军医大学护士长心理压力与情感衰竭、生活满意度及情绪调节方式的关系

徐霞; 王亚玲; 徐铭; 田晓翠; 鲁芳; 袁媛

doi:10.16016/j.1000-5404.202006077

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军医大学护士长心理压力与情感衰竭、生活满意度及情绪调节方式的关系

医学心理学 | 更新时间：2026-01-09

- 军医大学护士长心理压力与情感衰竭、生活满意度及情绪调节方式的关系
- Relationships of perceived stress with emotional exhaustion and life satisfaction and moderating effect of emotion regulation in head nurses from affiliated hospitals of military medical universities
- 第三军医大学学报 2020年42卷第24期页码：2433-2438
- 作者机构：
  
  1.400042 重庆，陆军特色医学中心护理部
  2.400042 重庆，陆军特色医学中心健康体检中心
  3.400042 重庆，陆军特色医学中心神经内科
  4.400038 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
  5.400038 重庆，陆军军医大学(第三军医大学)第一附属医院临床护理学教研室
- 作者简介：
  
  [鲁芳，E-mail: 93675904@qq.com LU Fang, E-mail: 93675904@qq.com
- 基金信息：
  
  陆军军医大学人文社科基金(2018XRW09)
- DOI：10.16016/j.1000-5404.202006077
  中图分类号： R192.6;R395.6;R821.2
- 收稿：2020-06-09，
  
  修回：2020-08-28，
  
  纸质出版：2020-12-30
- 稿件说明：
移动端阅览
徐霞, 王亚玲, 徐铭, 等. 军医大学护士长心理压力与情感衰竭、生活满意度及情绪调节方式的关系[J]. 第三军医大学学报, 2020,42(24):2433-2438.

Xia XU, Yaling WANG, Ming XU, et al. Relationships of perceived stress with emotional exhaustion and life satisfaction and moderating effect of emotion regulation in head nurses from affiliated hospitals of military medical universities[J]. Journal of Third Military Medical University, 2020, 42(24): 2433-2438.
徐霞, 王亚玲, 徐铭, 等. 军医大学护士长心理压力与情感衰竭、生活满意度及情绪调节方式的关系[J]. 第三军医大学学报, 2020,42(24):2433-2438. DOI： 10.16016/j.1000-5404.202006077.

Xia XU, Yaling WANG, Ming XU, et al. Relationships of perceived stress with emotional exhaustion and life satisfaction and moderating effect of emotion regulation in head nurses from affiliated hospitals of military medical universities[J]. Journal of Third Military Medical University, 2020, 42(24): 2433-2438. DOI： 10.16016/j.1000-5404.202006077.

摘要

目的

研究军医大学护士长心理压力状况及其与情感衰竭、生活满意度的关系，以及情绪调节方式在其中的潜在作用。

方法

采用知觉压力量表(Chinese perceived stress scale

CPSS)、职业倦怠量表(maslach burnout inventory-human service survey

MBI-HSS)的情感衰竭维度(emotional exhaustion

EE)、情绪调节量表(emotion regulation scale

ERS)和生活满意度量表(satisfaction with life scale

SWLS)，于2020年1月对3所军医大学8家附属医院的142名护士长的压力、情感衰竭、情绪调节水平和生活满意度进行方便抽样调查。

结果

① 军医大学护士长心理压力总分为(24.49±6.88)分，以CPSS得分26分为临界值，存在健康危险性压力的占比为47.18%。②不同年龄、婚姻状况、职称、学历和护龄的护士长的心理压力水平差异具有统计学意义(

0.05)。③心理压力水平与情感衰竭呈显著正相关(

=0.45，

0.01)，与情绪调节方式的认知重评、生活满意度呈显著负相关(

=-0.35、-0.43，

0.01)。④表达抑制在心理压力水平对情感衰竭的影响中起调节作用。

结论

军医大学护士长心理压力水平较高，与情感衰竭、情绪调节方式、生活满意度密切相关，合理的情绪调节策略有助于缓解护士长情感衰竭水平，提高生活满意度，促进身心健康。

Abstract

Objective

To investigate the relationships of perceived stress with emotional exhaustion and life satisfaction

and probe the moderating roles of emotion regulation in the relationships.

Methods

Convenience sampling survey was carried out in 142 head nurses in the affiliated hospitals of 3 Military Medical Universities in January 2020. Chinese Perceived Stress Scale (CPSS)

Dimension of Emotional Exhaustion (EE) in Maslach Burnout Inventory-Human Service Survey (MBI-HSS)

Emotion Regulation Scale (ERS) and Satisfaction with Life Scale (SWLS) were applied to investigate their perceived level of stress

emotion regulation and satisfaction with life.

