团体心理干预联合放松训练对护士失眠状态及工作压力、应对方式的影响
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摘要
目的:探讨团体心理干预联合放松训练对护士失眠状态及工作压力、应对方式的影响。方法:选取180名临床一线注册护士作为研究对象,根据随机数字表法分为对照组和观察组各90名。对照组给予常规心理护理干预,观察组在对照组基础上给予团体心理干预联合放松训练干预,共干预6周。分别采用汉密顿焦虑量表(HAMA)及汉密顿抑郁量表(HAMD)、匹兹堡睡眠质量指数量表(PSQI)、护士工作压力源量表及应对方式评定量表(CSQ)评估并比较两组干预前后焦虑抑郁情绪、睡眠质量、工作压力及应对方式。结果:两组HAMA、HAMD、PSQI评分均明显降低(P <0. 01),且观察组低于对照组(P <0. 01);两组护士工作压力量表各维度评分均明显降低(P <0. 01),且观察组低于对照组(P <0. 01);两组CSQ评分均改善(P <0. 01),且观察组优于对照组(P <0. 01)。结论:应用团体心理干预联合放松训练对护士进行干预,可有效缓解护士焦虑、抑郁情绪,改善其失眠状态,减轻工作压力,提高工作应对能力,促进护士身心健康发展,值得广泛应用。
Objective: To explore the influence of group psychological intervention combined with relaxation training on insomnia state,work pressure and coping style of nurses. Methods: A total of 180 clinical first-line registered nurses were selected as the study subjects,and were divided into the control group and the observation group with 90 cases each group according to the random number table method.The control group was given routine psychological nursing intervention. On the basis of the control group,the observation group was given group psychological intervention combined with relaxation training intervention totally for 6 weeks. The Hamilton anxiety (HAMA) scale,Hamilton depression (HAMD) scale,Pittsburgh sleep quality index (PSQI) scale,nurses' work stress source scale and coping style assessment (CSQ) scale were respectively used to evaluate and compare the negative emotions,sleep quality,work stress and coping styles before and after intervention between the two groups. Results: HAMA,HAMD and PSQI scores of the two groups were significantly reduced( P <0. 01),and the observation group was lower than the control group( P < 0. 01); Each dimension scores in the working pressure scale of nurses in the two groups were significantly decreased( P < 0. 01),and the observation group were lower than the control group( P < 0. 01);CSQ scores in the two groups were both improved( P < 0. 01),and the observation group was better than the control group( P < 0. 01).Conclusion: Applying group psychological intervention combined with relaxation training to interview the nurses,can effectively relieve nurses' anxiety and depression,improve their insomnia state,reduce their work pressure,improve their coping ability to work,and promote the development of nurses' physical and mental health,which is worthy of wide application.
Objective: To explore the influence of group psychological intervention combined with relaxation training on insomnia state,work pressure and coping style of nurses. Methods: A total of 180 clinical first-line registered nurses were selected as the study subjects,and were divided into the control group and the observation group with 90 cases each group according to the random number table method.The control group was given routine psychological nursing intervention. On the basis of the control group,the observation group was given group psychological intervention combined with relaxation training intervention totally for 6 weeks. The Hamilton anxiety (HAMA) scale,Hamilton depression (HAMD) scale,Pittsburgh sleep quality index (PSQI) scale,nurses' work stress source scale and coping style assessment (CSQ) scale were respectively used to evaluate and compare the negative emotions,sleep quality,work stress and coping styles before and after intervention between the two groups. Results: HAMA,HAMD and PSQI scores of the two groups were significantly reduced( P <0. 01),and the observation group was lower than the control group( P < 0. 01); Each dimension scores in the working pressure scale of nurses in the two groups were significantly decreased( P < 0. 01),and the observation group were lower than the control group( P < 0. 01);CSQ scores in the two groups were both improved( P < 0. 01),and the observation group was better than the control group( P < 0. 01).Conclusion: Applying group psychological intervention combined with relaxation training to interview the nurses,can effectively relieve nurses' anxiety and depression,improve their insomnia state,reduce their work pressure,improve their coping ability to work,and promote the development of nurses' physical and mental health,which is worthy of wide application.
引文
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[6]钟志霞.基层医院急诊科护理人员不良情绪状态及其影响因素分析[J].海南医学,2017,28(14):2404-2406.
[7]左文军,唐杏,高丽娟,等.职场正念对公立医院护士心理韧性的影响研究[J].中国医院管理,2017,37(8):67-68.
[8]夏英华,王希柱,张昊,等.团队心理训练模式对手术室护士心理素质及自我和谐能力影响分析[J].临床与病理杂志,2016,36(11):1810-1815.
[9]Day AL,Whrborg P,Anderssongre B,et al.An Evaluation of Daily Relaxation Training and Psychosomatic Symptoms in Young Children[J].Health Behavior&Policy Review,2016,3(3):198-208.
[10]姜文静,刘玉栋,任永福.团体心理干预与放松训练对护士工作倦怠的影响[J].中华健康管理学杂志,2014,8(5):316-320.
[2]Chin-Huang Chen.Nurse practitioner job content and stress effects on anxiety and depressive symptoms,and self-perceived health status[J].Journal of Nursing Management,2016,24(5):695-704.
[3]蒲城城,孙新宇,张婷婷,等.老年抑郁障碍患者抑郁主观体验与医师临床评估一致性的1年随访研究[J].中国心理卫生杂志,2017,31(2):97-101.
[4]Liguori C,Nuccetelli M,Izzi F,et al.Rapid eye movement sleep disruption and sleep fragmentation are associated with increased orexin-A cerebrospinal-fluid levels in mild cognitive impairment due to Alzheimer's disease[J].Neurobiology of Aging,2016,40:120-126.
[5]刘红,景雪冰,房晓杰,等.ICU专科护士工作压力源和心理资本对职业生涯状况影响的路径分析[J].中华护理杂志,2016,51(8):1012-1016.
[6]钟志霞.基层医院急诊科护理人员不良情绪状态及其影响因素分析[J].海南医学,2017,28(14):2404-2406.
[7]左文军,唐杏,高丽娟,等.职场正念对公立医院护士心理韧性的影响研究[J].中国医院管理,2017,37(8):67-68.
[8]夏英华,王希柱,张昊,等.团队心理训练模式对手术室护士心理素质及自我和谐能力影响分析[J].临床与病理杂志,2016,36(11):1810-1815.
[9]Day AL,Whrborg P,Anderssongre B,et al.An Evaluation of Daily Relaxation Training and Psychosomatic Symptoms in Young Children[J].Health Behavior&Policy Review,2016,3(3):198-208.
[10]姜文静,刘玉栋,任永福.团体心理干预与放松训练对护士工作倦怠的影响[J].中华健康管理学杂志,2014,8(5):316-320.