| 临床医生社会支持、心理弹性、应对方式与职业紧张关系的路径分析 |
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| 引用本文： | 临床医生社会支持、心理弹性、应对方式与职业紧张关系的路径分析. 临床医生社会支持、心理弹性、应对方式与职业紧张关系的路径分析[J]. 首都医科大学学报, 2019, 40(5): 677-682. DOI: 10.3969/j.issn.1006-7795.2019.05.003 |
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| 作者姓名： | 临床医生社会支持、心理弹性、应对方式与职业紧张关系的路径分析 |
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| 作者单位： | 首都医科大学医学人文学院医学心理学系, 北京 100069 |
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| 基金项目： | 北京市教育委员会人文社会科学研究计划一般项目（SM201710025001）。 |
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| 摘 要： | 目的 探讨临床医生社会支持、心理弹性和应对方式对其职业紧张的影响机制。方法 抽取北京市级公立医院三级、二级各1家，一级医院2家，共调查医生450名，回收有效问卷417份。使用社会支持评定量表、心理弹性量表、应对方式量表和工作紧张测量量表分别测量临床医生的社会支持、心理弹性、应对方式和职业紧张水平。结果 Pearson相关分析和路径分析的结果显示，临床医生职业紧张与社会支持总分（r=-0.416，P<0.01）、心理弹性总分（r=-0.387，P<0.01）、积极应对方式总分（r=-0.357，P<0.01）和消极应对方式总分（r=0.203，P<0.01）及其各因子分均与职业紧张呈显著相关。通过路径分析发现社会支持可直接影响职业紧张，也可经由积极和消极应对方式的中介作用影响职业紧张，同时还可经由心理弹性和应对方式的中介作用影响职业紧张。结论 医院管理层面应从缓解职业紧张的角度，为临床医生提供有效的社会支持及心理教育；临床医生应注重运用多途径的社会支持资源，擅于采用积极的应对方式，以期缓解职业紧张。
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| 关 键 词： | 临床医生 职业紧张 社会支持 心理弹性 应对方式 |
| 收稿时间： | 2019-07-04 |
Path analysis on the influence of clinicians' social support,resilience and coping style on their occupational stress |
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| Dong Rui,Hua Liang,Yu Liling. Path analysis on the influence of clinicians' social support,resilience and coping style on their occupational stress[J]. Journal of Capital Medical University, 2019, 40(5): 677-682. DOI: 10.3969/j.issn.1006-7795.2019.05.003 |
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| Authors: | Dong Rui Hua Liang Yu Liling |
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| Affiliation: | Department of Medical Psychology, College of Medical Humanities, Capital Medical University, Beijing 100069, China |
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| Abstract: | Objective To explore the influence mechanism of clinicians' social support, resilience and coping styles on their occupational stress. Methods Random sampling of public hospitals in Beijing, one for each of the second and third grade hospitals, two for the first-level hospitals, a total of 450 doctors and 417 valid questionnaires. Clinician's social support, resilience, coping styles, and occupational stress levels were measured using the Social Support Rating Scale (SSRS), the Connor-Davidson Resilience Scale (CD-RISC), the Coping Style Questionnaire (CSQ), and the Job Stress Scale (JSS). Product moment correlation and path analysis were performed using statistical software. Results The occupational stress and total social support scores(r=-0.416,P<0.01), total scores of resilience(r=-0.387,P<0.01), total scores of positive coping styles(r=-0.357,P<0.01), and total scores of negative coping styles (r=0.203,P<0.01)and their factors were significantly correlated. Social support can directly affect occupational stress. It can also affect occupational stress through the intermediary role of positive and negative coping styles. It can also affect occupational stress through the mediation of resilience and coping style. Conclusion The hospital management should provide effective social support and psychological education for clinicians from the perspective of relieving occupational stress; clinicians should pay attention to the use of multi-channel social support resources, and be good at adopting positive coping styles in order to alleviate occupational stress. |
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| Keywords: | clinician occupational stress social support resilience coping styles |
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