Objective To analyze the mediating effect of psychological resilience on anxiety and insomnia among medical staff in the fever clinic and to provide a theoretical basis for improving their symptoms of insomnia.
Methods From January to July 2022, a general data questionnaire, a 7-item Generalized Anxiety Disorder Scale (GAD-7), a simplified version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and an Insomnia Severity Index (ISI) were used to survey medical staff in the fever clinic of a tertiary hospital in Tianjin. Descriptive statistics and correlation analysis were performed using SPSS 22.0 software; structural equation modeling was constructed using AMOS 25.0; and the mediating effect of psychological resilience on anxiety and insomnia was tested using the Bootstrap method.
Results A total of 251 questionnaires were returned, of which 245 were valid, with a valid response rate of 97.6%;40.0% (98/245) of medical staff had symptoms of anxiety, and 39.1% (96/245) had symptoms of insomnia. The longer the working time and the higher the professional title, the higher the level of anxiety among medical staff (P < 0.05). Anxiety was positively correlated with insomnia (r=0.276, P < 0.01), anxiety was negatively correlated with psychological resilience (r=- 0.388, P < 0.01), and psychological resilience was negatively correlated with insomnia (r=- 0.290, P < 0.01). Psychological resilience had a mediating effect between anxiety and insomnia, with a mediating effect of 0.074, accounting for 33.3% of the total effect.
Conclusions The phenomenon of anxiety and insomnia among medical staff in fever clinics should not be ignored. Department managers should pay attention to the mental health status of these medical staff, take targeted measures to improve their psychological resilience level, improve their sleep quality, and ensure that fever clinic medical staff maintain a good mental state.
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