护生自杀风险与心理痛苦关系的复原力中介效应:结构方程模型

IF 2.6 4区 医学 Q1 NURSING
Journal of Psychiatric and Mental Health Nursing Pub Date : 2025-02-01 Epub Date: 2024-08-16 DOI:10.1111/jpm.13097
Zeliha Özkan, Dudu Karakaya
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引用次数: 0

摘要

有关该主题的已知情况:自杀是近年来全世界普遍存在的一个重要健康问题。护理专业学生是自杀的高危人群。应调查影响自杀风险的因素,并将其纳入精神科护理干预措施。心理痛苦是自杀风险的易感条件。研究重点是自杀风险与心理痛苦之间的关系。对影响这种关系的调节因素的研究还很有限。本论文对现有知识的补充:通过结构方程模型,显示了复原力中介对自杀风险与心理痛苦关系的影响。在从心理痛苦到自杀的过程中,抗逆力通过其中介效应发挥了缓冲作用,而这一过程可以通过抗逆力的发展加以预防。这对实践有何意义?抗逆力可以作为自杀的保护因素加入精神科护理实践中。可以在精神科护理实践中增加加强复原力的措施。这样,就可以通过加强复原力来减少心理痛苦和自杀风险。可在精神科护理实践中加入心理痛苦这一自杀风险因素。在精神科护理实践的范围内,可以组织护理干预,以评估和减少心理痛苦。在为护理专业学生制定的自杀预防计划中,可以增加有关管理和应对心理痛苦的策略以及加强复原力的干预措施。摘要:引言:护理专业学生是自杀的高危人群。目的:本研究旨在探讨抗逆力在护生自杀风险与心理痛苦关系中的中介效应:这项横断面研究于 2021 年 3 月至 5 月间进行,共有 619 名阿克登尼兹大学护理学院的学生参加。研究采用描述性信息表、自杀概率量表、心理痛苦量表和简易复原力量表收集数据。采用结构方程模型法研究抗逆力对自杀风险和心理痛苦之间关系的中介效应,并进行了路径分析。研究报告根据 STROBE 进行:结果:抗逆力在心理痛苦与自杀风险之间存在半中介效应,效应大小为0.57:讨论:在精神科护理实践中,抗挫折能力可被视为预防自杀的保护因素:结论:复原力对心理痛苦与自杀风险之间的关系有影响:本研究的结果可指导精神科护理实践减少和预防自杀风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The resilience mediation effect on the relationship of suicide risk and psychological pain in nursing students: Structural equation modelling.

WHAT IS KNOWN ON THE SUBJECT?: Suicide is an important health problem that has been common all over the world in recent years. Nursing students are a high-risk group for suicide. Factors affecting suicide risk should be investigated and included in psychiatric nursing interventions. Psychological pain is a predisposing condition for suicide risk. Studies focus on the relationship between suicide risk and psychological pain. Studies examining the moderator factors affecting this relationship are limited. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: By means of the structural equation model, the effect of resilience mediation on the relationship of suicide risk and psychological pain has been shown. In the process of going from psychological pain to suicide, resilience takes on a buffer function with its mediating effect, and this process can be prevented by the development of resilience. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Resilience can be added as a protective factor for suicide to the practices of psychiatric nursing. Initiatives to strengthen resilience can be added to psychiatric nursing practices. In this way, psychological pain and the risk of suicide can be reduced by strengthening resilience. Psychological pain can be added as a risk factor for suicide to the practices of psychiatric nursing. Within the scope of psychiatric nursing practices, nursing interventions can be structured to assess and reduce psychological pain. Interventions on strategies to manage and cope with psychological pain and initiatives to strengthen resilience can be added to suicide prevention programs created for nursing students.

Abstract: INTRODUCTION: Nursing students are a high-risk group for suicide. Psychiatric nurses should investigate risk factors for suicide.

Aim: The aim of this study was to examine the resilience mediation effect in the relationship of suicide risk and psychological pain in nursing students.

Materials and methods: This cross-sectional study was conducted between March and May 2021 with 619 students in the Akdeniz University Faculty of Nursing. A Descriptive Information Form, the Suicide Probability Scale, the Psychache Scale and the Brief Resilience Scale were used to collect data. The structural equation model approach was used to examine the resilience mediating effect on the relation between suicide risk and psychological pain, and Path Analysis was performed. The reporting of the study was conducted according to STROBE.

Results: A semi-mediatory effect of resilience was found between psychological pain and the risk of suicide, and the effect size was determined to be broad (0.57).

Discussion: Resilience can be considered as a protective factor for suicide prevention in psychiatric nursing practices.

Conclusion: Resilience has an effect on the relationship between psychological pain and suicide risk.

Implications for practices: The results of this study may guide psychiatric nursing practices in reducing and preventing suicide risk.

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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
75
审稿时长
4-8 weeks
期刊介绍: The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
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