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正念减压训练对ICU护士死亡焦虑和工作疲溃感的影响 被引量:12

Effect of mindfulness-based stress reduction(MBSR)on death anxiety and job burnout in Intensive Care Unit nurses
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摘要 目的 了解正念减压疗法对ICU护士死亡焦虑和工作疲溃感的影响.方法 采用整群抽样方法,选择四川省达州市2所三级甲等医院的ICU护士作为研究对象.为避免护士相互沾染,本研究按照医院将护士进行分组.采用抛硬币法将其中1所医院的32名ICU护士设为对照组,另外1所医院的38名ICU护士设为观察组.在研究的过程中,观察组有1名护士因个人原因中途退出研究,最终37名护士完成本研究.对照组护士不给予任何干预,观察组护士采用正念减压疗法进行干预.通过中文版五级死亡焦虑量表(Chinese Version of Templer-Death Anxiety Scale,CT-DAS)、工作疲溃感量表评估干预效果.结果 干预前两组护士的死亡焦虑量表得分比较,差异无统计学意义(P>0.05);干预后观察组护士的死亡焦虑量表得分低于对照组,差异有统计学意义(P<0.05).干预前两组护士的工作疲溃感量表总分及各个维度得分比较,差异均无统计学意义(P>0.05);干预后观察组护士的工作疲溃感量表总分、情绪的疲倦感得分低于对照组,差异有统计学意义(P<0.05);两组护士对工作的冷漠感和个人的工作无成就感得分比较,差异无统计学意义(P>0.05).结论 正念减压疗法能够减轻ICU护士的死亡焦虑水平与工作疲溃感. Objective To understand the effect of mindfulness-based stress reduction(MBSR)on death anxiety and job burnout in Intensive Care Unit(ICU) nurses. Methods Using cluster sampling method, ICU nurses from two ClassⅢ Grade A hospitals in Dazhou city of Sichuan Province were selected as the research objects. In order to avoid mutual influence, nurses were divided into groups according to hospitals. Totally 32 ICU nurses in one hospital were set as the control group and 38 ICU nurses in another hospital as the observation group. During the course of the study, one nurse in the observation group quit the study due to personal reasons, and 37 nurses finally completed the study. The nurses in the control group did not receive any intervention, while the nurses in the observation group were adopted the MBSR intervention. The intervention effect was evaluated by the Chinese Version of Templer-death Anxiety Scale(CT-DAS) and Job Burnout Scale. Results There was no statistically significant difference between the two groups before intervention in terms of their Death Anxiety Scale score (P>0.05);the score in Death Anxiety Scale in the observation group was lower than the control group after intervention and the difference was statistically significant (P< 0.05). Before the intervention, there was no statistically significant difference in the total score and the scores of each dimension of Job Burnout Scale between the two groups (P>0.05);after intervention, the total score of Job Burnout Scale and the score of "emotional fatigue" in the observation group were lower than those in the control group with statistical significances (P<0.05). There was no statistically significant difference between the two groups in the scores of indifference to work and personal lacking in sense of achievement between the two groups(P>0.05). Conclusions MBSR therapy can reduce the death anxiety level and job burnout of ICU nurses.
作者 朱雅竹 青友芬 潘江霞 Zhu Yazhu;Qing Youfen;Pan Jiangxia(Burn Intensive Care Unit,Dazhou Central Hospital,Sichuan Province,Dazhou 635000,China)
出处 《中华现代护理杂志》 2019年第31期4068-4071,共4页 Chinese Journal of Modern Nursing
关键词 护士 重症监护病房 正念减压疗法 死亡焦虑 工作疲溃感 Nurses Intensive Care Unit Mindfulness-Based Sterss Reduction Death anxiety Job burnout
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