合理情绪疗法在夜班护士应对压力中的效果分析

Application of rational emotive therapy in response to stress in night shift nurses

目的探讨合理情绪疗法应用在夜班护士中对焦虑和抑郁等负性情绪的影响。方法选取值夜班护士36例作为研究对象，按照干预方式不同将护士分为两组，每组18例，对照组给予心理辅导，观察组给予合理情绪疗法，记录两组护士焦虑和抑郁等负性情绪变化情况。结果观察组干预后焦虑自评量表（48．05±2．54）分，抑郁自评量表（44．65±2．03）分；对照组干预后焦虑自评量表（54．02±4．93）分，抑郁自评量表（48．77±4．26）分，组间差异均有统计学意义（t=4．567、3．704，均P〈0．05）。观察组干预后去人格化评分（10．05±1．32）分，情绪衰竭（14．43±2．13）分，个人成就感（20．09±2．23）分，总职业倦怠感（44．65±3．76）分；对照组干预后去人格化评分（20．03±3．27）分，情绪衰竭（34．65±5．19）分，个人成就感（31．83±3．87）分，总职业倦怠感（75．54±8．71）分，组间差异均有统计学意义（t=12．007、15．291、11．151、13．814，均P〈0．05）。观察组护士应对方式得分中解决问题得分（0．92±0．14）分，自责得分（0．76±0．18）分，求助得分（0．88±0．19）分，幻想得分（0．67±0．13）分，退避得分（0．54±0．19）分，合理化得分（0．85±0．21）分，均高于对照组（t=9．300、11．392、7．499、15．944、9．104、6．800，均P〈0．05）。结论采取合理情绪疗法能够有效降低夜班护士心理上的抵触情绪，减轻心理压力，增强会应对处理压力能力，提升护士幸福感。

Objective To explore the effect of rational emotion therapy on negative emotional effects such as anxiety and depression in night nurses. Methods 36 night shift nurses were selected as the research subjects. According to the different means of intervention,the nurses were divided into two groups,18 cases in each group. The control group was not given psychological guidance, the observation group was given reasonable mood therapy. The negative emotions such as anxiety and depression were recorded in the nurses. Results After intervention, the anxiety self- rating scale,depression self- rating scale of the observation group were （ 48.05 ± 2.54 ）points and （44.65 ± 2. 03 ） points, respectively, which of the control group were （ 54.02 ± 4.93 ） points and （48.77 ±4.26） points, respec- tively, the differences were statistically significant （ t = 4.567,3. 704, all P 〈 0.05 ）. After intervention, the depersona-lization score,emotional exhaustion,personal achievement, total occupational burnout feeling of the observation group were （10.05 ± 1.32）points,（14.43 ±2.13）points, （20.09 ±2.23）points and （44.65 ± 3.76） points,respectively, which of the control group were （ 20.03 ± 3.27 ） points, （ 34.65 ± 5.19） points, （ 31± 83 ± 3.87 ） points, （ 75.54 ± 8.71 ）points, respectively, the differences between the two groups were statistically significant （t = 12. 007,15. 291, 11. 151,15. 291,all P 〈0.05）. The solve problems score,remorse score,help score,fantasy score,retreat score, rationalization score in the observation group were （0.92 ± 0.14 ） points, （0.76 ± 0.18 ） points, （0.88 ± 0.19 ） points, （0.67 ±0. 13） points, （0.54 ±0. 19） points, （0.85 ±0.21 ）points,which were higher than those in the Control group, the differences between the two groups were statistically significant （ t = 9. 300, 11. 392,7. 499, 15. 944,9. 104, 15. 944,all P 〈 0.05 ）. Conclusion Adopting rational emotion therapy can effectively reduce the psychological resistance of night nurses, relieve psychological pressure, enhance the ability to cope with stress, and improve the well - being of nurses.