摘要
目的了解自助式正念减压训练对精神科护士心理弹性及职业倦怠的影响。方法选取2022年1—3月大庆市第三医院符合入组标准的护理人员64人。按照随机列表法将64人分为观察组和对照组,每组各32例。对照组给予每周1次的心理健康教育,观察组在心理健康教育的基础上给予自助式正念减压训练。于干预前及干预第4、8周时用五因素正念度量表(five facet mindfulness questionnaire,FFMQ)评估正念水平,用心理韧性量表(Connor-Davidson resilience scale,CD-RISC)评估心理弹性,用马斯勒职业倦怠量表-服务行业版(Maslach burnout inventory-human services survey,MBI-HSS)评估职业倦怠,并对数据进行分析。结果入组的64名精神科护士MBI-HSS总分为(59.38±17.69)分,其中情绪衰竭得分为(27.33±7.53)分,高于国内常模,去人格化得分为(10.91±5.46)分,高于国内常模,个人成就感得分为(27.06±7.55)分,低于国内常模,差异均有统计学意义(均P<0.05)。干预前2组FFMQ、CD-RISC、MBI-HSS总分和各维度得分比较,差异均无统计学意义(均P>0.05)。观察组干预第4周时CD-RISC总分和自强维度得分及FFMQ总分和观察维度、描述维度、觉知地行动维度、不判断维度得分高于干预前,MBI-HSS总分和情绪衰竭维度、去人格化维度得分低于干预前,差异均有统计学意义(均P<0.05)。观察组干预第8周时FFMQ、CD-RISC总分和各维度得分及MBI-HSS个人成就感维度得分高于干预前,MBI-HSS总分和情绪衰竭维度、去人格化维度得分低于干预前,差异均有统计学意义(均P<0.05)。干预前后,对照组FFMQ、CD-RISC、MBI-HSS总分和各维度得分比较,差异均无统计学意义(均P>0.05)。干预第4周时,观察组FFMQ、CD-RISC、MBI-HSS总分和各维度得分与对照组比较,差异均无统计学意义(均P>0.05)。干预第8周时,观察组CD-RISC总分和自强维度、乐观维度得分、MBI-HSS个人成就感维度得分、FFMQ总分和各维度得
Objective Understand the impact of self-service mindfulness stress relief training on the psychological resilience and occupational burnout of psychiatric nurses.Method Select 64 nursing staff who meet the enrollment criteria from the Third Hospital of Daqing City from January to March 2022.According to the random list method,64 people were divided into an observation group and a control group,with 32 cases in each group.The control group received weekly mental health education,while the observation group received self-service mindfulness stress relief training on the basis of mental health education.Before intervention and at weeks 4 and 8,the five face mindfulness questionnaire(FFMQ)was used to assess mindfulness levels,the Connor Davidson Resilience Scale(CD-RISC)was used to assess resilience,and the Maslach Burnout Inventory Human Services Survey(MBI-HSS)was used to assess job burnout,and the data was analyzed.Result The total MBI-HSS score of the 64 psychiatric nurses enrolled was(59.38±17.69)points,with an emotional exhaustion score of(27.33±7.53)points,which was higher than the domestic norm.The depersonalization score was(10.91±5.46)points,which was higher than the domestic norm.The personal achievement score was(27.06±7.55)points,which was lower than the domestic norm,and the differences were statistically significant(all P<0.05).Before the intervention,there was no statistically significant difference in the total scores and various dimensions of FFMQ,CD-RISC,and MBI-HSS between the two groups(all P>0.05).At the 4th week of intervention,the total scores of CD-RISC and self-improvement dimensions,as well as the total scores of FFMQ,observation dimension,description dimension,perceived action dimension,and non judgment dimension in the observation group were higher than before intervention.The total scores of MBI-HSS,emotional exhaustion dimension,and depersonalization dimension were lower than before intervention,and the differences were statistically significant(all P<0.05).At the 8th week of interv
作者
栾悦
任凯
王婷婷
俎海珍
毕洪生
LUAN Yue;REN Kai;WANG Tingting;ZU Haizhen;BI Hongsheng(Children and Adolescents Psychological Department,Daqing Heilongjiang,163000,China;Mental Health Consulting Unit,Daqing Heilongjiang,163000,China;No.9 Ward,The Third Hospital of Daqing,Daqing Heilongjiang,163000,China)
出处
《职业与健康》
CAS
2023年第17期2332-2336,2344,共6页
Occupation and Health
基金
大庆市指导性科技项目(zdy-2021-21)。
关键词
正念
职业倦怠
精神科护士
心理韧性
Mindfulness
Job burnout
Psychiatric nursing
Resilience
