Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Sep 19, 2023; 13(9): 698-706
Published online Sep 19, 2023. doi: 10.5498/wjp.v13.i9.698
Influence of resilience on depression among nurses in clean operating departments: The mediating effect of life satisfaction
Xue-Fei Shen, Li Li, Hong Ma, Jing Liu, Li-Wei Jin, Xue Li, Jia-Shu Wang, Ge Gao
Xue-Fei Shen, Li Li, Hong Ma, Jing Liu, Li-Wei Jin, Xue Li, Jia-Shu Wang, Ge Gao, Department of Clean Operating, Harbin Medical University Cancer Hospital, Harbin 150000, Heilongjiang Province, China
Author contributions: Gao G and Shen XF contributed to study concepts and study design; Li L, Ma H, and Liu J contributed to data acquisition and data analysis; Jin LW, Li X, and Wang JS contributed to literature research.
Institutional review board statement: This study was approved by the Ethics Committee of Harbin Medical University Cancer Hospital (Approval No. AF-42-1.0).
Informed consent statement: Written informed consent was obtained from all participants.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest.
Data sharing statement: The raw data supporting the conclusions of this study will be made available by the corresponding author.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ge Gao, MBBS, Nurse, Department of Clean Operating, Harbin Medical University Cancer Hospital, No. 150 Ha Ping Road, Nangang District, Harbin 150000, Heilongjiang Province, China. gaogedr@yeah.net
Received: July 6, 2023
Peer-review started: July 6, 2023
First decision: July 27, 2023
Revised: August 2, 2023
Accepted: August 15, 2023
Article in press: August 15, 2023
Published online: September 19, 2023

A clean operating room is an important part of surgical and critical treatment in hospitals. The workload is substantial, the pace is rapid, and the working environment is intense; therefore, nurses who work in clean operating rooms are constantly challenged, which can lead to anxiety, depression, and other mental health issues. Life satisfaction and resilience are important factors that ensure mental health. Therefore, exploring the mediating role of life satisfaction in the influence of resilience on depression among nurses in clean operating rooms can help improve nursing services and teamwork.


To explore the mediating effect of satisfaction on the influence of resilience on depression among nurses in a clean operating department.


From April to November 2022, 196 nurses from the Department of Clean Operating at Harbin Medical University Cancer Hospital participated in this study. Participants were selected using convenience sampling. Participants’ gender, age, marital status, position, length of service, personal monthly income, daily working hours, employment status, and professional title were collected, and the Connor-Davidson resilience scale, satisfaction with life scale, and self-rating depression scale were used to evaluate resilience, life satisfaction, and depression. The researchers conducted professional training in advance, introduced the research methods to the participants before the investigation, and explained the study’s significance and purpose. Surveys were distributed and collected on-site. Each questionnaire took 30 min to complete.


The average scores for life satisfaction, resilience, and depression were 3.13 (± 0.28), 4.09 (± 0.78), and 56.21 (± 8.70), respectively. The correlation between resilience and depression was negative (r = -0.829, P < 0.01). Life satisfaction was positively related to resilience (r = 0.855, P < 0.01) and negatively related to depression (r = -0.778, P < 0.01). The relationship between resilience and depression was partially mediated by life satisfaction. The value of the mediating effect was -6.853 (26.68% of the total effect).


Life satisfaction partially mediates the link between resilience and depression among nurses in clean operating departments.

Keywords: Psychological resilience, Depression, Life satisfaction, Clean operation department, Nurses, Mediating effect

Core Tip: The professional and psychological qualities of clean operating department nurses affect their operation success. Clinical practice emphasizes the importance of the mental health of nurses in operating rooms. This study found that, for nurses working in clean operating departments, resilience was positively correlated with life satisfaction and negatively correlated with depression, indicating that resilience can increase life satisfaction and decrease depression. Life satisfaction mediated the relationship between resilience and depression. This suggests that nurses in clean operating departments should improve their life satisfaction and resilience to adversity to improve their mental health.