情绪调节自我效能感在ICU护士叙事能力与反刍性沉思的中介效应分析

doi:10.16460/j.issn1008-9969.2024.01.017

摘要/Abstract

摘要： 目的探讨情绪调节自我效能感在ICU护士叙事能力对反刍性沉思影响机制中的中介作用。方法采用便利抽样法,选取2022年6—9月广东省34所三级甲等医院和7所二级甲等医院的472名ICU护士,采用一般资料问卷、事件相关性反刍性沉思量表、医学叙事能力量表和情绪调节自我效能感问卷对其进行调查,采用SPSS 25.0检验中介效应。结果本组ICU护士叙事能力总分为143.00（130.25,155.00）分,反刍性沉思总分为25.00（20.00,36.00）分,情绪调节自我效能感总分为45.00（39.00,48.00）分。叙事能力与侵入性反刍性沉思呈负相关（r_s=-0.121,P<0.01）;叙事能力与情绪调节自我效能感呈正相关（r_s=0.490,P<0.001）;叙事能力可正向预测情绪调节自我效能感（β=0.186,P<0.001）;情绪调节自我效能感可负向预测反刍性沉思（β=-0.423,P<0.001）;情绪调节自我效能感在叙事能力与反刍性沉思之间起遮掩作用,间接效应值为-0.079,占直接效应的85.9%。结论叙事能力对反刍性沉思有直接预测作用,情绪调节自我效能感在叙事能力和反刍性沉思之间发挥遮掩效应。建议护理管理者加强培养ICU护士的叙事能力,提高情绪调节自我效能感,减少压力事件带来的负性反刍。

关键词: ICU护士, 叙事能力, 反刍性沉思, 情绪调节自我效能感, 遮掩效应

Abstract: Objective To investigate the mediating effect of regulatory emotion self-efficacy in the relationship between ICU nurses' narrative competence and rumination. Methods The convenience sampling was used to select 472 ICU nurses from 34 tertiary grade-A hospitals and 7 secondary grade-A second-class hospitals in Guangdong Province from June to September 2022, and they were investigated by using general information questionnaire, Chinese-Event Related Rumination Inventory Scale, Narrative Competence Scale and Regulatory Emotional Regulatory Self-efficacy Questionnaire. SPSS 25.0 was used to test the mediating effect. Results The total score of narrative competence, rumination and regulatory emotion self-efficacy was 143.00(130.25, 155.00), 25.00(20.00, 36.00), and 45.00(39.00, 48.00) respectively. Narrative competence was negatively correlated with intrusive rumination (r_s=-0.121, P<0.01), but positively with regulatory emotional regulatory self-efficacy (r_s=0.490, P<0.001). Narrative competence could positively predict regulatory emotional self-efficacy (β=0.186, P<0.001). Regulatory eEmotional regulatory self-efficacy could negatively predict rumination (β=-0.423, P<0.001), which also played a suppressed role between narrative competence and rumination, and the indirect effect value was -0.079, accounting for 85.9% of the direct effect. Conclusion Narrative competence can directly predict rumination. Regulatory Emotional regulatory self-efficacy has an suppression effect between narrative competence and rumination. It is important to enhance the development of narrative competence among ICU nurses, thus to improve their self-efficacy in emotion regulation. This, in turn, may help reduce negative rumination caused by stressful events.

Key words: ICU nurse, narrative competence, rumination, regulatory emotional regulatory self-efficacy, suppression effect

中图分类号:

黄文嫣, 宋玲花, 廖少娜, 龚雪, 杨晨, 宋慧娟. 情绪调节自我效能感在ICU护士叙事能力与反刍性沉思的中介效应分析[J]. 护理学报, 2024, 31(1): 17-21.

HUANG Wen-yan, SONG Ling-hua, LIAO Shao-na, GONG Xue, YANG Chen , SONG Hui-juan. Mediating effect of regulatory emotion self-efficacy between narrative competence and rumination of ICU nurses[J]. Journal of Nursing, 2024, 31(1): 17-21.

