标题：护士压力、心理健康、社会支持、应对方式与主观幸福感关系的结构方程模型

      作者：金卫华 1，张玉千 2，李 勇 1，邓惠芳 1，高学农 3
    (1.湖北三峡职业技术学院，湖北 宜昌 443000；
2.宜昌市第一人民医院，湖北 宜昌 443000；
3.三峡大学仁和医院，湖北 宜昌 443001)

      卷次： 2015年26卷19期

      【摘要】 目的 研究护士主观幸福感与压力、心理健康水平、社会支持、应对方式的关系。方法 选取本市
6所医院的261名护理人员作为调查对象，使用总体幸福感量表、90项症状自评量表(SCL-90)、中国护士工作压
力源量表、应对方式量表、领悟社会支持评定量表(PSSS)以问卷调查的方式调查，根据调查结果建构主观幸福感
结构方程模型。结果 压力和心理健康对主观幸福感有负效应(效应系数分别为-0.31和-0.54)，社会支持对主观
幸福感有正效应(效应系数为0.43)。压力通过社会支持和心理健康中介途径对主观幸福感的影响有负效应，效
应系数分别为-0.15和-0.29。结论 由护士的压力、心理健康水平、社会支持水平能预测其主观幸福感。压力与
主观幸福感呈负相关，高水平的心理健康和社会支持对护士主观幸福感有促进作用。

      【关键词】 主观幸福感；结构方程模型；压力；心理健康；社会支持；应对方式

      【中图分类号】 R395.1 【文献标识码】 A 【文章编号】 1003—6350（2015）19—2844—04


Structural equation model of pressure, mental health, social support, coping style and subjective well-being of
nurses.
JIN Wei-hua 1, ZHANG Yu-qian 2, LI Yong 1, DENG Hui-fang 1, GAO Xue-nong 3. 1. Hubei Three Gorges
Polytechnic, Yichang 443000, Hubei, CHINA; 2. The First People's Hospital of Yichang, Yichang 443000, Hubei, CHINA;
3. Renhe Hospital of China Three Gorges University, Yichang 443000, Hubei, CHINA

【Abstract】 Objective To study the relationship between pressure, mental health, social support, coping style
and subjective well-being of nurses. Methods A total of 261 nurses from 6 hospitals in Yichang were selected as re-
search objects. General Well-Being Schedule, Symptom Checklist 90 (SCL-90), Chinese Nurse Job Stressors Ques-
tionnaire, Simplified Coping Style Questionnaire, Perceived Social Support Scale (PSSS) were used for survey, and
structural equation model (SEM) was constructed according to the survey results. Results Pressures and mental
health had negative effect on subjective well-being (with effect coefficient of -0.31 and -0.54), while social sup-
port had positive effect on subjective well-being (with effect coefficient of 0.43). Pressure affects subjective
well-being negatively through mediation ways of social support and mental health, with the effect coefficient of
-0.15 and -0.29. Conclusion Nurses' subjective well-being can be predicted from their pressure, mental health
and social support. Pressure and subjective well-being are negatively correlated. A high level of mental health and
social support will promote the level of subjective well-being of nurses.

      【Key words】 Subjective well-being; Structural equation model; Pressure; Mental health; Social support; Cop-
ing style
基金项目：宜昌市科技局基金项目(编号：A14-30316)