Parallel mediating role of sense of coherence between coping style and COVID-19 pandemic related rumination of front-line nurses

  Objective  To investigate the levels of sense of coherence, coping style, COVID-19 pandemic related rumination of front-line nurses, and to explore the parallel mediating role of sense of coherence between coping style and rumination among these persons.

  Methods  A total of 417 front-nurses were investigated using Sense of Coherence-13 (SOC-13), Simplified Coping Style Questionnaire (SCSQ) and Chinese Event Related Rumination Inventory(C-ERRI). SPSS 20.0 was used to analyze the data, including descriptive statistical analysis, t test, variance analysis, Pearson correlation analysis and logistic regression analysis.

  Results  Nurses with older age and long service time, and having children had higher levels of epidemic invasive meditation (P < 0.05), and nurses in grade Ⅲ A hospitals had a higher level of epidemic purposeful meditation than nurses in grade Ⅲ B and/or below hospitals(P < 0.05). The sense of coherence of front-line nurses was positively correlated with positive coping style(P < 0.05), negatively correlated with negative coping style(P < 0.05), and negatively correlated with invasive rumination and purposeful rumination(P < 0.05);positive coping style was positively correlated with epidemic purposeful meditation(P < 0.05), and negative coping style was positively correlated with epidemic invasive and purposeful meditation(P < 0.05). The results of path analysis showed that negative coping styles had a positive predictive effect on invasive rumination(β' = 0.336, P < 0.05), sense of coherence had an inhibitory effect between them, accounting for 13.75%;positive coping style has a positive predictive effect on epidemic purposeful thinking(β' = 0.190, P < 0.05), sense of coherence had an inhibitory effect between them; negative coping styles have a positive predictive effect on epidemic purposeful meditation(β'= 0.183, P < 0.05), and sense of coherence played a partial role in the two, accounting for 34.4%.

  Conclusions  Considering the mediating role of sense of coherence, the effect of negative coping style on invasive rumination should be eliminated, in order to prevent post-traumatic stress disorder and improve the level of purposive rumination produced by positive coping style. The suggestion is that nurses' stable sense of coherence should be cultivated in hospital in order to deal with public health emergencies more leisurely.