復原力對壓力與心理健康問題、健康相關生活品質相關的中介效應：以印尼東爪哇之護理學生為例

Background: The purposes of this study were to examine the mediating effect of resilience on the association between stress and mental health problems (depression and anxiety) as well as health related quality of life (physical and mental component score). Method: A cross-sectional study design was used in this study. Data were collected from 336 nursing students in East Java, Indonesia during the nursing professional education on July - August 2016. Study variables included demographic and family socioeconomic status; Depression, Anxiety and Stress (DASS-42 Bahasa Indonesia version); Resilience scale (Connor Davidson Resilience Scale); and Health related quality of life (SF-36v2). Data were collected by using paper based questionnaires, and analyzed by Independent sample t-test, Pearson correlation, one-way ANOVA with the post-hoc analysis test, Hierarchical Multiple Linear Regression with mediation test was used to test the mediating effect of resilience using SPSS version 20.0. Results: Results showed that there were significant interrelationships among major study variables. Simultaneously, stress and resilience significantly predicted the mental health problems (depression) and physical component of health related quality of life. In addition, mediation test showed resilience had partial mediation effect on the depression (B = .044; CI 95% = .0147 to .0840); It was also showed full mediation effect on the physical component score (B = -.047; CI (95%) = -.0859 to -.0193). Conclusion: Resilience played mediating role on the association between stress and mental health problems (depression) and health related quality of life (physical component score). Resilience should be emphasized in the nursing educational content, clinical experiences courses, internship work integrated learning and other work experiences courses to reduce the risk of depression and also to promote health related quality of life especially physical health among nursing students during professional education.