合理情绪疗法在护士应对压力中的应用效果

目的探讨合理情绪疗法(rational-emotive therapy,RET)在护士应对压力中的应用效果,为临床护士应对压力提供理论指导。方法 2010年5～7月,将本院内、外科235名护士按照科室分为实验组120名和对照组115名,对照组采用常规培训,实验组在此基础上增加RET培训内容。培训前后对两组护士发放压力应对方式问卷,比较她们的压力应对情况。结果培训前两组护士压力应对方式比较,P>0.05,差异无统计学意义;培训后实验组护士在解决问题和求助两个积极应对方式评分明显提高,而自责、幻想和退避3个消极应对方式评分明显降低,与对照组比较,均P<0.05,差异具有统计学意义。结论 RET能帮助护士改变不合理的认知模式,使她们以积极的应对方式去面对压力,有利于提高护士的生活质量。

Objective To explore the effect of rational-emotive therapy（RET） on nurses＇ stress coping and provide clinical nurses with theoretical guidance to cope with stress.Methods 235 nurses of our hospital were randomly divided into experimental group（n = 120） and control group（n = 115）.The nurses in the experimental group were trained with RET,while those in control group did not receive any training.The situation of stress coping was compared between two groups by offering stress coping mode questionnaire before and after the training.Results Before the training,there was not significant difference about the mode of stress coping between the two groups（P 0.05）.After training,the scores of the two positive coping modes（solving problem and seeking help） were obviously increased and the scores of the three negative coping modes（self-blame,fantasy and retreating） were obviously decreased in the experimental group,with significant difference between the two groups（P 0.05）.Conclusion RET is helpful for nurses to change unreasonable cognition pattern and make them face stress with positive coping modes so that it improves the quality of life of nurses.