在线叙事疗法干预改善护士的创伤后应激障碍症状,感知压力,焦虑和抑郁:一个随机对照试验
Mengxin Xue1, Ping Yu2, Zhie Gu3
1Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
概括
叙事疗法显著减少了护士的创伤后应激障碍 (PTSD) 症状,压力,焦虑和抑郁. 这种干预提供了一种有希望的方法来提高医疗保健专业人员的心理健康.
科学领域:
- 心理健康 心理健康
- 心理干预 心理干预
- 护理 护理 护理
背景情况:
- 前线临床护士经历了高水平的压力和心理健康挑战.
- 创伤后应激障碍 (PTSD) 症状,焦虑和抑郁症在护士中很普遍.
- 临床试验注册:ChiCTR2200058472.2. 临床试验注册: ChiCTR2200058472. 临床试验注册: 临床试验注册: 临床试验注册: 临床试验注册: 临床试验注册: 临床试验注册: 临床试验注册: 临床试验注册: ChiCTR2200058472.
研究的目的:
- 评估叙述疗法在缓解PTSD症状方面的有效性.
- 评估叙事治疗对护士感知压力,焦虑和抑郁症的影响.
- 确定叙事疗法是否能改善临床护士的整体心理健康.
主要方法:
- 一项随机对照试验,涉及92名具有阳性PTSD查的临床护士.
- 干预组接受了叙事疗法加上传单;对照组只接受了传单.
- 干预前后的评估测量了PTSD症状,感知到的压力,焦虑和抑郁.
主要成果:
- 叙事疗法组显示PTSD症状 (p=0.025),感知压力 (p=0.033),焦虑 (p=0.004) 和抑郁 (p=0.015) 的水平显著降低.
- 在积极的PTSD (p=0.030) 和焦虑 (p=0.002) 病例中观察到统计学上显著的减少.
- 在阳性抑郁病例数量 (p=0.060) 中没有发现显著变化.
结论:
- 叙事疗法是缓解前线护士PTSD症状,压力,焦虑和抑郁症的有效干预措施.
- 医疗管理人员应该考虑实施叙事疗法,以支持护理人员的心理健康.
- 这种疗法显示出在苛刻的临床环境中改善护士心理健康的潜力.
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