中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2014年
5期
316-320
,共5页
厌倦,职业性%护士%心理疗法%放松训练
厭倦,職業性%護士%心理療法%放鬆訓練
염권,직업성%호사%심리요법%방송훈련
Burnout,professional%Nurses%Psychotherapy%Relaxation training
目的 探讨团体心理干预与放松训练对护士工作倦怠的影响.方法 护士236名,均为女性临床一线注册护士,护龄1 ～ 30年,平均年龄(26.79±3.96)岁,平均护龄(16.86±2.78)年.采用随机数字法分为干预组120d人和对照组116人.干预组6人中途退出,有效被试护士114人.对照组9人问卷填写不完整,107人纳入最后统计.干预组由心理专家实施每周1次,每次60 min的团体心理干预;同时指导受试者每晚行放松训练10 min及渐进性肌肉放松20 min,干预时间8周.对照组不实施任何干预.两组分别在干预前和干预后的第8周采用工作倦怠感量表对情绪枯竭(EE)、去人格化倾向(DP)、个人成就感(PA)三个维度进行评估.结果 干预前两组护士工作倦怠三个维度评分差异均无统计学意义(P均＞0.05);干预后干预组EE(13.62±7.86 vs.19.83±4.89)、DP(5.25±3.27vs.6.55±3.43)分值较对照组低,PA分较对照组高(38.28±6.34vs.32.13±7.06),三个维度得分差异均有统计学意义(P均＜0.01);干预组在干预前后EE(18.92±8.36vs.13.62±7.86)、DP(6.44±3.56vs.5.25±3.27)分值降低,PA(28.39±7.78vs.38.28±6.34)分值提高,三个维度得分差异有统计学意义(P均＜0.01),而对照组干预前后差异无统计学意义(P均＞0.05).干预后1年～护龄护士干预组较对照组EE(13.21±7.32vs.16.91±5.63)、DP(5.61±4.33 vs.7.80±4.59)分值低(P均＜0.05),PA(36.34±7.28vs.31.39±6.88)分值高(P＜0.01),三个维度比较差异均有统计学意义.干预后10年～护龄护士干预组较对照组EE(11.68±5.95vs.15.14±6.43)、DP(5.11±3.65vs.7.82±5.21)分值低,PA(31.24±8.90vs.27.33±5.96)分值高,三个维度比较差异均有统计学意义(尸均＜0.01);干预后20 ～30年护龄护士干预组较对照组EE(12.37±5.23vs.15.36±4.98)低,差异有统计学意义(P＜0.05).结论 团体心理干预与放松训练能有效缓解护士的工作倦怠.
目的 探討糰體心理榦預與放鬆訓練對護士工作倦怠的影響.方法 護士236名,均為女性臨床一線註冊護士,護齡1 ～ 30年,平均年齡(26.79±3.96)歲,平均護齡(16.86±2.78)年.採用隨機數字法分為榦預組120d人和對照組116人.榦預組6人中途退齣,有效被試護士114人.對照組9人問捲填寫不完整,107人納入最後統計.榦預組由心理專傢實施每週1次,每次60 min的糰體心理榦預;同時指導受試者每晚行放鬆訓練10 min及漸進性肌肉放鬆20 min,榦預時間8週.對照組不實施任何榦預.兩組分彆在榦預前和榦預後的第8週採用工作倦怠感量錶對情緒枯竭(EE)、去人格化傾嚮(DP)、箇人成就感(PA)三箇維度進行評估.結果 榦預前兩組護士工作倦怠三箇維度評分差異均無統計學意義(P均＞0.05);榦預後榦預組EE(13.62±7.86 vs.19.83±4.89)、DP(5.25±3.27vs.6.55±3.43)分值較對照組低,PA分較對照組高(38.28±6.34vs.32.13±7.06),三箇維度得分差異均有統計學意義(P均＜0.01);榦預組在榦預前後EE(18.92±8.36vs.13.62±7.86)、DP(6.44±3.56vs.5.25±3.27)分值降低,PA(28.39±7.78vs.38.28±6.34)分值提高,三箇維度得分差異有統計學意義(P均＜0.01),而對照組榦預前後差異無統計學意義(P均＞0.05).榦預後1年～護齡護士榦預組較對照組EE(13.21±7.32vs.16.91±5.63)、DP(5.61±4.33 vs.7.80±4.59)分值低(P均＜0.05),PA(36.34±7.28vs.31.39±6.88)分值高(P＜0.01),三箇維度比較差異均有統計學意義.榦預後10年～護齡護士榦預組較對照組EE(11.68±5.95vs.15.14±6.43)、DP(5.11±3.65vs.7.82±5.21)分值低,PA(31.24±8.90vs.27.33±5.96)分值高,三箇維度比較差異均有統計學意義(尸均＜0.01);榦預後20 ～30年護齡護士榦預組較對照組EE(12.37±5.23vs.15.36±4.98)低,差異有統計學意義(P＜0.05).結論 糰體心理榦預與放鬆訓練能有效緩解護士的工作倦怠.
