The Influence Mechanism Of Recovery Experience And Intervention On Medical Staff’s Mental Health And Work Attitudes

Objective:《Outline of the Healthy China 2030 Plan》 puts forward that “health is an inevitable requirement for promoting people’s all-round development,a basic condition for economic and social development,an important symbol of national prosperity and a common pursuit of the people”.China’s medical reform has improved the quality of medical care,enhanced the accessibility of medical services and ensured the health of the people.As the main force and backbone of the "Healthy China" strategy,medical staff are not only the providers of medical services,but also the advocates and practitioners of healthy lifestyles.According to the survey on the mental health status of Chinese doctors,25.7%-37.3% of medical staff have anxiety symptoms,28.1%-35.8% have depression symptoms,and their occupational well-being needs to be improved to form a good work attitude.As an effective stress intervention strategy,recovery experience has been confirmed by some studies in recent years as a mechanism to relax and relax from the occupational stress environment,which has a positive effect on the physiology and psychology of professionals.At present,the research on recovery experience is mainly focused on enterprise employees,most of which are limited to foreign research and the research on medical staff is limited.Therefore,based on the work requirement-resource model and resource conservation theory,this study aims to explore the impact of recovery experience on medical staff’s mental health and work attitudes and its mechanism,and verify the positive effect of recovery experience intervention on medical staff.Methods: From June 2021 to October 2022,this study selected hospitals in Shenyang at random with the cluster sampling method,and conducted a questionnaire survey on the medical staff of the hospital.1042 valid questionnaires were collected,and the effective recovery rate was 86.8%.The uniformly designed self-filled questionnaire was used to collect the relevant information of medical staff,including the information of individual characteristics and work characteristics,and the recovery experience questionnaire,Survey of Perceived Organizational Support(SPOS),Center for epidemiological studies depression scales(CES-D),Utrecht work engagement scale(UWES)and Minnesota satisfaction questionnaire(MSQ).From Oct.2022 to Dec.2022,the medical staff with low ability of recovery experience had been intervened.One hundred and eight medical and nursing personnel were randomly divided into control group and intervention group with fifty-four persons each.Before intervention,after intervention and one month after intervention,depression symptoms,work involvement,job satisfaction,recovery experience and psychological capital of medical staff were measured.All data analysis in this study was completed using SPSS 22.0 software,involving methods including internal consistency test,descriptive analysis,t-test,analysis of variance,Pearson correlation analysis,linear regression analysis,asymptotic-resampling strategy test analysis and Generalized Estimating Equations.This study is a two-sided test with a test level of 0.05.Results: 1.The results showed that the incidence of depressive symptoms was60.6%.The score of work engagement of medical staff was 67.54±26.03 and the score of job satisfaction was 72.49±16.00.After controlling individual characteristics and job characteristics variables,recovery experience(β=-0.168,P<0.001),psychological capital(β=-0.155,P<0.001)and organizational support(β=-0.210,P<0.001)has a significant impact on depressive symptoms.Recovery experience(β=0.307,P<0.001),psychological capital(β=0.268,P<0.001)and organizational support(β=0.259,P<0.001)has a significant impact on job engagement.Recovery experience(β=0.527,P<0.001),psychological capital(β=-0.063,P=0.013)and organizational support(β=0.341,P<0.001)had significant effect on work satisfaction.2.The mediating effect test: for the influence of recovery experience on work engagement,the mediating effect of psychological capital is significant(Estimate=0.196,P<0.001),and psychological capital has a partial mediating effect between recovery experience and work engagement.For the influence of recovery experience on job satisfaction,the intermediary effect of psychological capital is significant(Estimate=0.116,P<0.001),and psychological capital has a partial intermediary effect between recovery experience and job satisfaction.As for the influence of recovery experience on depressive symptoms,the mediation effect of psychological capital is significant(Estimate=-0.131,P<0.001),and psychological capital has a partial mediation effect between recovery experience and depressive symptoms.Moderate Effect test: the interaction between psychological capital and organizational support has a significant negative impact on depression symptoms of medical staff(β=-0.118,P<0.001),indicating that organizational support has a negative regulatory effect between psychological capital and depression symptoms of medical staff.Moderated Mediating Effect test: when the level of organizational support is high,the indirect effect of recovery experience on depression symptoms through psychological capital is significant(β=-0.141,P<0.001);When the level of organizational support is low,the indirect effect of recovery experience on depressive symptoms through psychological capital is also significant(β=-0.025,P<0.001).In general,the indirect effect of recovery experience on depressive symptoms was-0.006(P<0.001).Therefore,the sense of organizational support plays a regulatory role in the process of recovery experience affecting depression symptoms through psychological capital.3.Taking the score of work engagement as the dependent variable,the interaction effects of group,measurement time and group * measurement time were included in the model.The results showed that the time effect was significant(P=0.007),that is,the score of work engagement in the intervention group and the control group changed with time.The interaction effect of group * measurement time was significant(P=0.030),that is,the change of work engagement