团体心理治疗对遭受暴力事件后精神科护士心理健康的影响

Effect of group psychotherapy on mental health of psychiatric nurses after violence

目的探讨团体心理治疗对精神科护士遭受暴力事件后心理健康的影响。方法对30名遭受暴力事件后的精神科护士实施团体心理治疗,内容包括观察和了解、认识和学习、探讨自我、接纳和调整自我、改善与他人的关系及采取行为方式,共8周,每周1次,每次60~120min。干预前后采用症状自评量表(the self-reporting inventory,symptom checklist 90,SCL-90)对精神科护士心理健康状况进行测评。结果干预前精神科护士SCL-90各维度得分及总分均高于国内常模,差异均有统计学意义(P<0.05)。干预后精神科护士SCL-90各维度得分及总分均低于干预前,差异均有统计学意义(P<0.05)。结论精神科护士在遭受暴力事件后心理健康水平偏低。团体心理治疗对提升遭受暴力事件后精神科护士心理健康水平具有积极的作用。

Objective To explore the effect of group psychotherapy on mental health of psychiatric nurses after violence.Methods Group psychosocial interventions were conducted on psychiatric nurses who were exposed to violence. The measures included observation and understanding, learning and self-understanding, self-acceptance, self-adjustment and behavioral improvement for 8 weeks, once a week, 60-120 min each time. Before and after intervention, the mental health status of psychiatric nurses was evaluated by self-reporting inventory（SCL-90）. Results The scores by SCL-90 in the psychiatric nurses before and after intervention were higher than those in the national norm with statistically significant difference（ P〈0.05）. The scores by SCL-90 as well as all of dimensions after the intervention were all significantly higher than those before intervention（ P〈0.05）. Conclusion Group counseling intervention has a positive effect on improvement of mental health of psychiatric nurses after violent incidents.