用机制。方法：采取整群抽样方法，应用中文版知觉压力量表(CPSS)、总体幸福感量表(GWB)和自评抑郁量表(SDS)对114名某部队疗养院护理人员进行问卷调查，并进行描述性分析、相关分析和分层回归分析等。结果：① 114名护理人员CPSS得分为(17.99 ± 7.36)分，显著低于女性常模(24.68 ± 5.61)分(P < 0.01)；GWB得分为(81.69 ± 11.49)分，显著高于国内女性常模的(71.00 ± 18.00)分(P < 0.01)；SDS得分为(44.05 ± 11.45)分，高于中国成人常模(41.88 ± 10.57)分(P < 0.05)。② 相关分析结果显示，SDS与CPSS存在显著正相关(r = 0.670, P < 0.01)；与GWB存在显著负相关(r = −0.687, P < 0.01)。CPSS与GWB存在显著负相关(r = −0.741, P < 0.01)。③ 分层回归分析结果表明，当主观幸福感进入回归方程后，知觉压力对抑郁的回归系数变小，且达到显著水平(P < 0.01)。结论：护理人员主观幸福感在知觉压力和抑郁间起到部分中介作用。

Abstract: Objective: To understand the mechanism of subjective well-being between perceived stress and depression among nursing staff in a sanatorium in a military sanatorium. Methods: 114 nursing staff in a military sanatorium were surveyed by whole group sampling method, and the Chinese Perceived Stress Scale (CPSS), General Well-Being Schedule (GWB) and Self-Rating Depression Scale (SDS), and descriptive analysis, correlation analysis and hierarchical regression analysis were carried out. Results: ① The CPSS score of 114 nursing staff was (17.99 ± 7.36), which was significantly lower than that of female normal models (24.68 ± 5.61, P < 0.01); GWB score was (81.69 ± 11.49), which was significantly higher than that of female normal models in China (71.00 ± 18.00, P < 0.01); SDS score is (44.05 ± 11.45), which was higher than Chinese adult normal model (41.88 ± 10.57, P < 0.05). ② The correlation analysis results show that there is a significant positive correlation between SDS and CPSS (r = 0.670, P < 0.01); there is a significant negative correlation with GWB (r = −0.687, P < 0.01). There is a significant negative correlation between CPSS and GWB (r = −0.741, P < 0.01). ③ The results of regression analysis show that when subjective well-being enters the regression equation, the regression coefficient of perceptual stress to depression becomes smaller and reaches a significant level (P < 0.01). Conclusion: The subjective well-being of nursing staff plays a partial intermediary role between perceived stress and depression.