参考文献

[1] Ehring T.Thinking too much: rumination and psychopathology[J]. World psychiatry, 2021, 20(3):441-442. DOI: 10.1002/wps.20910.
[2] 武霞,徐振,付克兰,等.护士第二受害者支持现状对创伤后成长的影响:反刍性沉思的中介作用[J].护理管理杂志,2022,22(2):89-93. DOI:10.3969/j.issn.1671-315x.2022.02.003.
[3] 杨红,王玲,张增梅.714名临床护士反刍思维现状及影响因素分析[J].全科护理,2021, 19(34):4888-4891. DOI:10.12104/j.issn.1674-4748.2021.34.036.
[4] Ramírez-Elvira S, Romero-Béjar JL, Suleiman-Martos N, et al.Prevalence, risk factors and burnout levels in Intensive Care Unit nurses: a systematic review and Meta-analysis[J].Int Env Res Pub Heal,2021,18(21):11432.DOI:10.3390/ijerph182111432.
[5] 贾秀丽,张丽敏,袁占心.ICU护士心理健康状况及对护理伦理决策能力的影响[J].护理学杂志,2017,32(9):63-65.DOI:10.3870/j.issn.1001-4152.2017.09.063.
[6] 张丹,李伟,李萌,等.临床护理人员医学叙事能力与自我效能感的相关性分析[J]. 实用临床医药杂志, 2021,25(19):111-114.DOI:10.7619/jcmp.20211801.
[7] 肖凤,宋慧娟, 任英,等.临床护士自我效能感在情绪智力与关怀行为间的中介调节作用[J].护理学报,2022,29(3):62-66.DOI:10.16460/j.issn1008-9969.2022.03.062.
[8] Marin KA, Shkreli A.An examination of trauma narratives: narrative rumination, self-reflection, and identity in young adulthood[J]. J Adolesc, 2019,76:139-151.DOI:10.1016/j.adolescence.2019.08.007.
[9] 王春美,曲海英,许红梅. 情绪调节自我效能感在护士正念与焦虑间的中介作用[J]. 中华行为医学与脑科学杂志,2017, 26(12):1143-1146.DOI:10.3760/cma.j.issn.1674-6554.2017.12.017.
[10] Kenny DA. MedPower: An interactive tool for the estimation of power in tests of mediation[EB/OL]. (2017-02-01)[2023-09-05].https://davidakenny.shinyapps.io/MedPower/.
[11] 马婉贞. 医护人员医学叙事能力量表的开发及信效度检验[D]. 南京:南京医科大学, 2019.
[12] Arnie C, Lawrence G, Calhoun RG, et al.Assessing post-traumatic cognitive processes: the Event Related Rumination Inventory[J]. Anxiety, Stress Coping,2011,24(2):137-156.
[13] 董超群, 巩树梅, 刘晓虹. 简体中文版事件相关反刍性沉思问卷在意外创伤者中应用的信效度分析[J]. 中华护理杂志, 2013,48(9):831-834. DOI:10.3761/j.issn.0254-1769.2013.09.021.
[14] Caprara GV, Giunta LD, Eisenberg N, et al.Regulatory emotional self-efficacy in three countries[J]. Psychological Assessment,2008, 20(3):227-237.DOI:10.1037/1040-3590.20.3.227.
[15] 文书锋,汤冬玲,俞国良. 情绪调节自我效能感的应用研究[J].心理科学, 2009,32(3):666-668.
[16] 汤丹丹,温忠麟.共同方法偏差检验:问题与建议[J].心理科学,2020,43(1):215-223.DOI:10.16719/j.cnki.1671-6981.20200130.
[17] 温忠麟,叶宝娟.中介效应分析:方法和模型发展[J]. 心理科学进展,2014,22(5):731-745.
[18] 刘振亮,刘田田,沐守宽.遮掩效应的统计分析框架及其应用[J].心理技术与应用, 2021, 9(10):610-618.DOI:10.16842/j.cnki.issn2095-5588.2021.10.004.
[19] 田丽,李梦媛,肖抒情,等.三级医院护士医学叙事能力现状及影响因素分析[J].护理学杂志,2021,36(7):72-75.DOI:10.3870/j.issn.1001-4152.2021.07.072.
[20] 李玲玉,罗雯,廖小雨,等.叙事护理在我国临床应用的SWOT分析[J].护理学报,2022, 29(14):68-72. DOI:10.16460/j.issn1008-9969.2022.14.068.
[21] 袁芬芬,吴惠萍,黄茜茜.遭受工作场所暴力护士反刍性沉思水平及其影响因素分析[J]. 中国护理管理, 2016, 16(5):610-613.
[22] 何文博. 护士感知的高绩效工作系统对其职业倦怠感的影响—基于情绪调节自我效能感的中介作用[D].兰州:兰州大学, 2019.
[23] Lijoi AF, Tovar AD.Narrative medicine: re-engaging and re-energizing ourselves through story[J].Int J Psychiatry Med,2020,55(5):321-330.DOI:10.1177/0091217420951039.
[24] Chu SY, Wen CC, Lin CW.A qualitative study of clinical narrative competence of medical Personnel[J]. BMC Med Educ, 2020, 20(1):415. DOI: 10.1186/s12909-020-02336-6.
[25] Yang H, Li H.Corrigendum: training positive rumination in expressive writing to enhance psychological adjustment and working memory updating for maladaptive ruminators[J]. Front Psychol,2020,11:1518.DOI:10.3389/fpsyg.2020.01518.
[26] Awdish RLA, Hayes MM, Cooper AZ, et al.A way forward in the COVID-19 pandemic: making the case for narrative competence in pulmonary and critical care medicine[J]. ATS Sch,2022,3(2):188-196.DOI:10.34197/ats-scholar.2022-0021PS.
[27] Thartori E, Pastorelli C, Cirimele F, et al.Exploring the protective function of positivity and regulatory emotional self-efficacy in time of pandemic COVID-19[J]. Inter Env Res Pub Heal,2021,18(24):13171.DOI:10.3390/ijerph182413171.
[28] Zhang X, Yue H, Sun J, et al.Regulatory emotional self-efficacy and Psychological distress among medical students: multiple mediating roles of interpersonal adaptation and self-acceptance[J]. BMC Med Educ,2022,22(1):283.DOI:10.1186/s12909-022-03338-2.
[29] Wells A, Matthews G.Modelling cognition in emotional disorder: the S-REF model[J]. Behav Res Ther,1996,34(11/12):881-888.

Metrics

Viewed

Full text

Abstract

Cited

Shared