弹性教育项目联合巴林特小组干预对肿瘤科护士同情心负荷的影响
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摘要
目的探讨弹性教育项目联合巴林特小组干预方案对肿瘤科护士同情心负荷水平的影响。方法采用前后对照设计、类实验研究的方法,对我院18名肿瘤科护士进行综合弹性教育项目,并进行每2周一次、每次90 min、共16次的巴林特小组活动,干预前后均使用专业生活质量量表(ProQOL)、心理弹性量表(CD-RISC)和一般健康问卷(GHQ-12)对护士进行测评,比较干预前后测试水平。结果干预后肿瘤科护士ProQOL测评维度中同情满意程度高于干预前、继发性创伤应激程度低于干预前,干预后肿瘤科护士心理弹性水平高于干预前,差异均有统计学意义(P<0.05);肿瘤科护士ProQOL中的职业耗竭这一维度的得分和一般健康状况干预前后差异无统计学意义(P>0.05)。结论弹性教育项目联合巴林特小组活动的干预方式可以提升肿瘤科护士同情满意水平,缓解同情心负荷程度,提高心理弹性水平,有利于肿瘤科护士的身心健康。
引文
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[2] Aycock N,Boyle D.Interventions to manage compassion fatigue in oncology nursing[J].Clinical Journal of Oncology Nursing,2009,13(2):183-191.
[3] Boyle,D A.Compassion fatigue:The cost of caring[J].Nursing,2015,45(7):48-51.
[4] Coetzee,S K,Knobloch,H C.Compassion fatigue within nursing practice:A concept analysis[M].Nursing & Health Sciences,2010:235-243.
[5] Figley C R.Treating compassion fatigue[M].New York:Brunner-Routledge,2002:123-138.
[6] Lakasing E.Michael Balint:An outstanding medical life[J].Br J Gen Pract,2005,55(518):724-725.
[7] 锦亚,魏镜,史丽丽,等.医学活动中的共情及困难一巴林特工作对促进共情的作用[J].医学与哲学,2015,36(4):4-7.
[8] Stamm B H.The Concise ProQOL Manual.Pocatello[EB/OL].[2018-05-04].http://www.ProQOl.org.
[9] 郑杏,杨敏,高伟,等.中文版护士专业生活品质量表的信效度检测[J].护理学杂志,2013,28(5):13-15.
[10] Connor K M,Davidson J R.Development of a new resilience scale:The Connor-Davidson resilience scale[J].Depress Anxiety,2003,18(2):76-82.
[11] 于肖楠,张建新.自我韧性量表与Connor-Davidson韧性量表的应用比较[J].心理科学,2007,30(5):1169- 1171.
[12] Goldberg D P,Hillier V F.A scaled version of the general health questionnaire[J].Psychological Medicine,1979(9):139-145.
[13] 贝志红.护士工作压力源与心理健康状况的调查分析与对策[J].现代临床护理,2011,10(2):7-9.
[14] Potter P,Deshields T,Berger J A,et al.Evaluation of a compassion fatigue resiliency program for oncology nurses[J].Oncology Nursing Forum,2013,40(2):180-187.
[15] Flarity K,Gentry J E,Mesnikoff N.The effectiveness of an educational program on preventing and treating compassion fatigue in emergency nurses[J].Adv Emerg Nurs J,2013,35(3):247-258.
[16] Houck D.Helping nurses cope with grief and compassion fatigue:An educational intervention[J].Clinical Journal of Oncology Nursing,2014,18(4):454.
[17] 石思梅,黄薇,廖昆仑.肿瘤科护士工作倦怠现状及其主要影响因素[J].现代医院,2009,9(11):115-116.
[18] 席居哲,桑标,左志宏.心理弹性的回顾与展望[J].心理科学,2008,31 (4) :995-998.
[19] 胡春燕,边志衡.国内外肿瘤科护士心理压力分析及应对措施[J].中国医药指南,2011,9(18):222-224.