| 其他摘要 | Amount of studies revealed that nurses face extraordinary stresses. Especially, during the COVID-19 epidemic nurses were suffering from stress, anxiety, depression and sleep disturbance. Therefore, it is necessary to research the current situation of nurses' emotional well-being and the nichetargeting emotion regulation strategy. It was found that interpersonal emotion regulation is an important emotion regulation strategy, which is also an independent predictor of psychological well-being. However, there is lack of relevant studies based on the sample of nurses, and there is no measuring tool for measuring nurses' interpersonal emotion regulation in China. In the first study, the Interpersonal Emotion Regulation Questionnaire was revised into Chinese version and tested in shift work nurses for its its reliability and validity, and then was used to to explore the mediator effect of perceived social support for the interpersonal emotion regulation and emotional well-being in shift work nurses. The second study focused on nurses' confiding occupational stress, and the social support they perceived from confiding was reported weekly as the intervention method.
The results of the first study indicated that: (1) By means of exploration factor analysis, 3 factors, namely "enhancing positive affect", "soothing" and "social learning", were extracted from the original Interpersonal Emotion Regulation Questionnaire to develop a new model of the Chinese version of the Interpersonal Emotion Regulation Questionnaire. (2) The confirmatory factor analysis indicated a good compatibility between the model and sample and sample data. (3)The mediation analysis indicated that the effect of interpersonal emotion regulation on anxiety or negative affect was totally mediated by perceived social support, and the effect of interpersonal emotion regulation on depression (64.5%) or positive affect (39.1%)was partly mediated by perceived social support. The second study focused on nurses' confiding on occupational stress. In the second study, a randomised control trial design was used to test the effects of considering social support from confiding occupational stress comparing to the control group.
The results of the second study indicated that, intervention group (n=49) and control group (n=48) in all relevant variables (including frequency, satisfaction and perceived meandings of confiding), near intervention effect (including perceived social support, interpersonal emotion regulation and self emotion regulation) and far transfer effect (including self-reported health status and emotional health) on the intervention effects were not significant. It is suggested that simple online intervention has limited effect on improving the frequency, satisfaction and perceived meandings of confiding, as well as interpersonal emotion regulation and self-assessment of physical and mental health of participants. Due to that previous studies have shown that shift-work nurses compared with day-work nurses have more occupational stress and emotional health problems, so I compared shift the nurses in the intervention group (n=34) with the shift work nurses in control group (n=32), the results showed that the intervention had a significant effect on improving the use of interpersonal emotion regulation strategies by shift nurses.
In short, the conclusions of this study are as follows: (1) the revised Chinese version of the interpersonal emotion regulation questionnaire assessed in nurses has good validity and reliability; (2) The effect of interpersonal emotion regulation on
shift-work nurses' emotional well-being was mediated through perceived social support; (3) Analysis of the intervention studies showed that, the intervention group, compared with the control group, had a very limited effect on the variables related to confiding, perceived social support, emotional regulation, and physical and mental health through weekly online reporting of social support received from confiding occupational stress. However, compared with the control group, the intervention had a significant effect on improving the use of interpersonal emotion regulation strategies by shift nurses.
The significance of the results of this study is as follows: First, this study revised the interpersonal emotional regulation questionnare, which can be used to measure the interpersonal emotional regulation status of shift nurses. Secondly, this study verified the mediating role of perceived social support between interpersonal emotion regulation and emotional health through mediation analysis, which provides empirical support for the improvement of interpersonal emotion regulation theory. Finally, the randomized controlled study showed that the intervention effect was limited, and only significantly improved the interpersonal emotional regulation of shift nurses, which provided a reference for future research on confiding. |
修改评论