Abstract：Objective To analyze the mediating effect of psychological resilience between occupational stress and job burnout of medical staff, so as to provide the reference for improving job burnout of medical staff. Methods The front-line medical staff from four tertiary general hospitals in a joint logistics support center were selected as the research objects from April to June 2022 using the convenience sampling method. The data on gender, age, professional title, and working years were collected by a questionnaire survey. Occupational stress, psychological resilience, and job burnout were evaluated using the Job Stressors Scale, the Connor-Davidson Resilience Scale, and the Maslach Burnout Inventory, respectively. The mediating effect of psychological resilience between occupational stress and job burnout was analyzed using the Process procedure, and the significance of the mediating effect was analyzed using the Bootstrap method. Results A total of 383 people were investigated, among whom 370 were females (96.61%), and 13 were males (3.39%), with a mean age of (28.97±6.56) years. The scores of occupational stress, psychological resilience, and job burnout were (347.17±157.98), (87.18±13.17), and (56.07±17.09) points, respectively. The results of mediating effect analysis showed that occupational stress could directly positively affect job burnout with a direct effect value of 0.061 (95%CI: 0.004-0.119), and it could also indirectly positively affect job burnout through psychological resilience with a mediating effect value of 0.035 (95%CI: 0.002-0.122), and the mediating effect accounted for 57.38% of the total effect. Conclusions Occupational stress can directly or indirectly affect job burnout through psychological resilience. It is suggested to strengthen the mental health training of medical staff to improve psychological resilience and reduce job burnout.
胡兰兰, 李波. 医护人员心理弹性在职业应激与工作倦怠间的中介效应分析[J]. 预防医学, 2025, 37(10): 1065-1068.
HU Lanlan, LI Bo. Mediating effect of psychological resilience between occupational stress and job burnout among medical staff. Preventive Medicine, 2025, 37(10): 1065-1068.
[1] 王瑾,晏小琼,凌瑞杰,等.湖北省某三甲医院医护人员职业紧张、职业倦怠、应对方式调查[J].预防医学,2021,33(12):1203-1208. WANG J,YAN X Q,LING R J,et al.Occupational stress,burnout,and coping styles among medical staff from a tertiary first-class hospital in Hubei Province[J].China Prev Med J,2021,33(12):1203-1208.(in Chinese) [2] 丁宝莹,冯文雪,周沛臻,等.医务工作者正念水平在心理弹性与焦虑症状、抑郁症状间的中介效应[J].预防医学,2024,36(12):1040-1044. DING B Y,FENG W X,ZHOU P Z,et al.Mediating effects of mindfulness level on resilience and symptoms of anxiety and depression among healthcare workers[J].China Prev Med J,2024,36(12):1040-1044.(in Chinese) [3] 赵作荣. 教师职业紧张与其健康和工作能力的关系研究[D].乌鲁木齐:新疆医科大学,2014. ZHAO Z R.The survy of the teacher occupation stress influence on health status and work ability[D].Urumqi:Xinjiang Medical University,2014.(in Chinese) [4] 谭剑,孔雪二,侯璇璇.工作满意度在护士心理弹性与职业倦怠间的中介效应[J].护理学报,2023,30(8):69-73. TAN J,KONG X E,HOU X X.Mediating effect of job satisfaction between psychological resilience and burnout among nurses[J].J Nurs China,2023,30(8):69-73.(in Chinese) [5] 范梦恬,王淳.护士心理弹性与职业倦怠关系中的心理资本中介作用研究[J].