同辈支持网络小组对新护士社交焦虑及心理弹性的影响

Effect of peer support system on social anxiety and resilience among new graduate nurses

目的:评价同辈支持网络小组对新入职护士社交焦虑及心理弹性的影响。方法:使用交往焦虑量表(IAS),采用历史对照的方法将IAS得分>43分的2014年新入职护士36例作为对照组给予常规规范化培训;将IAS得分>43分的2015年新入职护士39例作为干预组,干预组在对照组基础上成立同辈支持网络小组进行小组干预和结对干预(为期6个月)。采用IAS和Connor-Davidson心理弹性问卷(CDRIS C)进行基线资料收集和规范化培训3月、6月共3次测评,采用重复测量方差分析对各指标进行统计学分析。结果:重复测量方差分析结果显示,IAS得分在测量时间与分组上存在交互效应(P<0.001);C D-RIS C总分及3个维度在测量时间与分组上存在交互效应(均P<0.001)。进一步简单效应分析显示,基线水平,两组的IAS得分、CD-RISC总分及各维度得分差异均无统计学意义(均P>0.05);3月及6月干预后,干预组的IAS得分均低于同期对照组(均P<0.001),CD-RISC总分及各维度得分均高于同期对照组(均P<0.05)。结论:同辈支持网络小组能够有效降低新入职护士社交焦虑,提高心理弹性水平,使其更好更快适应医院工作。

Objective： To explore the effect of peer support system on social anxiety and resilience among newgraduate nurses. Methods： Totally 36 newgraduate nurses entry in 2014 who ＇s Interaction Anxiousness Scale （ IAS） score were 〉43 were selected as control group. Totally 39 newgraduate nurses entry in 2015 who ＇ s IAS score were 〉43 were as experimental group. The control group accepted routine standardized training. The experimental group received peer support, which consisted on conduct group intervention and twining intervention （ 6 months） . IAS and Connor-Davidson Resilience Scale（ CD-RISC） were used to investigate the nurses＇social anxiety and resilienceat 3 months and 6 months after intervention. The scores were analyzed by using repeated ANVOA. Results： Repeated measures analysis of variance of IAS showed that,there were significant differences on the IAS scores for interaction between measure time and group processing （ P〈0. 001） . The differences between the two groups in the main effects of interaction and time on the total score of CD-Rescan its three dimensions score were all statistically significant（ Ps〈0. 001 ） . Separate analyses showed that at baseline, there was no significant difference between two groups in all variables （ Ps〉0. 05） . After 3 months and 6 months of intervention,the IAS scores were lower in the intervention group than in the control group （ Ps〈0. 001） ,the CD-RISC total scores and the three dimensions scores were higher in the intervention group than in the control group （ Ps〈0. 05） . Conclusion： It suggests that the peer support system could improve the social anxiety and resilience of newgraduate nurses.