文章摘要
耿雪,吴改平,万思疑,向莉,刘慧,陈晶,姜瑞,宋艳丽,胡成,秦丹丹,冀海清,朱莎莎,常有楼,章升华,渠龙.建言效能感与变革承诺在急诊科男护士述情障碍和工作繁荣间的链式中介效应[J]同济医院杂志社,2026,41(5):71-75
建言效能感与变革承诺在急诊科男护士述情障碍和工作繁荣间的链式中介效应
The chain mediating effect of voice efficacy and commitment to change on the relationship between alexithymia and thriving at work among male nurses in the emergency department
投稿时间：2025-08-31  修订日期：2025-11-07
DOI：10.3870/j.issn.1001-4152.2026.05.071
中文关键词: 急诊科；男护士；述情障碍；工作繁荣；建言效能感；变革承诺；中介效应；护理管理
英文关键词: emergency department;male nurse;alexithymia;thriving at work; voice efficacy;commitment to change;mediating effect;nursing management
基金项目:
耿雪,吴改平,万思疑,向莉,刘慧,陈晶,姜瑞,宋艳丽,胡成,秦丹丹,冀海清,朱莎莎,常有楼,章升华,渠龙
华中科技大学同济医学院附属协和医院急诊医学科(湖北 武汉，430022)
;武汉市第一医院急诊科;武汉大学人民医院急诊科;湖北省肿瘤医院放疗科;荆州市中心医院急诊科;重庆医科大学附属第二医院急诊科;中日友好医院急诊科;山东中医药大学附属医院急诊科;山西医科大学第二医院急诊科;南昌大学第一附属医院急诊科;济宁市第三人民医院院前急救中心
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中文摘要:
      目的 探讨述情障碍对急诊科男护士工作繁荣的影响，以及建言效能感和变革承诺在二者间的链式中介效应，为管理者有效提高急诊科男护士工作繁荣水平提供参考。 方法 采用一般资料调查表、述情障碍量表、建言效能感量表、变革承诺量表、工作繁荣量表对411名急诊科男护士进行调查，建立结构方程模型并采用Bootstrap法检验中介效应。 结果 急诊科男护士工作繁荣得分为（58.17±15.63）分。工作繁荣与述情障碍呈负相关，与建言效能感、变革承诺呈正相关（均P＜0.05）。述情障碍可直接影响工作繁荣，建言效能感和变革承诺在二者间的中介效应分别占总效应的19.34%、20.53%，链式中介效应占总效应的11.33%。 结论 急诊科男护士述情障碍对工作繁荣有直接负向预测作用，建言效能感和变革承诺在二者间起中介作用；可通过增强建言效能感和变革承诺，调动急诊科男护士积极性和主动性，减少述情障碍对工作繁荣的影响。
英文摘要:
      Objective To explore the effect of alexithymia on thriving at work among male nurses in the emergency department, and to examine the chain mediating effect of voice efficacy and commitment to change between them, providing a reference for mana-gers to effectively enhance the thriving at work level of male nurses in this setting. Methods A total of 411 male nurses from emergency departments were surveyed using a general information questionnaire, the Toronto Alexithymia Scale (TAS-20), the Voice Efficacy Scale, the Commitment To Change Scale, and the Thriving at Work Scale.A structural equation model was established, and the Bootstrap method was used to test the mediating effects. Results The participants scored 58.17±15.63 for thriving at work.Thriving at work was negatively correlated with alexithymia and positively correlated with voice efficacy and commitment to change (all P＜0.05).Alexithymia had a direct effect on thriving at work.The mediating effects of voice efficacy and commitment to change accounted for 19.34% and 20.53% of the total effect, respectively, while their chain mediating effect accounted for 11.33% of the total effect. Conclusion Alexithymia can not only directly negatively affect emergency department male nurses′ thriving at work but also indirectly affect it through the individual or chain mediating effects of voice efficacy and commitment to change.Enhancing voice efficacy and commitment to change can mobilize the enthusiasm and initiative of emergency department male nurses, thereby mitigating the negative impact of alexithymia on thriving at work.
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