知觉压力对重症监护室护士焦虑、抑郁情绪的影响: 正念和心理弹性的链式中介作用

何伟; 王宗华; 王蕾; 杜欣; 李琴; 陈雨露; 宋彩萍

doi:10.16016/j.2097-0927.202112123

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知觉压力对重症监护室护士焦虑、抑郁情绪的影响: 正念和心理弹性的链式中介作用

医学心理学 | 更新时间：2026-02-13

- 知觉压力对重症监护室护士焦虑、抑郁情绪的影响: 正念和心理弹性的链式中介作用
- Effect of perceived stress on anxiety and depression among intensive care unit nurses: chain mediating roles of mindfulness and resilience
- 陆军军医大学学报 2022年44卷第7期页码：724-731
- 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：
  
  [宋彩萍, E-mail: scp1974@163.comSONG Caiping, E-mail: scp1974@163.com
- 基金信息：
  
  重庆市科卫联合医学科研项目(2020FYYX035)
- DOI：10.16016/j.2097-0927.202112123
  中图分类号： R192.6;R395.1;R749.7
- 收稿：2021-12-15，
  
  修回：2022-01-27，
  
  纸质出版：2022-04-15
- 稿件说明：
移动端阅览
何伟, 王宗华, 王蕾, 等. 知觉压力对重症监护室护士焦虑、抑郁情绪的影响: 正念和心理弹性的链式中介作用[J]. 陆军军医大学学报, 2022,44(7):724-731.

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.
何伟, 王宗华, 王蕾, 等. 知觉压力对重症监护室护士焦虑、抑郁情绪的影响: 正念和心理弹性的链式中介作用[J]. 陆军军医大学学报, 2022,44(7):724-731. DOI： 10.16016/j.2097-0927.202112123.

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

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