在线支持性表露疗法在预离职护士中的应用效果

Application effect of online supportive disclosure therapy in pre-dimission nurses

目的探讨在线支持性表露疗法对预离职护士自我表露水平、职业认同感、离职意愿以及离职率的影响,为护理管理者稳定护理队伍提供参考。方法采用类实验研究方法,方便抽样法选取2021年10月至2022年12月山东省立第三医院、山东第一医科大学第一附属医院、山东第一医科大学附属省立医院192名预离职护士为研究对象,按照随机数字表法分为对照组和试验组,每组96名。对照组给予常规离职访谈,试验组在此基础上实施在线支持性表露疗法干预。于干预前和干预后1、2个月分别对2组护士自我表露、职业认同感、离职意愿水平及离职率进行评价。结果最终对照组94名、试验组92名护士完成研究。干预前,2组护士的自我表露、职业认同感、离职意愿水平比较差异无统计学意义(P>0.05)。干预后1、2个月试验组护士的痛苦自我表露指数量表、职业认同感评定量表、离职意愿量表得分分别为(36.33±5.13)、(73.88±8.72)、(14.18±1.12)分和(34.22±6.78)、(98.26±11.29)、(6.16±1.19)分,对照组分别为(28.06±8.23)、(64.72±10.39)、(17.82±1.37)分和(44.26±7.62)、(79.82±8.66)、(9.18±1.06)分,2组比较差异均有统计学意义(t值为-13.54~-2.11,均P<0.05);2组护士痛苦自我表露指数量表、职业认同感评定量表、离职意愿量表得分的组间效应、时间效应、交互效应差异均有统计学意义(F值为5.12~14.82,均P<0.05)。试验组护士离职率为1.09%(1/92),低于对照组的8.51%(8/94),2组比较差异有统计学意义(χ^(2)=1.59,P<0.05)。结论在线支持性表露疗法可提高预离职护士自我表露水平及职业认同感,降低其离职意愿及离职率。

Objective To explore the effects of online supportive disclosure therapy on the self-expression level,professional identity,dimission intention,and turnover rate of pre-dimission nurses,in order to provide a reference for nursing managers to stabilize the nursing team.Methods A quasi experimental research method was used,and a convenient sampling method was used to select 192 pre resigned nurses from Shandong Provincial Third Hospital,the First Affiliated Hospital of Shandong First Medical University,and Shandong First Medical University Affiliated Provincial Hospital from October 2021 to December 2022 as the research subjects.They were divided into a control group and an experimental group by random number table method,with 96 nurses in each group.The control group received routine exit interviews,while the experimental group received online supportive disclosure therapy intervention based on this.The self-expression level,professional identity,dimission intention,and turnover rate of two groups of nurses before and 1,2 months after the intervention were evaluated.Results Finally,94 nurses in the control group and 92 nurses in the experimental group completed the study.There were no significant differences in the self-expression level,professional identity,dimission intention before the intervention between the two groups(P>0.05).After 1 and 2 months of the intervention,the scores of the Pain Self Disclosure Index,Nurse Professional Identity Rating Scale,and Resignation Intention Scale of the experimental group were 36.33±5.13,73.88±8.72,14.18±1.12 and 34.22±6.78,98.26±11.29,6.16±1.19,respectively,and the control group were 28.06±8.23,64.72±10.39,17.82±1.37 and 44.26±7.62,79.82±8.66,9.18±1.06,there were statistically significant differences between the two groups(t values were-13.54 to-2.11,all P<0.05);there were statistically significant differences in the inter group effects,time effects,and interaction effects of the scores on the Pain Self Disclosure Index,Professional Identity Rating Scale,and Resignation Intention Scale between the two groups(F values were 5.12 to 14.82,all P<0.05).The turnover rate of nurses in the experimental group was 1.09%(1/92),lower than 8.51%(8/94)in the control group,and the difference between the two groups was statistically significant(χ^(2)=1.59,P<0.05).Conclusions Online supportive disclosure therapy can improve the self-expression level and professional identity of pre-dimission nurses,and reduce their willingness to resign and turnover rate.