创伤后压力,自我同情,睡眠,焦虑,抑郁症状和重症监护室护士离开工作的意图之间的关系
Cindy Tofthagen1, Sherry Chesak, Cathy Mielke
1Author Affiliations: Nurse Scientist (Dr Tofthagen), Manager, Clinical Nurse Specialist (Mielke), Social Worker (Foster), Department of Nursing, Psychiatrist (Dr Lubrano), Department of Psychiatry and Psychology, Mayo Clinic, Jacksonville, Florida, Nurse Scientist (Dr Chesak, Dr Lindroth), Department of Nursing, Mayo Clinic, Rochester, Minnesota, Affiliate Scientist (Dr Lindroth), Center for Health Innovation and Implementation Science, School of Medicine, Indiana University, Bloomington, Indiana, Affiliate Scientist (Dr Lindroth), Center for Aging Research, Regenstrief Institute, School of Medicine, Indiana University, Bloomington, Indiana, Clinical Professor Director, Center for Flourishing Health Care Communities (Dr Chesak), University of Minnesota, Minneapolis, Minnesota.
重症监护病房 (ICU) 的护士经历了高水平的创伤后应激 (PTS) 症状,焦虑和抑郁,影响了工作保留. 对于这些必要的医疗保健工作者来说,在获得创伤干预措施方面存在障碍.
科学领域:
- 精神病学是一个精神病学.
- 护理研究 护理研究
- 心理健康 心理健康
背景情况:
- 创伤后压力 (PTS) 可以导致严重的心理困扰,睡眠障碍和医疗保健人员流动增加.
- 由于其工作的性质,重症监护室 (ICU) 的护士特别容易受到心理后果的影响.
研究的目的:
- 确定ICU护士中PTS症状的患病率和严重程度.
- 探索PTS症状与焦虑,抑郁和失眠等其他心理结果之间的相关性.
- 评估向这一群体提供基于证据的创伤干预的可行性.
主要方法:
- 集中护理护士填写了验证的问卷,评估PTS症状,自我同情,焦虑,失眠和抑郁症状.
- 呈现高PTS症状水平的参与者被提供了专门的创伤干预.
- 通过接受所提供的干预措施来评估可行性.
主要成果:
- 显著比例的ICU护士 (28%-41%) 报告了PTS,抑郁,焦虑和失眠的症状.
- 高PTS症状与增加的焦虑和抑郁症有很强的相关性.
- 抑郁症状与焦虑,PTS,失眠以及离开护理职位的可能性更高有关.
结论:
- 在ICU护士中显然需要针对PTS的干预措施.
- 必须识别并克服接受干预的障碍.
- 让ICU护士参与开发和实施干预措施对于他们的成功至关重要.
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