文献类型：期刊文献

中文题名：工作场所欺凌对护理人员创伤后应激障碍的影响

英文题名：Effect of workplace bullying on posttraumatic stress disorder in nursing staff

作者：孙一勤[1];葛雨欣[1];柯紫薇[1];李艳艳[1];金秋霞[1];卢燕飞[1]

机构：[1]绍兴文理学院医学院护理系,312000

年份：2018

卷号：36

期号：1

起止页码：22

中文期刊名：中华劳动卫生职业病杂志

外文期刊名：Chinese Journal of Industrial Hygiene and Occupational Diseases

收录：CSTPCD、、CSCD_E2017_2018、北大核心2017、Scopus、北大核心、CSCD、PubMed

语种：中文

中文关键词：护士;工作场所欺凌;心理资本;创伤后应激障碍

外文关键词：Nurses; Workplace bullying; Psychological capital; Post-traumatic stress disorder

中文摘要：目的探讨工作场所欺凌与护士个体创伤后应激障碍（PTSD）的关系，分析心理资本在其中的作用。方法于2014年12月至2015年6月，采用便利抽样方法，收集某省5所3级甲等综合性医院496名护士。采用负性行为问卷、心理资本量表和PTSD自评量表调查护士的工作场所欺凌、心理资本和PTSD状况，采用结构方程模型分析各变量之间的关系。结果护士负性行为得分为37.15±12.83，心理资本得分为78.81±16.54，PTSD得分为34.56±12.52；负性行为各维度与PTSD各维度得分均呈正相关（P〈0.01）；心理资本各维度与PTSD、负性行为各维度得分均呈负相关（P〈0.01）。负性行为对PTSD呈正向预测作用（β=0.539，P〈0.01）；纳入心理资本后，负性行为对PTSD的效应降低（β=0.513，P〈0.01）。负性行为对PTSD的路径系数为0.62，负性行为对心理资本的路径系数为-0.18，心理资本对PTSD的路径系数为-0.11（P〈0.05）。结论工作场所欺凌是PTSD的预测因子，心理资本在工作场所欺凌和PTSD中间起中介作用；管理者应注意减少工作场所欺凌现象，提升护理人员的心理资本，预防和缓解PTSD。

外文摘要：ObjectiveTo investigate the relationship between workplace bullying and posttraumatic stress disorder （PTSD） in nursing staff, and to analyze the role of psychological capital between workplace bullying and PTSD.MethodsFrom December 2014 to June 2015, convenience sampling was used to collect 496 nurses from 5 grade A tertiary hospitals in a province of China. Their workplace bullying, psychological capital, and PTSD status were assessed using the Negative Acts Questionnaire, Psychological Capital Questionnaire, and Posttraumatic Stress Disorder Self-Rating Scale, respectively. The correlation between variables was analyzed using a structural equation model.ResultsAmong these nurses, the scores of negative acts, psychological capital, and PTSD were 37.15±12.83, 78.81±16.54, and 34.56±12.52, respectively. The score on each dimension of negative acts was positively correlated with that on each dimension of PTSD （P〈0.01） ; the score on each dimension of psychological capital was negatively correlated with that on each dimension of PTSD and negative acts （P〈0.01）. Negative acts had a positive predictive effect on PTSD （β=0.539, P〈0.01） , which was reduced after inclusion of psychological capital （β=0.513, P〈0.01）. The path coefficient was 0.62 for the effect of negative acts on PTSD, -0.18 for the effect of negative acts on psychological capital, and -0.11 for the effect of psychological capital on PTSD （P〈0.05） .ConclusionWorkplace bullying is a predictive factor for PTSD, and psychological capital plays a mediating role between workplace bullying and PTSD. The manager should reduce workplace bullying to improve the psychological capital in nursing staff and to prevent and reduce PTSD.