Effect of perceived stress on anxiety and depression among intensive care unit nurses: chain mediating roles of mindfulness and resilience

Wei HE; Zonghua WANG; Lei WANG; Xin DU; Qin LI; Yulu CHEN; Caiping SONG

doi:10.16016/j.2097-0927.202112123

您当前的位置：

首页 >

文章列表页 >

Effect of perceived stress on anxiety and depression among intensive care unit nurses: chain mediating roles of mindfulness and resilience

Medical Psychology | 更新时间：2026-02-13

- Effect of perceived stress on anxiety and depression among intensive care unit nurses: chain mediating roles of mindfulness and resilience
- Journal of Army Medical University Vol. 44, Issue 7, Pages: 724-731(2022)
- 作者机构：
  
  1.400037 重庆，陆军军医大学(第三军医大学)第二附属医院：消化内科
  2.400038 重庆，陆军军医大学(第三军医大学)护理系临床护理学教研室
  3.400037 重庆，陆军军医大学(第三军医大学)第二附属医院：护理处
  4.400037 重庆，陆军军医大学(第三军医大学)第二附属医院：血液病医学中心
  5.400037 重庆，陆军军医大学(第三军医大学)第二附属医院：神经内科
  6.400037 重庆，陆军军医大学(第三军医大学)第二附属医院：耳鼻喉科
  7.400037 重庆，陆军军医大学(第三军医大学)第二附属医院：院办
- 作者简介：
- 基金信息：
  
  the Joint Project of Chongqing Science and Technology Commission and Chongqing Health Commission(2020FYYX035)
- DOI：10.16016/j.2097-0927.202112123
  CLC： R192.6;R395.1;R749.7
- Received：15 December 2021，
  
  Revised：2022-01-27，
  
  Published：15 April 2022
- 稿件说明：
移动端阅览
Wei HE, Zonghua WANG, Lei WANG, et al. Effect of perceived stress on anxiety and depression among intensive care unit nurses: chain mediating roles of mindfulness and resilience[J]. Journal of Army Medical University, 2022, 44(7): 724-731.
DOI：

Wei HE, Zonghua WANG, Lei WANG, et al. Effect of perceived stress on anxiety and depression among intensive care unit nurses: chain mediating roles of mindfulness and resilience[J]. Journal of Army Medical University, 2022, 44(7): 724-731. DOI： 10.16016/j.2097-0927.202112123.

摘要

目的

研究正念和心理弹性在重症监护室(intensive care unit，ICU)护士知觉压力与焦虑、抑郁情绪的中介作用。

方法

采用便利抽样法，使用一般资料调查表、知觉压力量表(Chinese Perceived Stress Scale

CPSS)、心理弹性量表(Connor-Davidson Resilience Scale，CD-RISC)、焦虑自评量表(Self-rating Anxiety Scale

SAS)、抑郁自评量表(Self-rating Depression Scale

SDS)、正念注意觉知量表(Mindful Attention Awareness Scale，MAAS)对2021年4-7月重庆市15所医院的563名ICU护士进行问卷调查。

结果

ICU护士焦虑自评量表得分(45.99±10.10)分，抑郁自评量表得分(48.62±11.41)分；单因素分析显示性别和收入是ICU护士焦虑情绪的影响因素(

＜0.05)，性别、职称、收入和现患疾病是ICU护士抑郁情绪的影响因素(

＜0.05)；Pearson相关性分析显示焦虑与知觉压力呈正相关(

=0.578，

＜0.01)，与心理弹性和正念呈负相关(

=-0.48

7、-0.525，

＜0.01)，抑郁与知觉压力呈正相关(

=0.591，

＜0.01)，与心理弹性和正念呈负相关(

=-0.569、-0.552，

＜0.01)；中介效应分析提示正念和心理弹性在ICU护士知觉压力与焦虑、抑郁情绪中起链式中介作用(

＜0.01)。

结论

ICU护士存在较高的焦虑、抑郁情绪，正念和心理弹性在ICU护士知觉压力与焦虑、抑郁情绪中起链式中介作用。

Abstract

Objective

To investigate the mediating effects of mindfulness and resilience on perceived stress

anxiety and depression among nurses working in intensive care unit (ICU).

