分阶段情绪疗法对急诊科护士心理健康状况、压力应对方式及职业倦怠感的影响

Effect of rational-emotive therapy on mental health status,stress coping style and job burnout of emergency department nurses

目的 分析分阶段情绪疗法(RET)对急诊科护士心理健康状况、压力应对方式及职业倦怠感的影响。方法 以医院急诊科36名护士为研究对象,自2019年9月开始采取分阶段情绪疗法,比较RET实施前(2019年3—8月)、实施后(2019年9月—2020年2月)护士心理健康状况、职业倦怠感、压力应对方式的差异。结果 RET实施后,36名护士症状自评量表(SCL-90)评分低于实施前,差异有统计学意义(P<0.05);RET实施后,36名护士压力应对方式问卷中解决问题、合理化、求助维度评分高于实施前,幻想、退避、自责维度评分低于实施前,差异有统计学意义(P<0.05);RET实施后,急诊科护士Maslach倦怠量表(MBI)情感衰竭、去人格化、个人成就感降低3个维度评分与总分较实施前降低,差异有统计学意义(P<0.05)。结论 将RET应用于急诊科护士的心理干预,有利于改善其压力应对方式和心理健康状况,减轻职业倦怠感。

Objective To analyze the effect of rational-emotive therapy(RET) on mental health status,stress coping style and job burnout of emergency department nurses.Methods A total of 36 nurses in the emergency department of the hospital were selected as the study objects.Since September 2019,staged emotional therapy has been adopted for them to compare the differences in nurses’ mental health status,job burnout and stress coping styles before the implementation of RET(from March to August 2019) and after the implementation(from September 2019 to February 2020).Results After the implementation of RET,the symptom checklist 90(SCL-90) scores of 36 nurses were lower than those before the implementation,and the differences were statistically significant(P<0.05).After the implementation of RET,the scores of problem solving,rationalization,and helpseeking in the questionnaire of stress coping styles of 36 nurses were higher than those before implementation,and the scores of fantasy,withdrawal,and self-blame were lower than those before implementation,and the differences were statistically significant(P<0.05).After the implementation of RET,emergency department nurses’ Maslach burnout inventory(MBI) emotional exhaustion,depersonalization,and personal achievement decreased three dimension scores and total scores were lower than those before implementation,and the differences were statistically significant(P<0.05).Conclusion The application of RET to the psychological intervention of emergency department nurses was beneficial to improve their stress coping style and mental health status,and to reduce job burnout.