Structuring one psychological stress model of inpatients in general hospital

Abstract

Objective To structure one equation model on the relationship of the psychological stress re-sponse and its influential factors of inpatients. Methods This cross-sectional designed study used a stratified-ran-dom-clnster method to recruit 754 inpatients, who were asked to fill out a series of questionnaires assessing hospital stressor, social support, personality, coping style, serf-efficacy, and stressful mental response. Statistic description,analysis of variance (ANOVA), correlations, multiple linear regressions, confirmatory factor analysis, and structural equation model analysis (SEM) were conducted using SPSS 13.0 and LISREL8.70. Results The final model showed good fit index(χ /df = 3.24, CFI, IFI, GFI above 0.90, RMSEA = 0. 056 ). Factors included in the SEM were social support, neuroticism, extraversion, avoidance, resignation, self-efficacy, course of disease and economic status. Self-efficacy significantly impacted mental status;hospital stress can influence patients'mental status direct-ly and indirectly. Conclusion The psychological health status of inpatients can be improved by enhancing posi-tive mediate factors such as self-efficacy and reducing such negative factors as avoidance coping style and disease duration and so on. Key words: Psychological stress; Meditate factors; Self-efficacy; Structural equation model