摘要
目的研究山西省某三甲中医院临床护士的心理健康水平,观察八段锦联合正念减压疗法对中医院临床护士负面情绪及职业倦怠的影响。方法整群抽取山西省某三甲中医院544名临床护士为研究对象,采用一般资料、症状自评量表(SCL-90)、五因素正念度量表(FFMQ)进行测试。选取调查研究中的SCL-90得分最高的100名临床护士作为研究对象,通过随机对照实验双盲法,用随机数字表法将研究对象随机分为干预组和对照组,其中实验组和对照组各50名,干预组在此期间接受每2周1次,共4次八段锦联合正念减压团体干预,对照组接受每天1 h的八段锦练习,持续2个月。结果护士人员主要的压力源依次表现为经常倒班、工作待遇及福利低、担心工作差错、社会地位低、工作量大。山西省某三甲中医院护士SCL-90得分高于全国常模。经过正念减压训练护士心理健康状况得到了显著的改善,躯体化、强迫症状、人际敏感因子得分及总分干预后干预组与对照组比较差异有统计学意义(P<0.05),干预组在干预前和干预后比较差异有统计学意义(P<0.05);抑郁因子干预组在干预前后比较差异有统计学意义(P<0.05)。正念各分量表在干预前后的比较:描述分量表得分及总分干预后干预组与对照组比较差异有统计学意义(P<0.05),干预组在干预前后差异有统计学意义(P<0.05);觉知地行动、不判断两个分量表得分在干预后干预组与对照组比较差异有统计学意义(P<0.05)。在工作疲溃感各维度评分方面,干预前,两组研究对象工作疲溃感各维度评分比较差异无统计学意义(P>0.05);干预后情绪疲溃感、工作冷漠感得分降低,工作无成就感得分增加,三方面评分比较差异有统计学意义(P<0.05)。结论八段锦联合正念减压疗法对缓解临床护士负面情绪及职业倦怠有显著疗效,值得推广。
Objective To study the mental health level of clinical nurses in three class hospital of traditional Chinese medicine in Shanxi province,and to observe the intervention effect of mindfulness decompression therapy combined with Baduanjin on mental health status and work burnout of clinical nurses in the hospital of traditional Chinese medicine.Methods A group of 544 clinical nurses from a top three hospital of traditional Chinese medicine in Shanxi province were selected and tested by general data,SCL-90 and FFMQ.100 clinical nurses with the highest score of SCL-90 were selected as the subjects.The subjects were randomly divided into the experimental group and the control group by the double-blind method of the randomized controlled experiment,50 in the experimental group and 50 in the control group.In this period,the intervention group was indirectly intervened by eight segments brocade combined with mindfulness decompression group four times every two weeks,and the control group received 1 h Baduanin practice lasts for 2 months.Results The main stressors of nurses are frequent shift work,low pay and welfare,worrying about work errors,low social status and heavy workload.The SCL-90 scores of nurses in a top three TCM hospital in Shanxi province were higher than the national norm.The mental health of nurses after mental decompression training was significantly improved:the scores of somatization,obsessivecompulsive symptoms,interpersonal sensitivity factors and total scores of intervention group and control group were statistically different(P<0.05),the intervention group was statistically different before and after intervention(P<0.05),and the depression factor intervention group was statistically different before and after intervention(P<0.05).Comparison of mindfulness subscales before and after intervention:description subscale score and total score after intervention intervention there was statistical difference between intervention group and control group(P<0.05),intervention group before and after intervention there was statistical difference(P<0.05);conscious action,no judgment two subscales score after intervention there was statistical difference between intervention group and control group(P<0.05).Before the intervention,there was no significant difference between the two groups(P>0.05).After intervention,the scores of emotional exhaustion,work apathy and work non achievement were significantly lower(P<0.05).Conclusion The combination of mindfulness decompression therapy and Baduanjin has a significant effect on improving the mental health level and job burnout of nurses in traditional Chinese medicine hospital,which is worth popularizing.
作者
刘晓芳
宋丽萍
LIU Xiaofang;SONG Liping(Shanxi Medical University,Taiyuan 030000,Shanxi,China)
出处
《辽宁中医药大学学报》
CAS
2021年第9期211-214,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
国家自然科学基金青年科学基金项目(71704189)
山西省科技公关项目(20120313027-3)
山西省科技厅软科学项目(2012041063-02)
关键词
职业倦怠
心理健康
正念五因素
正念减压疗法
八段锦
job burnout
mental health
mindfulness five factors
mindfulness decompression therapy
Baduanjin
作者简介
刘晓芳(1987-),女,山西忻州人,主管护师,硕士,研究方向:护理心理。