Methods

From April to July 2021

563 ICU nurses from 15 hospitals in Chongqing were enrolled with convenience sampling and surveyed by using general data questionnaire

Chinese Perceived Stress Scale (CPSS)

Connor-Davidson Resilience Scale (CD-RISC)

Self-rating Anxiety Scale (SAS)

Self-rating Depression Scale (SDS) and Mindful Attention Awareness Scale (MAAS).

Results

The scores of SAS and SDS were 45.99±10.10 and 48.62±11.41

respectively. Univariate analysis showed that gender and income were the influencing factors of ICU nurses' anxiety (

0.05)

and gender

professional title

income and current disease were the influencing factors of depression (

0.05); Pearson correlation analysis indicated that anxiety was positively correlated with perceived stress (

=0.578

0.01)

and negatively with resilience and mindful attention awareness (

=-0.487

-0.525

0.01). Depression was positively correlated with perceived stress (

=0.591

0.01)

and negatively with resilience and mindful attention awareness (

=-0.569

-0.552

0.01). The mediating effect analysis suggested that mindfulness and resilience played chain mediating roles in stress

anxiety a

nd depression for ICU nurses (

0.01).

Conclusion

ICU nurses have high anxiety and depression. Mindfulness and resilience play chain mediating roles in perceived stress with anxiety and depression among them.

关键词

Keywords

references

乔红梅, 李葆华, 李薇, 等. 重症监护与普通病房护士焦虑抑郁症状及职业倦怠比较[J]. 中国心理卫生杂志, 2020, 34(3): 191-195. DOI:10.3969/j.issn.1000-6729.2020.3.007.

QIAO H M, LI B H, LI W, et al . Comparison of anxiety, depression, and job burnout of nurses in intensive care unit to nurses in general ward[J ] . Chin Ment Heal J, 2020, 34(3): 191-195. DOI:10.3969/j.issn.1000-6729.2020.3.007.

KANDEMIR D, TEMIZ Z, OZHANLI Y, et al . Analysis of mental health symptoms and insomnia levels of intensive care nurses during the COVID-19 pandemic with a structural equation model[J ] . J Clin Nurs, 2021. DOI:10.1111/jocn.15918.

HUANG C L, WU M P, HO C H, et al . Risks of treated anxiety, depression, and insomnia among nurses: a nationwide longitudinal cohort study[J ] . PLoS One, 2018, 13(9): e0204224. DOI:10.1371/journal.pone.0204224.

MOSS M, GOOD V S, GOZAL D, et al . A n official critical care societies collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action[J ] . Crit Care Med, 2016, 44(7): 1414-1421. DOI:10.1097/CCM.0000000000001885.

COHEN S, KAMARCK T, MERMELSTEIN R. A global measure of perceived stress[J]. J Health Soc Behav, 1983, 24(4): 385-396. DOI:10.2307/2136404.

徐松, 吴娟娟, 许辰, 等. 武汉地区新型冠状病毒肺炎定点医院一线医护人员心理健康调查及分析[J]. 第三军医大学学报, 2020, 42(18): 1830-1835. DOI:10.16016/j.1000-5404.202003221.

XU S, WU J J, XU C, et al . Survey of mental health status of first-line healthcare workers in designated hospitals for COVID-19 in Wuhan[J ] . J Third Mil Med Univ, 2020, 42(18): 1830-1835. DOI:10.16016/j.1000-5404.20200 3221.

VAHEDIAN-AZIMI A, HAJIESMAEILI M, KANGASNIEMI M, et al . Effects of stress on critical care nurses: a national cross-sectional study[J ] . J Intens Care Med, 2019, 34(4): 311-322. DOI:10.1177/0885066617696853.

FREUDENTHALER L, TURBA J D, TRAN U S. Emotion regulation mediates the associations of mindfulness on symptoms of depression and anxiety in the general population[J]. Mindfulness, 2017, 8(5): 1339-1344. DOI:10.1007/s12671-017-0709-y.

鲁芳. 正念干预对ICU护士心理健康和职业倦怠的影响: 注意控制的作用研究[D]. 重庆: 陆军军医大学, 2019.

