叙事护理对护士职业倦怠干预的影响

The effect of narrative nursing intervention on job burnout of nurses

目的:探讨叙事护理干预对临床护士职业倦怠的影响。方法:2018年1月至6月对杭州师范大学附属医院各病区88名护士进行为期6个月的小组式叙事护理干预,应用马氏职业倦怠量表调查比较干预前后护士职业倦怠情况的差异。结果:与干预前比,干预后护士的情绪衰竭、人格解体、成就感低落评分以及阳性比例均有所下降,差异均有统计学意义(P<0.05)。与干预前比,干预后护士的轻度、中度、重度的职业倦怠比例有所下降,差异有统计学意义(χ^2=3.769,P=0.049)。结论:叙事护理可以有效缓解护士的职业倦怠,在临床护理工作中具有重要应用价值。

Objective:To explore the impact of narrative care on nurses in clinical care work.Methods:From January to June 2018,a group of 88 nurses from each ward of the Affiliated Hospital of Hangzhou Normal University underwent a six-month group narrative nursing intervention.Before and after the intervention,the Mars burnout scale was used to evaluate the nurses,and the differences in nurse burnout before and after the intervention were compared.Results:After the intervention,the scores of emotional exhaustion,depersonalization,low sense of achievement and positive proportion of nurses all decreased compared with those before the intervention(P<0.05).The proportion of mild,moderate and severe job burnout among nurses decreased after the intervention compared with that before the intervention(χ^2=3.769,P=0.049).Conclusion:The application of narrative care in clinical nursing work can effectively reduce the occurrence of nurse burnout.