Results

① The total score of perceived stress was 24.49±6.88. When the score of 26 was taken as the cut-off value of CPSS

there were 47.18% head nurses under the risk of stress. ②Head nurses with different age

marital status

professional title

educational background and service length had significant differences in perceived level of stress (

0.05). ③Perceived level of stress was positively correlated with emotional exhaustion (

=0.45

0.01)

but negatively correlated with cognitive reappraisal and life satisfaction (

=-0.35

-0.43

0.01). ④Expressive suppression moderated the relationship between perceived stress and emotional exhaustion.

Conclusion

For the head nurses from the military medical universities

their higher perceived level of stress is closely correlated with emotional exhaustion and life satisfaction. Rational emotion regulation strategies will help to reduce emotional exhaustion

improve life satisfaction and promote mental health.

关键词

Keywords

references

牛春红.天津市河北区三级医院护士长压力调查与分析[J].齐齐哈尔医学院学报, 2019, 40(4): 496-498. DOI: 10.3969 /j.issn.1002-1256.2019.04.042.

NIU C H.Investigation and analysis on the pressure of head nurse in third level hospitals in Hebei district of Tianjin[J]. J Qiqihaer Med Univ, 2019, 40(4): 496-498. DOI: 10.3969 /j.issn.1002-1256.2019.04.042.

孙璇, 李静, 王迎, 等.三级医院护士长睡眠质量与心理健康状况调查研究[J].实用预防医学, 2019, 26(10)1224-1227. DOI: 10.3969/j.issn.1006-3110.2019.10.018.

SUN X, LI J, WANG Y, et al .Investigation quality of sleeping and status of psychological health among head nurses in tertiary hospitals[J ] . Pract Prev Med, 2019, 26(10)1224-1227. DOI: 10.3969/j.issn.1006-3110.2019.10.018.

连冬梅, 孙静, 程蕾, 等.北京市5家三甲医院儿科护士压力源、职业倦怠及焦虑情绪的调查[J].中华现代护理杂志, 2018, 24(23): 2762-2765. DOI: 10.3760/ema.i.issn.1674-2907.2018.23.008.

LIAN D M, SUN J, CHENG L, et al . Stressor, job burnout and anxiety of pediatric nurses of 5 Class Ill Grade A hospitals of Beijing[J ] . Chin J Mod Nurs, 2018, 24(23): 2762-2765. DOI:10.3760/ema.i.issn.1674-2907.2018.23.008.

LUAN X, WANG P, HOU W, et al . Job stress and burnout: a comparative study of senior and head nurses in China[J ] . Nurs Health Sci, 2017, 19(2): 163-169. DOI: 10.1111/nhs.12328.

RAY R D, WILHELM F H, GROSS J J. All in the mind's eye? Anger rumination and reappraisal[J]. J Pers Soc Psychol, 2008, 94(1): 133-145. DOI: 10.1037/0022-3514.94.1.133.

陈秀秀, 左昕, 彭李, 等.某部新兵集训期心理状况与情绪调节方式及认知偏向的关系[J].第三军医大学学报, 2016, 38(16): 1900-1904. DOI: 10.16016/j.1000-5404.201512030.

CHEN X X, ZUO X, PENG L, et al . Relationship of mental status with emotion regulation and cognitive bias in a troop of recruits during training[J ] . J Third Mil Med Univ, 2016, 38 (16): 1900-1904. DOI: 10.16016/j.1000-5404.201512030.

王广曦, 李颖, 李永娟.基于日记法探索工作压力对生活满意度的溢出效应[J].中国临床心理学杂志, 2016, 24(4): 689-694. DOI: 10.16128/j.cnki.1005-3611.2016.04.026.

WANG G X, LI Y, LI Y G.Spillover effect of job stress on life satisfaction: a diary study[J]. Chin J Clin Psychol, 2016, 24(4): 689-694. DOI: 10.16128/j.cnki.1005-3611.2016.04.026.

EXTREMERA N, REY L. The moderator role of emotion regulation ability in the link between stress and well-being[J]. Front Psychol, 2015, 6: 1632. DOI: 10.3389/fpsyg.2015.01632.

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.

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

陈素坤.临床心理护理指导[M].北京:科学技术文献出版社, 2002: 207-219.

CHEN S K. Clinical psychological nursing guide[M].Beijing: Sci&Tech Document Press, 2002: 207-219.

Maslach C, Schaufeli W B. Professional burnout: Recent developments in theory and research[M]. Washington D C: Taylor&Francis, 1993: 1-16.

冯莺, 骆宏, 叶志弘. MBI量表在护士工作倦怠研究中的测试[J].中国心理卫生杂志, 2004, 18(7): 477-479.

FENG Y, LUO H, YE Z H. Job burnout of nurses[J]. Chin Ment Heal J, 2004, 18(7): 477-479.

GROSS J J, JOHN O P. Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being[J]. J Pers Soc Psychol, 2003, 85(2): 348-362. DOI: 10.1037/0022-3514.85.2.348.

