压力知觉和积极应对在护生生命意义感与职业认同感间的链式中介作用
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女,硕士在读,护师

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湖北中医药大学教育教学研究重点项目(2022A09)


Chain mediating effect of stress perception and positive coping on nursing students′ sense of meaning in life and professional identity
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    目的 探讨压力知觉和积极应对在护生生命意义感与职业认同感之间的链式中介作用,为实施干预策略提升护生职业认同感提供理论依据。 方法 采用便利抽样法,选取9所护理专业院校的护生作为研究对象,采用一般资料问卷、生命意义感量表、压力知觉量表、简易应付方式量表和护生职业认同感量表对1 463名护生进行调查。 结果 护生生命意义感总分为(45.72±6.74)分,压力知觉总分为(41.19±6.48)分,积极应对总分为(20.88±6.19)分,职业认同感总分为(57.70±10.94)分。护生生命意义感、积极应对与职业认同感呈正相关,压力知觉与职业认同感呈负相关(均P<0.05)。路径分析结果显示,生命意义感直接影响护生职业认同感,直接效应为0.454[95%CI(0.365,0.543)];同时,生命意义感可以通过压力知觉影响护生的职业认同感,中介效应为0.042[95%CI(0.021,0.069)];生命意义感还可经由积极应对影响护生的职业认同感,中介效应为0.131[95%CI(0.082,0.183)];且压力知觉和积极应对在生命意义感与职业认同感间起链式中介作用,中介效应为0.022[95%CI(0.013,0.032)]。 结论 护生职业认同感及生命意义感得分均处于中等水平,生命意义感可以直接影响护生职业认同感,也可通过改变护生压力反应过程影响其职业认同感。护理教育者可通过提升护生生命意义感,以帮助护生降低压力知觉,建立积极应对方式,进而提升职业认同感。

    Abstract:

    Objective To clarify the chain mediating role of stress perception and positive coping between nursing students′ sense of meaning in life and professional identity, and to provide a theoretical basis for an intervention pathway to enhance nursing students′ professional identity. Methods A total of 1,463 nursing students from 9 nursing colleges were selected as the research subjects using a convenient sampling method. The general information questionnaire, Meaning in Life Scale (MLS), Chinese Perceived Stress Scale (CPSS), Simplified Coping Style Questionnaire (SCSQ), Professional Identity Questionnaire for Nurse Students (PIQNS) were utilized for the investigation. Results The total scores of nursing students′ MLS, CPSS, SCSQ and PIQNS were (45.72±6.74), (41.19±6.48), (20.88±6.19), and (57.70±10.94), respectively.The sense of meaning in life and positive coping were positively correlated with the sense of professional identity, while the perceived stress was negatively correlated with the sense of professional identity (all P<0.05).The results of path analysis showed that the sense of meaning in life had a direct effect on the sense of professional identity, with a direct effect size of 0.454 [95%CI(0.365,0.543)].Meanwhile, the sense of meaning in life can influence professional identity through perceived stress, with a mediating effect of 0.042 [95%CI(0.021,0.069)].The sense of meaning in life also influenced the sense of professional identity through positive coping, with a mediating effect of 0.131 [95%CI(0.082,0.183)].Moreover, stress perception and positive coping played a chain mediating role between the sense of meaning in life and the sense of professional identity, with a mediating effect of 0.022[95%CI(0.013,0.032)]. Conclusion The nursing students′ scores for professional identity and sense of meaning in life were at a moderate level. The sense of meaning in life can directly impact the professional identity of nursing students and also alter their stress response process, thereby affecting their professional identity. Nursing educators can improve nursing students′ sense of meaning in life, help them reduce their perception of stress, establish positive coping style, and thus elevate their professional identity.

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陈逸雯,贺惠娟,张媛,宋嘉莉.压力知觉和积极应对在护生生命意义感与职业认同感间的链式中介作用[J].护理学杂志,2023,28(17):85-89

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  • 收稿日期:2023-04-25
  • 最后修改日期:2023-06-16
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  • 在线发布日期: 2024-01-15