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观点采择对护患关系的影响：归因的中介效应

The influence of perspective-taking on the relationship between nurses and patients: the mediating effect of attribution

中国心理学前沿 / 2020,2(2)：125-136 / 2020-03-03 3147 5656

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• 作者： 陶爱华     
• 单位：

  淮阴师范学院，淮安

• 关键词： 护患关系；观点采择；归因；中介效应
• nurse-patient relationship, perspective-taking, attribution, mediating effect
• 摘要： 目的 探讨在护患情境下归因在护患关系和观点采择之间的关系中的中介作用。方法 选取江苏省内几家医院的748名护士为研究对象，并要求她们填写了改编的DPRQ-15量表，用于测量护患关系;填写了自编的归因量表，用于测量护士对护患情境的归因；并填写了JSE-HP Scale，测量了护士的观点采择能力。对归因在观点采择与护患关系中的中介效应进行分析。结果 观点采择正向预测护患关系（R2=0.211，b = .204，SE = .014，p = 0.000），观点采择正向预测归因（R2=0.022，b = .149，SE = .036，p = 0.000），归因部分地中介了护患关系与观点采择之间的关系（R2=0.218，b观点采择 = .199，SE观点采择= .015，p观点采择 = 0.000；b归因 = .037，SE归因= .015，p归因= 0.012）。结论 强调从归因的视角对观点采择认知机制的理解对于护患关系和护理教育的重要性。
• Objective To explore the mediating role of attribution in the relationship between nurses and patients and perspective-taking in the context of nurses and patients. Methods A total of 748 nurses from several hospitals in Jiangsu Province were selected as subjects. They were asked to fill out the adapted DPRQ-15 scale to measure the relationship between nurses and patients. The self-made attribution scale was used to measure nurse's attribution to the situation of nurses-patients; and filled out the JSE-HP Scale, measured the nurse's ability to perspective-taking. The mediating effect of attribution in perspective-taking and nurse-patient relationship was analyzed. Results Perspective-taking positively predicts the relationship between nurses and patients(R2=0.211, b = .204, SE = .014, p = 0.000), and the perspective-taking was positively predicted attribution(R2=0.022, b = .149, SE = .036 , p = 0.000), attribution partially mediated the relationship between nurse-patient relationship and opinion selection (R2=0.218, b perspective-taking = .199, SE perspective-taking = .015, p perspective-taking = 0.000; b attribution = .037, SE attribution = .015, p attribution = 0.012). Conclusion Emphasis was placed on the importance of understanding cognitive mechanisms from the perspective of attribution to the relationship between nurses and patients and nursing education.
• DOI： https://doi.org/10.35534/pc.0202009
• 引用： 陶爱华．观点采择对护患关系的影响：归因的中介效应［J］．中国心理学前沿，2020，2（2）：125-136．
  https://doi.org/10.35534/pc.0202009