叙事护理对改善ICU护士心理健康状态的研究

Narrative intervention to improve mental health of ICU nurses

目的探讨叙事护理对改善ICU护士心理健康状态的效果。方法将80名ICU护士随机分为两组各40例。对照组采用传统的心理辅导方式;干预组由受过专业培训的叙事护理员,综合运用外化、解构、改写、外部见证人和治疗文件5个核心技术进行一对一的叙事护理干预。比较干预前后两组ICU护士症状自评量表(SCL-90)得分。结果干预后,干预组SCL-90总分以及各症状因子得分显著低于对照组(P<0.05,P<0.01)。结论叙事护理可有效改善ICU护士心理健康状态,提高其心理健康水平。

Objective To explore the effect of narrative intervention on improving mental health of ICU nurses.Methods Eighty ICU nurses were randomized into two groups,with 40 in each group.The control group was given traditional psychological counseling,while the intervention group received one-to-one narrative intervention provided by trained nurses,using 5 main techniques as externalization,deconstruction,rewriting,external witness,and therapeutic documents.The Symptom Checklist 90(SCL-90)was used to measure the effect before and after the intervention.Results The total SCL-90 score and subscale scores in the intervention group after the intervention were significantly lower compared with the baseline and the control group(P<0.05,P<0.01).Conclusion Narrative nursing can effectively improve mental health of ICU nurses.