中国卫生标准管理,2025,16(3):30-33. FAN M T,WANG C.Study on the mediating role of psychological capital in the relationship between psychological resilience and burnout in nurses[J].China Health Stand Manage,2025,16(3):30-33.(in Chinese) [6] 张静平,姚树桥,唐莹.护士工作应激源量表的编制及信效度检验[J].中华护理杂志,2007,42(5):396-401. ZHANG J P,YAO S Q,TANG Y.The development and psychometric analysis of Nurse Stressor Scale[J].Chin J Nurs,2007,42(5):396-401.(in Chinese) [7] 吕芙蓉,李慧.四川省5所三级甲等医院急诊科医务人员心理一致感、职业应激对睡眠质量的影响[J].职业与健康,2022,38(18):2520-2525. LYU F R,LI H.Impact of psychological consistency and occupational stress on sleep quality among medical staff in emergency department of five grade-a tertiary hospitals in Sichuan Province[J].Occup Health,2022,38(18):2520-2525.(in Chinese) [8] CONNOR K M,DAVIDSON J R T.Development of a new resilience scale:the Connor-Davidson Resilience Scale(CD-RISC)[J].Depress Anxiety,2003,18(2):76-82. [9] 张华,王美霞.消化内科护士心理弹性、自我效能感和职业环境现状及相关性分析[J].职业与健康,2025,41(6):726-730. ZHANG H,WANG M X.Current status and correlation analysis of psychological resilience,self-efficacy and practice environment of gastroenterology nurses[J].Occup Health,2025,41(6):726-730.(in Chinese) [10] MASLACH C,SCHAUFELI W B,LEITER M P.Job burnout[J].Annu Rev Psychol,2001,52:397-422. [11] 许利刚,王晓晖,乔记兵,等.临床护士组织支持感与工作投入度的关系:情绪劳动与职业倦怠的链式中介作用[J].心理月刊,2024,19(18):14-17. XU L G,WANG X H,QIAO J B,et al.The relationship between perceived organization support and job involvement among clinical nurses:chain mediating effect of emotional labor and job burnout[J].Psychologies Mag,2024,19(18):14-17.(in Chinese) [12] 刘立珍,唐凤平,李雅,等.湖南省医养结合机构养老护理员职业倦怠影响因素与干预策略[J].职业与健康,2021,37(18):2453-2457. LIU L Z,TANG F P,LI Y,et al.Influencing factors and intervention strategies of job burnout of aged-care nurses in medical and nursing institutions of Hunan Province[J].Occup Health,2021,37(18):2453-2457.(in Chinese) [13] 余习德,赖丽英,王园,等.医护人员心理弹性的潜在剖面分析[J].护理管理杂志,2024,24(6):483-486,492. YU X D,LAI L Y,WANG Y,et al.Potential profile analysis of psychological resilience of medical staff[J].J Nurs Adm,2024,24(6):483-486,492.(in Chinese) [14] 黎丽燕,刘翠霞,韦毅,等.新冠肺炎疫情下封闭管理医护人员的心理状况及生活质量的影响研究[J].医学理论与实践,2021,34(22):4010-4012. LI L Y,LIU C X,WEI Y,et al.Study on the influence of psychological status and qualityof life of closed management medical staff under the epidemic situation in COVID-19[J].J Med Theory Pract,2021,34(22):4010-4012.(in Chinese) [15] 周婷,王倩,周方,等.重大传染病防控背景下医务人员的疫情相关工作应激与心理症状的关系:工作倦怠的中介作用和组织支持的调节作用[J].中国临床心理学杂志,2022,30(2):354-359. ZHOU T,WANG Q,ZHOU F,et al.Pandemic-related job stress and psychological symptoms of healthcare workers in the context of prevention and control of major infectious diseases:the mediating effect of burnout and moderating effect of perceived organizational support[J].Chin J Clin Psychol,2022,30(2):354-359.(in Chinese) [16] ARENAS A,TERÁN-TINEDO V,CUADRADO E,et al.Understanding the impact of personal resources on emotional exhaustion among emergency healthcare workers:a structural equation modeling approach[J/OL].Healthcare,2025,13(18)[2025-09-03].https://doi.org/10.3390/healthcare13182336. [17] 管晓琴,朱伟,王望峥.高职学生生活事件、心理弹性与危机脆弱性的关系研究[J].预防医学,2017,29(4):376-378. GUAN X Q,ZHU W,WANG W Z.Association between life events, psychological resilience,and crisis vulnerability among vocational college students[J].China Prev Med J,2017,29(4):376-378.(in Chinese)
