【摘要】 目的 探讨心理弹性在护士问题解决能力与社会支持间的中介效应，为提升护士问题解决能力提供依据。方法 采用便利抽样法，于2021年9—12月对上海市三级甲等医院397名临床护士采用一般资料问卷调查表、中文版社会问题解决量表修订版（the Chinese version of the social problem-solving inventory revised,C-SPSI-R）、心理弹性量表（10-item connordavidson resilience scale,CD-RISC 10）、社会支持评定量表（social support rating scale,SSRS）进行问卷调查，并对数据进行分析。结果 护士问题解决能力得分M(P₂₅,P₇₅)为82.00（76.00,90.00）分，社会支持得分为（40.15±8.32）分，心理弹性得分[M(P₂₅,P₇₅)]为25.00（20.00,30.00）分。问题解决能力与心理弹性、社会支持均呈正相关（r=0.596、0.333，均P<0.01），心理弹性与社会支持呈正相关（r=0.356,P<0.01）。护士社会支持对问题解决能力有正向预测作用（直接效应为0.190），心理弹性在护士问题解决能力与社会支持之间存在部分中介作用，中介作用占总效应的58.8%。结论 护士社会支持、心理弹性对问题解决能力有一定的正向预测作用，护理管理者、护理教育者可从增强护士社会支持、心理弹性入手，提升护士的问题解决能力。更多还原

【Abstract】 Objective To explore the mediating effect of resilience on nurses’problem solving ability and social support,provide evidence for improving nurses’problem-solving ability.Methods From September to December 2021,the general information questionnaire,the Chinese version of the social problem-solving inventory revised（C-SPSI-R）,the 10-item Connor-Davidson resilience scale（CD-RISC 10）,the social support rating scale（SSRS） were used to conduct a questionnaire survey on 397 nurses from grade-A tertiary hospitals in Shanghai obtained by the convenience sampling method.Results The score of nurses’problem solving ability[M(P₂₅,P₇₅)]was 82.00（76.00,90.00）points,the score of social support was （40.15±8.32）points,and the score of resilience[M(P₂₅,P₇₅)]was 25.00（20.00,30.00）points.The problem solving ability was positively correlated with social support and resilience （r=0.596,0.333,both P<0.01）,and the resilience was positively correlated with social support（r=0.356,P<0.01）.The social support of nurses had a positive prediction effect on problem solving ability （the direct effect was 0.190）,and resilience had a partial mediating effect between social support and problem solving ability,and the mediating effect accounted for 58.8%of the total effect.Conclusion Nurses’social support and resilience have positive predictive effects on problem solving ability,so the nursing managers,nursing educators should start with the perspective of the social support and resilience to improve the problem solving ability of nurses.更多还原