网络结构式团体心理干预对新型冠状病毒肺炎隔离病房一线护士心理危机的影响

Effect of Network Structured Group Psychological Intervention on Psychological Crisis of Front-line Nurses in COVID-19 Isolation Ward

目的:探讨网络结构式团体心理干预对新型冠状病毒肺炎隔离病房一线护士心理危机的影响。方法:选取2020年2-5月河南省人民医院新型冠状病毒肺炎隔离病房62名护士,将其随机分成观察组31名和干预组31名。两组均通过腾讯视频APP和微信群进行心理健康教育,提供24 h心理热线援助和网络个体心理咨询,干预组在此基础上,于留观期实施网络结构式团体心理干预。对比进驻前、进驻期及留观期两组护士焦虑、抑郁、躯体化症状、睡眠质量情况、护士的主观感受及活动满意度。结果:进驻前,两组护士焦虑、抑郁、躯体化症状及睡眠质量评分比较,差异均无统计学意义(P>0.05)。留观期,干预组护士焦虑、抑郁、躯体化及睡眠质量评分均低于观察组,差异均有统计学意义(P<0.05)。干预组留观期的焦虑、抑郁、躯体化症状及睡眠质量评分均低于进驻期,差异均有统计学意义(P<0.05)。观察组留观期的抑郁评分与进驻期比较,差异无统计学意义(P>0.05),留观期焦虑、躯体化症状及睡眠质量评分均低于进驻期(P<0.05)。干预组在主观感受即"压力有所缓解""情绪得到宣泄""可以认识自我""增加自信""获得掌控感""感觉不再孤单和无聊""学会解决问题的能力""美好期望"上以及活动满意度上均明显高于观察组,差异均有统计学意义(P<0.05)。结论:网络结构式团体心理干预可以降低新型冠状病毒肺炎隔离病房护士的焦虑、抑郁情绪,改善护士睡眠质量,减少躯体化症状的发生,帮助其恢复和维持心理健康。

Objective:To investigate the effect of network structured group psychological intervention on psychological crisis of first-line nurses in COVID-19 isolation ward.Method:A total of 62 nurses in the COVID-19 isolation ward of Henan Provincial People’s Hospital from February to May 2020 were randomly divided into observation group(n=31)and intervention group(n=31).Both groups received mental health education through Tencent video APP and wechat group,and provided 24 h psychological hotline assistance and online individual psychological counseling,on this basis,the intervention group implemented network structured group psychological intervention during the observation period.The anxiety,depression,somatization symptoms,sleep quality,subjective feelings and activity satisfaction of the nurses in the two groups were compared before the entry period,the entry period and the observation period Result:There were no significant differences in anxiety,depression,somatization symptoms and sleep quality scores between the two groups before the entry period(P>0.05).During the observation period,the scores of anxiety,depression,somatization and sleep quality of nurses in the intervention group were lower than those in the observation group,with statistical significance(P<0.05).The scores of anxiety,depression,somatization symptoms and sleep quality in the observation period were lower than those in the entry period in the intervention group,with statistical significance(P<0.05).There was no significant difference in depression score of the observation group in the entry period and in the observation period(P>0.05),the scores of anxiety,somatization symptoms and sleep quality in the observation period were lower than those in the entry period(P<0.05).The intervention group was significantly higher than the observation group in subjective feeling,namely,“stress relieved”“emotional catharsis”“self-awareness”“increased self-confidence”“sense of control”“feeling no longer lonely and boring”“learn to solve problems”“good expectation”and activity satisfaction,the differences were statistically significant(P<0.05).Conclusion:Network structured group psychological intervention can reduce the anxiety and depression of nurses in COVID-19 isolation ward,improve their sleep quality,reduce the occurrence of somatization symptoms,and help them recover and maintain their mental health.