关键词: 临床医生, 职业紧张, 社会支持, 心理弹性, 应对方式

Abstract: Objective To explore the influence mechanism of clinicians' social support, resilience and coping styles on their occupational stress. Methods Random sampling of public hospitals in Beijing, one for each of the second and third grade hospitals, two for the first-level hospitals, a total of 450 doctors and 417 valid questionnaires. Clinician's social support, resilience, coping styles, and occupational stress levels were measured using the Social Support Rating Scale (SSRS), the Connor-Davidson Resilience Scale (CD-RISC), the Coping Style Questionnaire (CSQ), and the Job Stress Scale (JSS). Product moment correlation and path analysis were performed using statistical software. Results The occupational stress and total social support scores(r=-0.416,P<0.01), total scores of resilience(r=-0.387,P<0.01), total scores of positive coping styles(r=-0.357,P<0.01), and total scores of negative coping styles (r=0.203,P<0.01)and their factors were significantly correlated. Social support can directly affect occupational stress. It can also affect occupational stress through the intermediary role of positive and negative coping styles. It can also affect occupational stress through the mediation of resilience and coping style. Conclusion The hospital management should provide effective social support and psychological education for clinicians from the perspective of relieving occupational stress; clinicians should pay attention to the use of multi-channel social support resources, and be good at adopting positive coping styles in order to alleviate occupational stress.

Key words: clinician, occupational stress, social support, resilience, coping styles