CAJ | 학술논문

目的探讨综合心理干预对职业暴露后护士情绪及应对方式的影响.方法将423名1周内有职业暴露史的护士,随机分为干预组212人和对照组211人;对干预组进行为期2个月的干预,包括心理咨询及疏导、职业暴露相关知识宣教及暴露后处理流程、追踪及监测;对暴露者进行工娱、文娱、音乐、生物反馈放松等干预;心理干预前后采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、应对方式问卷进行评定和对照研究.结果综合干预后,干预组焦虑、抑郁评分均较干预前有明显降低,差异有统计学意义(P＜0.01);应对方式问卷的解决问题、求助等积极应对因子分均有显著性提高,差异有统计学意义(P＜0.05),而自责、幻想、回避等消极因子分均明显降低,差异有统计学意义(P＜0.05).结论综合心理干预有助促进职业暴露后护士的心理健康水平和改善应对方式;对稳定护理队伍非常重要,应引起各医院领导的重视.
목적 탐토종합심리간예대직업폭로후호사정서급응대방식적영향.방법 장423명1주내유직업폭로사적호사,수궤분위간예조212인화대조조211인;대간예조진행위기2개월적간예,포괄심리자순급소도、직업폭로상관지식선교급폭로후처리류정、추종급감측;대폭로자진행공오、문오、음악、생물반궤방송등간예;심리간예전후채용억욱자평량표(SDS)、초필자평량표(SAS)、응대방식문권진행평정화대조연구.결과 종합간예후,간예조초필、억욱평분균교간예전유명현강저,차이유통계학의의(P＜0.01);응대방식문권적해결문제、구조등적겁응대인자분균유현저성제고,차이유통계학의의(P＜0.05),이자책、환상、회피등소겁인자분균명현강저,차이유통계학의의(P＜0.05).결론 종합심리간예유조촉진직업폭로후호사적심리건강수평화개선응대방식;대은정호리대오비상중요,응인기각의원령도적중시.
Objective To study the effect of comprehensive psychological intervention on the emotion and coping style of nurse. Methods 423 nurses were divided into experimental group and controlled group randomly after occupational exposure within one week;Psychological counseling, occupational exposure related knowledge education, post-exposure disposal process, follow-up, monitoring were applied in experimental group;Occupational and recreation activities, music, biofeedback relaxation were utilized on exposure;to evaluation and contrast before and after psychological intervention by Self-rating Depression Scale (SDS), Selfrating Anxiety Scale(SAS) and coping style questionnaire. Results The score of anxiety and depress were lower than that before comprehensive psychological intervention in experimental group ( P ＜ 0.01 );the score of solution, asking for help in coping style questionnaire were remarkably raised( t = - 2.14, - 1.24;P ＜ 0.05 ).the score of passive factors such as self-reproach, autistic and avoidance dropped Conspicuously( t = 1.91,2.0,2.10 ;P ＜ 0.05 ). Conclusions Comprehensive psychological intervention can improve mental health level and coping style of nurse after occupational exposure. It is important on the stability of nursing staff and should be thought highly by all leadership of hospital.