scores of intervention group and control group at three time points was statistically significant.The paired comparison results of the estimated margin showed that the score of work engagement of the intervention group at the T1 measurement point was significantly higher than that of T0(P=0.003);The score of work engagement in the intervention group at the T2 measurement point was significantly higher than that of T0(P<0.001).The results of inter-group comparison showed that the score of work engagement in the intervention group at the T2 measurement point was significantly higher than that in the control group at the same time point(P<0.001).Taking the job satisfaction score as the dependent variable,the results showed that the time effect was significant(P=0.001),that is,the job satisfaction score of the intervention group and the control group changed with time.The paired comparison results of the estimated margin showed that the job satisfaction score of the intervention group at the T1 measurement point was significantly higher than that of T0(P=0.001);The job satisfaction score of the intervention group at the T2 measurement point was significantly higher than that of T0(P=0.001).Taking the score of depressive symptoms as the dependent variable,the results showed that the time effect was significant(P<0.001),that is,the score of depressive symptoms in the intervention group and the control group changed with time.The interaction effect of group * measurement time was significant(P<0.001),that is,the changes of depression symptom scores in the intervention group and the control group at three time points were statistically significant.The paired comparison results of the estimated margin showed that the depression symptom score of the intervention group at the T1 measurement point was significantly lower than that of T0(P=0.003);The depression symptom score of the intervention group at the T2 measurement point was significantly lower than that of T0(P<0.001).The results of inter-group comparison showed that the score of depressive symptoms in the intervention group at the T1 measurement point was significantly lower than that in the control group at the same time point(P=0.024);The depression symptom score of the intervention group at the T2 measurement point was significantly lower than that of the control group at the same time point(P=0.007).Taking the recovery experience score as the dependent variable,the results showed that the time effect was significant(P<0.001),that is,the recovery experience score of the intervention group and the control group changed with time.The interaction effect of group * measurement time was significant(P=0.006),that is,the change of recovery experience score of intervention group and control group at three time points was statistically significant.The paired comparison results of the estimated margin showed that the recovery experience score of the intervention group at the T1 measurement point was significantly higher than that of T0(P<0.001);The recovery experience score of the intervention group at the T2 measurement point was significantly higher than that of T0(P<0.001).The results of inter-group comparison showed that the recovery experience score of the intervention group at the T2 measurement point was significantly higher than that of the control group at the same time point(P=0.014).Taking the psychological capital score as the dependent variable,the results showed that the group effect of the psychological capital score of the intervention group and the control group at three time points was significant(P<0.001),that is,the psychological capital score of the intervention group and the control group participants was significantly different.The time effect was significant(P<0.001),that is,the scores of psychological capitals in the intervention group and the control group changed with time.The interaction effect of group * measurement time was significant(P=0.006),that is,the change of psychological capital scores of intervention group and control group at three time points was statistically significant.The paired comparison results of the estimated margin showed that the psychological capital score of the intervention group at the T1 measurement point was significantly higher than that of T0(P<0.001);The psychological capital score of the intervention group at the T2 measurement point was significantly higher than that of T0(P<0.001);The psychological capital score of the intervention group at the T2 measurement point was significantly higher than that of T1(P=0.012);The results of inter-group comparison showed that the psychological capital score of the intervention group at the T1 measurement point was significantly higher than that of the control group at the same time point(P<0.001);The psychological capital score of the intervention group at the T2 measurement point was significantly higher than that of the control group at the same time point(P<0.001).Conclusion: The incidence of depressive symptoms in medical staff is high,and their work involvement and life satisfaction are at the average level.The main effects of recovery experience,psychological capital and sense of organizational support on depression,job involvement and job satisfaction of medical staff were significant.Psychological capital plays a significant part in mediating the effect of recovery experience on depression symptoms,job involvement and job satisfaction of medical staff.The sense of organizational support plays a significant moderating role in the influence of psychological capital on depression symptoms of medical staff.The sense of organizational support plays a significant moderating role in the process of recovery experience affecting depression symptoms of medical staff through psychological capital.Recovery experience intervention can effectively alleviate the depressive symptoms of medical staff,improve the level of work engagement,recovery experience and psychological capital,and the positive effect of intervention on depressive symptoms and psychological capital still exists after one month of intervention.However,the positive effect of recovery experience intervention on job satisfaction was not significant.