목적 탐토단체심리간예여방송훈련대호사공작권태적영향.방법 호사236명,균위녀성림상일선주책호사,호령1 ～ 30년,평균년령(26.79±3.96)세,평균호령(16.86±2.78)년.채용수궤수자법분위간예조120d인화대조조116인.간예조6인중도퇴출,유효피시호사114인.대조조9인문권전사불완정,107인납입최후통계.간예조유심리전가실시매주1차,매차60 min적단체심리간예;동시지도수시자매만행방송훈련10 min급점진성기육방송20 min,간예시간8주.대조조불실시임하간예.량조분별재간예전화간예후적제8주채용공작권태감량표대정서고갈(EE)、거인격화경향(DP)、개인성취감(PA)삼개유도진행평고.결과 간예전량조호사공작권태삼개유도평분차이균무통계학의의(P균＞0.05);간예후간예조EE(13.62±7.86 vs.19.83±4.89)、DP(5.25±3.27vs.6.55±3.43)분치교대조조저,PA분교대조조고(38.28±6.34vs.32.13±7.06),삼개유도득분차이균유통계학의의(P균＜0.01);간예조재간예전후EE(18.92±8.36vs.13.62±7.86)、DP(6.44±3.56vs.5.25±3.27)분치강저,PA(28.39±7.78vs.38.28±6.34)분치제고,삼개유도득분차이유통계학의의(P균＜0.01),이대조조간예전후차이무통계학의의(P균＞0.05).간예후1년～호령호사간예조교대조조EE(13.21±7.32vs.16.91±5.63)、DP(5.61±4.33 vs.7.80±4.59)분치저(P균＜0.05),PA(36.34±7.28vs.31.39±6.88)분치고(P＜0.01),삼개유도비교차이균유통계학의의.간예후10년～호령호사간예조교대조조EE(11.68±5.95vs.15.14±6.43)、DP(5.11±3.65vs.7.82±5.21)분치저,PA(31.24±8.90vs.27.33±5.96)분치고,삼개유도비교차이균유통계학의의(시균＜0.01);간예후20 ～30년호령호사간예조교대조조EE(12.37±5.23vs.15.36±4.98)저,차이유통계학의의(P＜0.05).결론 단체심리간예여방송훈련능유효완해호사적공작권태.
Objective To evaluate the effect of group psychological intervention and relaxation training on nurses' job burnout.Methods A total of 236 female registered nurses [mean age (27±4) years,and mean employment (17±3) years] were randomly assigned to the intervention group (n=120) and the control group (n=116).The intervention group had 60-minute group psychological intervention,10-minute psychological relaxing exercises and 20-minute progressing muscle relaxing exercises per week for 8 weeks.The control group did not receive any instrument.The participants were assessed at the 1st and 8th week by using the Job Burnout Scale.Results There was no statistical significance in three dimensions of the Job Burnout Scale between the two groups at baseline (P＞0.05).However,after the intervention,the intervention group had lower scores of EE (13.62±7.86 vs.19.83±4.89) and DP (5.25±3.27 vs.6.55±3.43) and higher scores of PA (38.28±6.34 vs.32.13±7.06) than the control group (all P＜0.01),and had lower scores of EE (18.92±8.36 vs.13.62±7.86) and DP (6.44±3.56 vs.5.25±3.27) and higher scores of PA (28.39±7.78 vs.38.28 ± 6.34) than baseline (all P＜0.01).The control group showed no significant difference in those parameters before and after the intervention (P＞0.05).In the intervention group,1-9 years employment subgroup had lower scores of EE (13.21±7.32 vs.16.91±5.63) and DP (5.61±4.33 vs.7.80±4.59) and higher scores of PA (36.34±7.28 vs.31.39±6.88) than the control group; 10-19 years employment subgroup had lower scores of EE (11.68±5.95 vs.15.14±6.43) and DP (5.11±3.65 vs.7.82±5.21) and higher scores of PA (31.24±8.90 vs.27.33±5.96) than the control group (all P＜0.01); 20-29 years employment subgroup had lower scores of EE (12.37±5.23 vs.15.36±4.98) than the control group (P＜0.01).Conclusions Group psychological intervention and relaxation training could effectively relieve nurses' job burnout.
