Ying GUO, Hanqiao MA, Jia ZENG, et al. Relationship among cognitive emotion strategy, social support and perceived stress in nursing staff[J]. Journal of Third Military Medical University, 2019, 41(2): 170-176.
DOI:
Ying GUO, Hanqiao MA, Jia ZENG, et al. Relationship among cognitive emotion strategy, social support and perceived stress in nursing staff[J]. Journal of Third Military Medical University, 2019, 41(2): 170-176. DOI: 10.16016/j.1000-5404.201808032.
Relationship among cognitive emotion strategy, social support and perceived stress in nursing staff
To explore the differences in the selection of cognitive-emotional regulation strategies between nurses with normal perceived stress scores and those with at-risk scores
and explore the predictive effects of cognitive emotion regulation strategies and social support on perceived stress in the nursing staff.
Methods
2
We surveyed a total of 1 354 nurses using the Chinese Perceived Stress Scale
Cognitive Emotion Regulation Questionnaire
and Social Support Rating Scale. Mediation analysis with structural equation modeling was conducted to test the mediating effect of social support on the relationship between cognitive emotion regulation strategy and perceived stress.
Results
2
The nurses with normal and hazardous stress scores showed significant differences in the scores for all the dimensions of cognitive emotion regulation strategies and social support (
P
<
0.01). Pearson correlation analysis showed that the perceived stress scores (24.82±8.39) were negatively correlated with the scores of positive emotion regulation strategy (65.76±10.06;
r
=-0.295
P
<
0.01)
subjective support (24.02±4.77;
r
=-0.306
P
<
0.01)
Objective support (9.55±2.99;
r
=-0.196
P
<
0.01) and utilization of support (7.94±1.84;
r
=-0.306
P
<
0.01)
and positively correlated with the score of negative emotional regulation strategy (42.53±8.75;
r
=0.472
P
<
0.01). Multivariate regression analysis showed that most of the dimensions of cognitive emotion regulation strategies and social support were predictive of the level of perceived stress. Mediation analysis indicated a partial mediating effect of social support on the relationship between cognitive emotion regulatio
n strategies and perceived stress: The mediating effect between self-blame and perceived stress accounted for 9.8% of the total effect
that between catastrophization and perceived stress accounted for 12.9%
that between positive re-focus and perceived stress accounted for 21.1%
and that between positive re-evaluation and perceived stress accounted for 19.0% (All
P
<
0.05).
Conclusion
2
The nurses who choose positive emotion regulation strategy and with a good social support condition have lower levels of perceived stress
and a negative emotion regulation strategy is associated with an increased level of perceived stress. Cognitive emotional regulation strategies and social support have significant predictive effects on perceived stress.
CHEN T X, SUN H, CUI Q X, et al . Research progress on occupational stress and coping of nurses in emergency department of general hospital[J ] . Nurs Pract Res, 2016, 13(5): 18-20. DOI: 10.3969/j.issn.1672-9676.2016.05.007.
LIU Y, ZHANG M H, YANG L. The mediating effect of self-efficacy between the perceived stress and work well-being of doctors[J]. Chin J Behav Med Brain Sci, 2017, 26(9): 852-855. DOI: 10.3760/cma.j.issn.1674-6554.2017.09.017.
GAMEFSKI N, VAN DEN KOMMER T N, KRAAIJ V, et al . The relationship between cognitive emotion regulation strategies and emotional problems: comparison between a clinical and a non-clinical sample[J ] . Eur J Personal, 2010, 16(5): 403-420. DOI: 10.1002/per.458.
DONG G H, ZHU Y X, YANG L Z, et al . Practice of the Chinese version on the Cognitive Emotion Regulation Questionaire (CERQ)[J ] . Chin J Health Pshchol, DOI: 10.13342/j.cnki.cjhp.2008.04.025.
ZHAO L H, ZHAO X P, ZHANG L F, et al , Association of cognitive emotion regulation with depression among nurses[J ] . Chin J Public Health, 2013, 29(6): 887-889.
LI L, ZHANG L L. Survey on cognitive emotion regulation strategies among nursing students[J]. J Nurs Sci, 2010, 25(11): 55-57. DOI: 10.3870/hlxzz.2010.11.055.
ZHAO W, XUAN Y Z. Study on relationship between nursing students' life events, cognitive emotion regulation and resilience[J]. Chin Nurs Res, 2013, 27(8): 2323-2325. DOI: 10.3969/j.issn.1009-6493.2013.22.007.
JIN L, MA X H. Status of cognitive emotion regulation stracties of clinical nurses[J]. J Nurs, 2012, 19(10A): 68-70. DOI: 10.16460/j.issn 1008-9969.2012.19.021.
WANG P. An analysis of the differences between Freud's and Jung's subconsciousness theory[J]. J Edu Coll Taiyuan Univ, 2010, 29(3):11-14. DOI: 10.14152/j.cnki.1673-7016.2011.03.013.
LIU H, YANG D Q, SONG Y H, et al . Analysis of test results of Social Support Rating Scale for 400 medical staff[J ] . China Minkang Med, 2011, 23(19): 2412-2414. DOI: 10.3969/j.issn.1672-0369.2011.19.028.