李佳欢, 孙继伟, 柴娜, 等.情绪调节在护士职业压力与职业倦怠间的中介效应[J].中国实用护理杂志, 2017, (33): 144-148. 10.3760/cma.j.issn.1672-7088.2017.02.017.

LI J X, SUN J W, CHAI N, et al .Mediating effect of emotion regulation on relationship between occupational stress and job burnout of nurses[J ] . Chin J Practl Nurs, 2017, 33 (2): 144-148. 10.3760/cma.j.issn.1672-7088.2017.02.017.

DIENER E. Subjective well-being[J].Psychol Bull, 1984, 95(3): 542-575.

苏布道额尔敦.对蒙古国综合医院护士长的护理职业压力评价研究[D].通辽: 内蒙古民族大学, 2018.

SUBDEED.Mongolian general hospitals head nursing workload[D].Tongliao: Inner Mongol University for Nationalities, 2018.

黄华玲, 朱海华, 杨银玲, 等.组织变革背景下护士长工作体验的质性研究[J].护理学杂志, 2018, 33(18): 51-53. DOI: 10.3870/j.issn.1001-4152.2018.18.051.

HUANG H L, ZHU H H, YANG Y L, et al . Qualitative study on work experience of head nurses under the back ground of organizational change[J ] .J Nurs Sci, 2018, 33(18): 51-53. DOI: 10.3870/j.issn.1001-4152.2018.18.051.

GUO H, NI C, LIU C, et al . Perceived job stress among community nurses: a multi-center cross-sectional study[J ] . Int J Nurs Pract, 2019, 25(1): e12703. DOI: 10.1111/ijn.12703.

BRÄNNLUND A, HAMMARSTRÖM A. Higher education and psychological distress: a 27-year prospective cohortstudy in Sweden[J].Scand J Public Heal, 2014, 42(2): 155-162. DOI: 10.1177/1403494813511559.

张淑豪, 郝玉玲, 杨旭, 等.山东滨州地区三级综合性医院护士职业倦怠与工作压力、职业认同的相关性[J].解放军护理杂志, 2015, 32(9): 14-17.

ZHANG S H, HAO Y L, YANG X, et al . Correlationship between job burnout and job stressors, professional identity of nurses in Binzhou of Shandong Province[J ] . Nurs J Chin PLA, 2015, 32(9): 14-17.

徐芳, 孙红.正念在精神科护士职业压力与生活满意度间的中介及调节作用[J].中国护理管理, 2018, 18(9): 1213-1216. DOI: 10.3969/j.issn.1672-1756.2018.09.01.

XU F, SUN H.Mediating and moderating effects of mindfulness between occupational stress and life satisfaction in psychiatric nurses[J]. Chin Nurs Manag, 2018, 18(9): 1213- 1216. DOI: 10.3969/j.issn.1672-1756.2018.09.01.

SCHADENHOFER P, KUNDI M, ABRAHAMIAN H, et al . Job-related meaningfulness moderates the association between over-commitment and emotional exhaustion in nurses[J ] . J Nurs Manag, 2018, 26(7): 820-832. DOI: 10.1111/jonm.12602.

冯仰辉, 沈新, 张慧娟.组织支持感在ICU护士工作压力和工作满意度间的调节效应[J].中国护理管理, 2019, 19(3): 409-413. DOI: 10.3969/j.issn.1672-1756.2019.03.017.

FENG Y H, SHEN X, ZHANG H J. Job stress and job satisfaction of ICUnurses: the moderating effects of perceived organization support[J]. Chin Nurs Manag, 2019, 19(3): 409-413. DOI: 10.3969/j.issn.1672-1756.2019.03.017.

孙岩, 薄思雨, 吕娇娇.认知重评和表达抑制情绪调节策略的脑网络分析:来自EEG和ERP的证据[J].心理学报, 2020, 52(1): 12-25.

SUN Y, BO S Y, LYU J J. Brain network analysis of cognitive reappraisal and expressive inhibition strategies: Evidence from EEG and ERP[J]. Acta Psychol Sin, 2020, 52(1): 12-25.

BUTLER E A, LEE T L, GROSS J J. Emotion regulation and culture: Are the social consequences of emotion suppression culture-specific?[J]. Emotion, 2007, 7(1): 30-48. DOI: 10.1037/1528-3542.7.1.30.

KIRWAN M, PICKETT S M, JARRETT N L. Emotion regulation as a moderator between anxiety symptoms and insomnia symptom severity[J]. Psychiatry Res, 2017, 254: 40-47. DOI: 10.1016/j.psychres.2017.04.028.

TOO L S, BUTTERWORTH P. Psychosocial job stressors and mental health: the potential moderating role of emotion regulation[J]. J Occup Environ Med, 2018, 60(10): e518-e524. DOI: 10.1097/jom.0000000000001416.

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