背景:护士中的抑郁症状一直是一个重要的公共卫生问题。尽管许多研究证明了工作中的人际冲突与抑郁症状之间的潜在关系,护士之间这种关系的潜在机制尚不清楚.在理论和实证研究的基础上,本研究旨在探讨护士工作中负面情绪和生活意义在工作中人际冲突与抑郁症状关系中的多重中介作用。
方法:在湖南省不同地理区域的15家医院进行了在线多中心横断面研究,中国,从2021年12月到2022年2月。共有1754名护士完成了经过验证的自我报告问卷,包括他们的社会人口统计信息,工作中的人际冲突,工作中的负面情绪,生活的意义,和抑郁症状。描述性统计分析,斯皮尔曼相关分析,多元线性回归分析,和链中介分析使用IBMSPSS软件(版本29)和Mplus软件(版本8)进行。
结果:工作中的人际冲突之间存在显着相关性,工作中的负面情绪,生活的意义,和抑郁症状(r=-0.206〜0.518,均p<0.01)。工作中的人际冲突对抑郁症状具有统计学上的显着直接影响(β=0.061;95%置信区间,CI:0.011~0.126,p=0.039)。中介效应分析表明,工作中的人际冲突也通过两个统计上显著的间接途径影响抑郁症状:(a)工作中负面情绪的中介效应(β=0.167;95%CI:0.138〜0.195,p<0.001)和(b)工作中负面情绪与生活意义之间的连锁中介效应(β=0.008;95%CI:0.003〜0.013,p=0.005)。
结论:工作中的人际冲突对护士的抑郁症状具有直接的积极影响。同时,工作中的人际冲突可以通过工作中负面情绪的中介作用以及工作中负面情绪与生活意义之间的连锁中介作用来影响护士的抑郁症状。
BACKGROUND: Depressive symptoms among nurses have been a significant public health concern. Although many studies have demonstrated the potential relationship between interpersonal conflict at work and depressive symptoms, the mechanisms underlying this relationship among nurses remain unclear. Based on the theoretical and empirical research, this study aimed to investigate the multiple mediating effects of negative emotion at work and meaning in life on the relationship between interpersonal conflict at work and depressive symptoms among nurses.
METHODS: An online multicenter cross-sectional study was conducted in 15 hospitals from different geographical areas of Hunan Province, China, from December 2021 to February 2022. A total of 1754 nurses completed validated self-reported questionnaires, including their sociodemographic information, interpersonal conflict at work, negative emotions at work, meaning in life, and depressive symptoms. Descriptive statistics analysis, Spearman\'s correlation analysis, multiple linear regression analysis, and chain mediation analysis were performed using IBM SPSS software (version 29) and Mplus software (version 8).
RESULTS: There were significant correlations between interpersonal conflict at work, negative emotions at work, meaning in life, and depressive symptoms (r = -0.206 ~ 0.518, all p < 0.01). Interpersonal conflict at work had a statistically significantly direct effect on depressive symptoms (β = 0.061; 95% confidence interval, CI: 0.011 ~ 0.126, p = 0.039). Analysis of mediating effects revealed that interpersonal conflict at work also influenced depressive symptoms through two statistically significantly indirect pathways: (a) the mediating effect of negative emotions at work (β = 0.167; 95% CI: 0.138 ~ 0.195, p < 0.001) and (b) the chain mediating effect between negative emotions at work and meaning in life (β = 0.008; 95% CI: 0.003 ~ 0.013, p = 0.005).
CONCLUSIONS: Interpersonal conflict at work has a direct positive effect on depressive symptoms among nurses. Meanwhile, interpersonal conflict at work can influence depressive symptoms among nurses through the mediating effect of negative emotions at work and the chain mediating effect between negative emotions at work and meaning in life.