CAJ | 학술논문

目的：了解手术室护士的心理状况,评价团体心理咨询对手术室护士心理状况的干预效果。方法采取便利抽样的方法抽取某军区的5家军队医院及淮安市2家三级医院,采取整群抽样的方法抽取122名手术室护士,采取调查问卷的方法调查122名手术室护士的心理状况,将32名心理评估阳性者进行为期8次的团体心理咨询,咨询后再次进行问卷调查及比较,同时使用焦虑与抑郁自评量表进行前后评估。结果122名手术室护士SCL-90量表中躯体化、焦虑、抑郁、强迫、人际关系敏感、恐怖因子均分分别为(1.88±0.76),(1.78±0.80),(1.95±0.88),(2.05±0.84),(1.84±0.75),(1.43±0.72)分,均高于中国常模,差异有统计学意义(t值分别为7.41,5.38,5.65,5.65,2.80,3.07；P<0.05)；焦虑量表、抑郁量表得分分别为(46.40±6.53),(51.82±8.87)分,均高于中国常模,差异有统计学意义(t值分别为4.06,12.38；P<0.05)。参加团体心理咨询的32名手术室护士干预前SCL-90量表中躯体化、焦虑、抑郁、强迫、人际关系敏感评分分别为(2.01±0.87),(1.88±0.75),(2.00±0.98),(2.13±0.94),(1.96±0.79)分,均高于干预后,差异有统计学意义(t值分别为2.56,2.20,2.13,2.20,2.09；P<0.05)；焦虑、抑郁量表得分分别为(45.58±6.47),(42.25±11.24)分,低于干预前的(59.84±7.24),(61.76±6.32)分,差异有统计学意义(t值分别为8.31,8.56；P<0.01)。结论团体心理咨询可有效改善手术室护士的心理状况。
목적：료해수술실호사적심리상황,평개단체심리자순대수술실호사심리상황적간예효과。방법채취편리추양적방법추취모군구적5가군대의원급회안시2가삼급의원,채취정군추양적방법추취122명수술실호사,채취조사문권적방법조사122명수술실호사적심리상황,장32명심리평고양성자진행위기8차적단체심리자순,자순후재차진행문권조사급비교,동시사용초필여억욱자평량표진행전후평고。결과122명수술실호사SCL-90량표중구체화、초필、억욱、강박、인제관계민감、공포인자균분분별위(1.88±0.76),(1.78±0.80),(1.95±0.88),(2.05±0.84),(1.84±0.75),(1.43±0.72)분,균고우중국상모,차이유통계학의의(t치분별위7.41,5.38,5.65,5.65,2.80,3.07；P<0.05)；초필량표、억욱량표득분분별위(46.40±6.53),(51.82±8.87)분,균고우중국상모,차이유통계학의의(t치분별위4.06,12.38；P<0.05)。삼가단체심리자순적32명수술실호사간예전SCL-90량표중구체화、초필、억욱、강박、인제관계민감평분분별위(2.01±0.87),(1.88±0.75),(2.00±0.98),(2.13±0.94),(1.96±0.79)분,균고우간예후,차이유통계학의의(t치분별위2.56,2.20,2.13,2.20,2.09；P<0.05)；초필、억욱량표득분분별위(45.58±6.47),(42.25±11.24)분,저우간예전적(59.84±7.24),(61.76±6.32)분,차이유통계학의의(t치분별위8.31,8.56；P<0.01)。결론단체심리자순가유효개선수술실호사적심리상황。
Objective To understand nurses′ psychological status in Operating Room ( OR ) and evaluate the intervention effect of group psychological counseling on OR nurses. Methods The questionnaire survey was adopted to investigate 122 OR nurses′ mental status in 5 military hospitals and 3 local level three hospitals by chester sampling. A total of 32 nurses in whole, who had positive symptom of psychological assessment, received group psychological counseling 8 times. After consultation, the questionnaires were used again and the comparison was made with 32 people. At the same time, self-rating anxiety scale ( SAS) and self-rating depression scale ( SDS) were used for evaluation. Results To the 122 operating room nurses, the average scores of somatization was (1. 88 ± 0. 76), anxiety (1. 78 ± 0. 80), depression (1. 95 ± 0. 88), obsessive disorder (2. 05 ± 0. 84), interpersonal relationship (1. 84 ± 0. 75) and phobic anxiety (1. 43 ± 0. 72) in the SCL-90 scale higher than those of the Chinese norm. The differences were statistically significant ( t=7. 41, 5. 38,5. 65, 5. 65, 2. 80, 3. 07;P<0. 05). The scores of SAS scale (46. 40 ± 6. 53) and SDS scale (51. 82 ± 8. 87) were higher than norm in China, and the difference was statistically significant ( t=4. 06, 12. 38;P<0. 05). To the 32 operating room nurses who attended group psychological counseling, the average scores of somatization (2. 01 ± 0. 87), anxiety (1. 88 ± 0. 75), depression (2. 00 ± 0. 98), obsessive disorder (2. 13 ± 0. 94) and interpersonal relationship ( 1. 96 ± 0. 79 ) in SCL-90 scale before intervention were higher than (1. 54 ± 0. 57), (1. 54 ± 0. 45), (1. 58 ± 0. 53), (1. 72 ± 0. 48) and (1. 50 ± 0. 87) after intervention with statistical significantce (t=2. 56, 2. 20, 2. 13, 2. 20, 2. 09;P<0. 05). SAS scale (45. 58 ± 6. 47) and SDS scale (42. 25 ± 11. 24) were lower than SAS scale (59. 84 ± 7. 24) and SDS scale (61. 76 ± 6. 32) after intervention, and the difference was statistically significant (t=8. 31, 8. 56;P<0. 01). Conclusions Group psychological counseling can effectively improve the OR nurses′mental status.