LU F. Effect of mindfulness intervention on mental health and job burnout of ICU nurses and the possible function of attentional control[D]. Chongqing: Army Medical University, 2019.

CHOI K W, STEIN M B, DUNN E C, et al . Genomics and psychological resilience: a research agenda[J ] . Mol Psychiatry, 2019, 24(12): 1770-1778. DOI:10.1038/s41380-019-0457-6.

LUTHAR S S, CICCHETTI D, BECKER B. The construct of resilience: a critical evaluation and guidelines for future work[J]. Child Dev, 2000, 71(3): 543-562. DOI:10.1111/1467-8624.00164.

刘朝霞, 郑凯莉, 储珺, 等. 心理弹性与神经质中介压力知觉与抑郁症状的关系: 基于路径分析[J]. 中国临床心理学杂志, 2021, 29(2): 352-356. DOI:10.16128/j.cnki.1005-3611.2021.02.027.

LIU Z X, ZHENG K L, CHU J, et al . The mediation of resilience and neuroticism on the relationship between perceived stress and depression: based on path analysis[J ] . Chin J Clin Psychol, 2021, 29(2): 352-356. DOI:10.16128/j.cnki.1005-3611.2021.02.027.

徐景彩, 陈亮, 樊荣. 后疫情时期医学生心理弹性在压力与焦虑症状关系中的中介作用[J]. 环境与职业医学, 2021, 38(8): 853-859. DOI:10.13213/j.cnki.jeom.2021.20612.

XU J C, CHEN L, FAN R. Mediating role of psychological resilience in relationship between stress and anxiety symptoms of medical students in post COVID-19 period[J]. J Environ Occup Med, 2021, 38(8): 853-859. DOI:10.13213/j.cnki.jeom.2021.20612.

杨廷忠, 黄汉腾. 社会转型中城市居民心理压力的流行病学研究[J]. 中华流行病学杂志, 2003, 24(9): 760-764. DOI:10.3760/j.issn: 0254-6450.2003.09.004.

YANG T Z, HUANG H T. An epidemiological study on stress among urban residents in social transition period[J]. Chin J Epidemiol, 2003, 24(9): 760-764. DOI:10.3760/j.issn: 0254-6450.2003.09.004.

CONNOR K M, DAVIDSON J R T. Development of a new resilience scale: the connor-Davidson resilience scale (CD-RISC)[J]. Depress Anxiety, 2003, 18(2): 76-82. DOI:10.1002/da.10113.

于肖楠, 张建新. 自我韧性量表与Connor-Davidson韧性量表的应用比较[J]. 心理科学, 2007, 30(5): 1169-1171. DOI:10.16719/j.cnki.1671-6981.2007.05.035.

YU X N, ZHANG J X. A comparison between the Chinese version of ego-resiliency scale and connor-davidson resilience scale[J]. Psychol Sci, 2007, 30(5): 1169-1171. DOI:10.16719/j.cnki.1671-6981.2007.05.035.

张明园. 精神科评定量表手册[M]. 长沙: 湖南科学技术出版社, 1993: 34-41.

ZHANG M Y. Psychiatric rating scale manual[M]. Changsha: Hunan Science and Technology Press, 1993: 34-41.

BROWN K W, RYAN R M. The benefits of being present: mindfulness and its role in psychological well-being[J]. J Pers Soc Psychol, 2003, 84(4): 822-848. DOI:10.1037/0022-3514.84.4.822.

陈思佚, 崔红, 周仁来, 等. 正念注意觉知量表(MAAS)的修订及信效度检验[J]. 中国临床心理学杂志, 2012, 20(2): 148-151. DOI:10.16128/j.cnki.1005-3611.2012.02.024.

CHEN S Y, CUI H, ZHOU R L, et al . Revision of mindful attention awareness scale(MAAS)[J ] . Chin J Clin Psychol, 2012, 20(2): 148-151. DOI:10.16128/j.cnki.1005-3611.2012.02.024.

