Mediating Effect of Perceived Organizational Support on the Resilience and Mental Health of ICU Nurses

Rui Song, Yurong Hao, Juan Li, Xing Yang, Jie Liu, Li-hua Chen
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Abstract

Objective: To investigate the mediating effect of organizational support on the relationship between resilience and anxiety-depression-stress by researching ICU nurses. Methods: A total of 675 ICU nurses in Shaanxi Province were surveyed using the organizational support scale, the resilience evaluation scale for medical staff, and the Depression-Anxiety-Stress Scale (DASS-21). Results: The resilience of ICU nurses had significant correlation with the level of organizational support (r = 0.448, P < 0.01), but was negatively correlated with depression (r = -0.238, P < 0.001), anxiety (r = -0.287, P < 0.01), and stress (r = -0.213, P < 0.01); the level of organizational support of ICU nurses was also negatively correlated with depression (r = -0.452,  P < 0.01), anxiety (r = -0.410, P < 0.01), and stress (r = -0.490, P < 0.01). The sense of organizational support played a mediating role between the resilience of ICU nurses and their depression-anxiety-stress, the mediating effect accounted for 78% of the total effect. Conclusion: The perceived organizational support and resilience is an important external protective factor for the mental health and ability of ICU nurses. The management departments should continue to pay attention to the mental health of ICU nurses, take effective measures to improve the sense of organizational support and resilience of nurses, and ensure the good mental health of ICU nurses.
组织支持感知对ICU护士心理弹性和心理健康的中介作用
目的:以ICU护士为研究对象,探讨组织支持在心理弹性与焦虑-抑郁-压力关系中的中介作用。方法:采用组织支持量表、医务人员弹性评价量表和抑郁-焦虑-压力量表(DASS-21)对陕西省675名ICU护士进行调查。结果:ICU护士心理韧性与组织支持水平显著相关(r = 0.448, P < 0.01),与抑郁(r = -0.238, P < 0.001)、焦虑(r = -0.287, P < 0.01)、压力(r = -0.213, P < 0.01)呈负相关;ICU护士组织支持水平与抑郁(r = -0.452, P < 0.01)、焦虑(r = -0.410, P < 0.01)、压力(r = -0.490, P < 0.01)呈负相关。组织支持感在ICU护士心理韧性与抑郁-焦虑-压力之间起中介作用,中介效应占总效应的78%。结论:组织支持和弹性感知是ICU护士心理健康和能力的重要外部保护因素。管理部门应持续关注ICU护士的心理健康,采取有效措施提高护士的组织支持感和应变能力,确保ICU护士的良好心理健康。
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