降压工作坊对神经外科护士心理水平的影响

Effects of ＂Step-down Workshop＂ on psychological level of nurses in Department of Neurosurgery

目的 探讨降压工作坊对神经外科护士心理水平的改善程度,为临床推广提供理论依据.方法 选取2016年1—12月河南省人民医院神经外科护士85名,按照是否有参加降压工作坊意愿分为两组,观察组（n=42）采用降压工作坊进行干预,对照组（n=43）接受常规心理治疗干预.干预前后采用SAS、SDS、社会支持量表（SSRS）、匹斯堡睡眠质量（PSQI）评价量表比较两组干预效果.结果 干预5周后,观察组护士SAS得分为（41.67±18.41）分,SDS（31.02±14.22）分,均低于对照组,差异有统计学意义（t值分别为1.965、2.198;P〈0.05）.干预后观察组护士社会支持总分（13.29±5.74）分,对照组（8.14±2.33）分,差异有统计学意义（t=2.247,P〈0.05）.干预后观察组睡眠质量PSQI评分（2.03±0.40）分,对照组（8.35±2.51）分,差异有统计学意义（t=2.376,P〈0.05）.结论 降压工作坊可以有效缓解神经外科护士精神压力,降低护士焦虑、抑郁情况,改善睡眠质量,提高了护士的工作质量,适合临床推广.

Objective To explore the improvement of psychological level of nurses in department of neurosurgery by ＂step-down workshop＂, so as to provide theoretical basis for clinical promotion. Methods From January to December 2016, a total of 85 nurses from the Neurosurgery Department of He＇nan Provincial People＇s Hospital were recruited, and divided into two groups according to the intention of attending ＂step- clown workshop＂. The nurses of the observation group （n=42） received ＂step-down workshop＂, while the nurses of the control group （n=43） received routine psychological treatment. The Self-rating Anxiety Scale （SAS）, Self- rating Depression Scale （SDS）, Social Support Rating Scale （SSRS） and Pittsburgh Sleep Quality Index （PSQI） were applied before and after the intervention to compare the intervention effects between the two groups. Results The scores of SAS and SDS of the observation group 5 weeks after intervention was （41.67 ± 18.41） and （31.02 ±14.22） respectively, which were both lower than those of the control group, and the differences were statistically significant （t=1.965, 2.198; P 〈 0.05）. The total score of SSRS of the observation group after intervention was （13.29 ± 5.74）, while that of the control group was （8.14±2.33）, and the difference was statistically significant （t=2.247, P 〈 0.05）. The score of PSQI of the observation group after intervention was （2.03 ± 0.40）, while that of the control group was （8.35±2.51）, and the difference was statistically significant （t=2.376, P〈 0.05）. Conclusions The ＂step-down workshop＂ can effectively relieve the mental pressure of nurses in department of neurosurgery, reduce the anxiety and depression, improve the quality of sleep, and improve the quality of nurses in nursing work, which is suitable for clinical promotion.