叙事护理在新型冠状病毒肺炎病区护士中的干预研究

Effect of Narrative Nursing on Mental Health of Nurses Fighting against COVID-19

目的探讨叙事护理对改善新型冠状病毒肺炎病区一线工作的护士心理症状的效果。方法选取45名在新型冠状病毒肺炎病区工作的护士,采用症状自评量表进行心理症状的评估,针对心理问题和症状,由3名接受过叙事护理培训的护理人员,通过电话或微信语音对其进行叙事护理干预,每周2次,干预2周。比较干预前后护士症状自评量表得分差异。结果本组护士70%~80%存在焦虑、恐惧症状,干预2周末,本组护士的症状自评量表总分、9个因子分较干预前显著降低(P<0.001)。结论叙事护理干预可有效改善新型冠状病毒肺炎病区护士焦虑、恐惧、人际关系敏感、强迫等心理症状,使其积极地面对抗疫工作中的困难和应激症状,促进了其在抗疫时期保持一定的心理适应性和稳定性。

Objective To explore the effect of narrative nursing on improving mental health of nurses at the forefront of fighting against COVID-19.Methods Forty-five nurses at the forefront of fighting against COVID-19 were selected and investigated by using the Symptom Checklist 90(SCL-90),then narrative nursing intervention was conducted by phone or WeChat twice a week for two weeks,and SCL-90 was reused for the investigation.The scores of SCL-90 of nurses before and after narrative nursing intervention were compared.Results Anxiety and fear were found in 70%to 80%of the nurses in the study.After the intervention,the total score of SCL-90 and the score of each symptom factor were significantly lower than those before the intervention(P<0.001).Conclusion Narrative nursing can effectively improve mental health of nurses at the forefront of fighting against COVID-19,and help them face the difficulties and challenges in frontline work actively,deal with the problems with a positive attitude,and improve their psychological adjustment and mental resilience.