重症监护室护士情感衰竭特点及其与抑郁和创伤后应激障碍的关系：正念的调节作用

鲁芳; 徐媛媛; 于永菊; 彭李; 汪涛; 谢俊鹏; 刘波涛; 李敏

doi:10.16016/j.1000-5404.201901097

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重症监护室护士情感衰竭特点及其与抑郁和创伤后应激障碍的关系：正念的调节作用

医学心理学 | 更新时间：2026-01-09

- 重症监护室护士情感衰竭特点及其与抑郁和创伤后应激障碍的关系：正念的调节作用
- Levels of emotional exhaustion and its relationship with depression and posttraumatic stress disorder in ICU nurses: the moderating effect of mindfulness
- 第三军医大学学报 2019年41卷第14期页码：1397-1402
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)：医学心理系军事心理学教研室
  2.400038 重庆，陆军军医大学(第三军医大学)：护理系护理管理学教研室
  3.400031 重庆，四川外国语学院社会学系社会工作教研室
- 作者简介：
  
  [ 李敏，E-mail: limin52267@tmmu.edu.cn LI Min, E-mail: limin52267@tmmu.edu.cn
- 基金信息：
  
  国家自然科学基金青年科学基金(31700958);重庆市研究生科研创新项目(CYB16120);陆军军医大学人文社科基金(2016XRW09);陆军军医大学人文社科基金(2018XRW09);军事医学预研项目(2016XYY06);重庆市技术创新与应用示范(社会民生类一般)项目(CSTC2018jscx-msybX0119)
- DOI：10.16016/j.1000-5404.201901097
  中图分类号： R192.6;R395.5;R395.6
- 收稿：2019-01-11，
  
  修回：2019-03-08，
  
  纸质出版：2019-07-30
- 稿件说明：
移动端阅览
鲁芳, 徐媛媛, 于永菊, 等. 重症监护室护士情感衰竭特点及其与抑郁和创伤后应激障碍的关系：正念的调节作用[J]. 第三军医大学学报, 2019,41(14):1397-1402.

Fang LU, Yuanyuan XU, Yongju YU, et al. Levels of emotional exhaustion and its relationship with depression and posttraumatic stress disorder in ICU nurses: the moderating effect of mindfulness[J]. Journal of Third Military Medical University, 2019, 41(14): 1397-1402.
鲁芳, 徐媛媛, 于永菊, 等. 重症监护室护士情感衰竭特点及其与抑郁和创伤后应激障碍的关系：正念的调节作用[J]. 第三军医大学学报, 2019,41(14):1397-1402. DOI： 10.16016/j.1000-5404.201901097.

Fang LU, Yuanyuan XU, Yongju YU, et al. Levels of emotional exhaustion and its relationship with depression and posttraumatic stress disorder in ICU nurses: the moderating effect of mindfulness[J]. Journal of Third Military Medical University, 2019, 41(14): 1397-1402. DOI： 10.16016/j.1000-5404.201901097.

摘要

目的

研究重症监护室(intensive care unit，ICU)护士情感衰竭的特点及其与抑郁、创伤后应激障碍的关系，探讨正念对情感衰竭和抑郁、创伤后应激障碍的调节作用。

方法

采用职业倦怠量表(Maslach Burnout Inventory-Human Service Survey

MBI-HSS)的情感衰竭维度(Emotional Exhaustion

EE)、五因素正念量表(Five Facet Mindfulness Questionnaire-Chinese Version

FFMQ-CH)、流调用抑郁量表(Center For Epidemiological Survey

Depression Scale

CES-D)和创伤后应激障碍症状清单平民版(Posttraumatic Stress Disorder Checklist-Civilian Version

PCL-C)，于2016年3月至2017年4月对全国11省市500名ICU护士的情感衰竭、正念、抑郁和创伤后应激障碍水平进行便利抽样调查。采用SPSS 20.0进行统计分析。

结果

① ICU护士情感衰竭得分为(20.82±9.79)分。不同性别和ICU工作年限护士情感衰竭水平差异有统计学意义(

值分别为1.4和3.85

0.05)。② ICU护士情感衰竭与其抑郁、创伤后应激障碍水平呈显著正相关(

值分别为0.61和0.42，

0.01)；与正念水平呈显著负相关(

值为-0.80，

0.01)。③正念在情感衰竭对抑郁和创伤后应激障碍的影响中起调节作用。

结论

ICU护士情感衰竭水平与其正念、抑郁和创伤后应激障碍程度相关。正念水平的增加有助于缓减ICU护士抑郁和创伤后应激障碍症状，促进心理健康。

Abstract

Objective

To investigate the level of emotional exhaustion and its relationship with depression and posttraumatic stress disorder symptoms in intensive care unit (ICU) nurses and explore the moderating effects of mindfulness.

Methods

From March

2016 to April 2017

we conducted a survey of the levels of emotional exhaustion

mindfulness

depression and posttraumatic stress disorder among 500 Chinese ICU nurses in 11 provinces and cities using the Dimension of Emotional Exhaustion in Maslach Burnout Inventory-Human Service Survey (MBI-HSS)

Five Facet Mindfulness Questionnaire-Chinese Version (FFMQ-CH)

Center for Epidemiological Studies Depression Scale (CES-D) and Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C).

Results

The mean score of emotional exhaustion was 20.82±9.79 among the ICU nurses participated in this survey. The level of emotional exhaustion differed significantly between male and female nurses (

=1.4

0.05) and among those with different ICU working experiences (

=3.85

0.05). Emotional exhaustion was negatively correlated with mindfulness (

=-0.80

0.01) and positively correlated with depression (

=0.61

0.01) and posttraumatic stress disorder (

=0.42

0.01). Mindfulness moderated the relationship of emotional exhaustion with depression and posttraumatic stress disorder symptoms.

Conclusion

The level of emotional exhaustion is closely correlated with mindfulness

depression and posttraumatic stress disorder symptoms in ICU nurses. An increased mindfulness level can help the nurses reduce depression and posttraumatic stress disorder symptoms to promote their psychological wellbeing.

关键词

Keywords

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