王汝杰, 李静, 梅俊华, 等. 新型冠状病毒肺炎患者自杀风险、睡眠、心理状况及影响因素[J]. 第三军医大学学报, 2020, 42(14): 1462-1468. DOI:10.16016/j.1000-5404.202003229.

WANG R J, LI J, MEI J H, et al . Poor sleep quality, anxiety and depression are associated with an increased suicide risk in patients with coronavirus disease 2019[J ] . J Third Mil Med Univ, 2020, 42(14): 1462-1468. DOI:10.16016/j.1000-5404.202003229.

蔡阿燕, 杨洁敏, 许爽, 等. 表达抑制调节负性情绪的男性优势: 来自事件相关电位的证据[J]. 心理学报, 2016, 48(5): 482-494. DOI:10.3724/SP.J.1041.2016.00482.

CAI A Y, YANG J M, XU S, et al . The male advantage in regulating negative emotion by expressive suppression: an event-related potential study[J ] . Acta Psychol Sin, 2016, 48(5): 482-494. DOI:10.3724/SP.J.1041.2016.00482.

梁敉宁, 陈琼妮, 李亚敏, 等. 湖南省4237名护士焦虑、抑郁、失眠现状及影响因素[J]. 中南大学学报(医学版), 2021, 46(8): 822-830. DOI:10.11817/j.issn.1672-7347.2021.210212.

LIANG M N, CHEN Q N, LI Y M, et al . Status quo and influencing factors for anxiety, depression, and insomnia among 4237 nurses in Hunan Province[J ] . J Central South Univ Med Sci, 2021, 46(8): 822-830. DOI:10.11817/j.issn.1672-7347.2021.210212.

KIM O, KIM B, JEONG H, et al . Sleep, fatigue, and depressive symptoms among female nurses with allergic rhinitis[J ] . Healthcare (Basel), 2021, 9(10): 1328. DOI:10.3390/healthcare9101328.

WILLIAMS M S, ZIEGELSTEIN R C, MCCANN U D, et al . Platelet serotonin signaling in patients with cardiovascular disease and comorbid depression[J ] . Psychosom Med, 2019, 81(4): 352-362. DOI:10.1097/PSY.000000000 0000689.

ZHENG J L, LI J M, PEI T D, et al . Depressive symptoms and chronic lung disease in middle-aged and older Chinese adults: prospective b idirectional association and mediation analysis[J ] . J Affect Disord, 2022, 297: 283-293. DOI:10.1016/j.jad.2021.10.023.

RAN L Y, WANG W, AI M, et al . Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: a study of the general population in China at the peak of its epidemic[J ] . Soc Sci Med, 2020, 262: 113261. DOI:10.1016/j.socscimed.2020.113261.

VARMA P, JUNGE M, MEAKLIM H, et al . Younger people are more vulnerable to stress, anxiety and depression during COVID-19 pandemic: a global cross-sectional survey[J ] . Prog Neuropsychopharmacol Biol Psychiatry, 2021, 109: 110236. DOI:10.1016/j.pnpbp.2020.110236.

ALKHAWALDEH J M A, SOH K L, MUKHTAR F B M, et al . Stress management interventions for intensive and critical care nurses: a systematic review[J ] . Nurs Crit Care, 2020, 25(2): 84-92. DOI:10.1111/nicc.12489.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Mediating role of mindfulness attention awareness between perceived stress and depressive in patients with concomitant depression and insomnia

Effect of perceived stress on insomnia severity among male soldiers: mediating role of depression and moderating role of mindfulness

Effects of benefit finding training on emotion, resilience and post-traumatic growth in college freshmen

Relationship between perceived stress and insomnia in recruits: chain-mediated effects of brooding and depression

Simulated high altitude hypoxia induces anxiety- and depression-like behaviors in mice

Related Author

CHEN Hui

WANG Zonghua

LIN Hui

HE Wei

Huang Lei

HUI Xiao

CHEN Qing

DONG Jiqiu

Related Institution

Department of Gastroenterology

Department of Medical psychology

Department of Medical Affairs， Second Affiliated Hospital， Army Medical University （Third Military Medical University）

Department of Clinical Nursing， School of Nursing， Army Medical University （Third Military Medical University）

重庆市卫生健康统计信息中心

⁰