基层医务人员压力知觉对睡眠质量的影响：积极-消极反刍思维的平行中介作用

张曲艺; 陈世斌; 马珺; 何姝; 杨林; 何勋涛; 万妙

doi:10.12100/j.issn.2096-5494.224009

心理学通讯 >

2024 , Vol. 7 >Issue 1: 66 - 72

DOI: https://doi.org/10.12100/j.issn.2096-5494.224009

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基层医务人员压力知觉对睡眠质量的影响：积极-消极反刍思维的平行中介作用

张曲艺 ,
陈世斌 ,
马珺 ,
何姝 ,
杨林 ,
何勋涛 ,
万妙

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¹重庆医科大学公共卫生学院,重庆401334;
²医学与社会发展研究中心,重庆401334;
³ 健康领域社会风险预测治理协同创新中心,重庆401334;
⁴ 重庆市新型建设智库公共卫生安全研究中心,重庆401334;
⁵重庆市沙坪坝区陈家桥医院,重庆 401331

张曲艺,重庆医科大学公共卫生学院硕士研究生。研究方向：公共卫生、医学心理、职业安全与健康。

^* 马珺,majun@cqmu.edu.cn

网络出版日期: 2024-10-12

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Perceived Stress and Sleep Quality Among Primary Medical Staff: The Mediating Role of Positive and Negative Rumination

ZHANG Quyi ,
CHEN Shibin ,
MA Jun ,
HE Shu ,
YANG Lin ,
HE Xuntao ,
WAN Miao

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¹School of Public Health, Chongqing Medical University, Chongqing 401334, China;
²Research Center for Medical and Social Development, Chongqing 401334, China;
³Collaborative Innovation Center for Social Risk Prediction and Management in Health Field, Chongqing 401334, China;
⁴Public Health Security Research Center of Chongqing New Construction Think Tank, Chongqing 401334, China;
⁵Chenjiaqiao Hospital, Shapingba District, Chongqing 401331, China

^* MA Jun, majun@cqmu.edu.cn

Online published: 2024-10-12

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摘要

目的：探究基层医务人员压力知觉对睡眠质量的影响,以及积极反刍和消极反刍在其中的中介效应。
方法： 采用一般人口学资料问卷、中文版压力知觉量表（Chinese Perceived Stress Scale,CPSS）、匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index,PSQI）和积极与消极反刍思维量表（Positive and Negative Rumination Scale,PNRS）调查1 765名基层医务人员。采用Spearman相关分析和结构方程模型分析数据。
结果：基层医务人员睡眠问题的检出率为62.8%（1 109名）。睡眠质量与压力知觉呈正相关,与积极反刍呈负相关,与消极反刍呈正相关（p<0.01）。压力知觉对睡眠质量存在直接效应（p<0.001）,效应值为0.015。积极反刍和消极反刍在压力知觉与睡眠质量间起到中介效应（p<0.001）,总中介效应值为0.026,占总效应值的63.41%。
结论：压力知觉直接影响基层医务人员的睡眠质量,也可通过积极反刍和消极反刍的中介作用对睡眠质量产生影响。

关键词： 压力知觉; 反刍思维; 睡眠质量; 中介作用; 基层医务人员

本文引用格式

张曲艺 , 陈世斌 , 马珺 , 何姝 , 杨林 , 何勋涛 , 万妙 . 基层医务人员压力知觉对睡眠质量的影响：积极-消极反刍思维的平行中介作用[J]. 心理学通讯, 2024 , 7(1) : 66 -72 . DOI: 10.12100/j.issn.2096-5494.224009

Abstract

Objective: To explore the effect of perceived stress on sleep quality and the mediating effects of positive and negative rumination in primary medical staff.
Methods: A total 1 765 primary medical staff were surveyed using a general demographic questionnaire, the Chinese Perceived Stress Scale (CPSS), the Pittsburgh Sleep Quality Index (PSQI), and the Positive and Negative Rumination Scale (PNRS). Data were analyzed using Spearman’s correlation analysis and structural equation modeling.
Results: The prevalence of sleep problems among primary medical staff was 62.8% (1 109 persons). Sleep quality was positively correlated with perceived stress, negatively correlated with positive rumination, and positively correlated with negative rumination (p<0.01). Perceived stress had a direct effect on sleep quality (p<0.001) with an effect size of 0.015. The mediating effects of positive rumination and negative rumination between perceived stress and sleep quality were significant (p<0.001). The total mediation effect was 0.026, accounting for 63.41% of the total effect.
Conclusion: Perceived stress directly affects the sleep quality of primary medical staff and also impacts sleep quality through the mediating effects of positive and negative rumination.

Key words： perceived stress; rumination; sleep quality; mediating role; primary medical staff

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