威廉姆斯生活技能训练对重症监护病房护士工作压力和职业倦怠的影响  

Effect of Williams life skills training on occupational stress and burnout in the ICU nursing

作　　者：陈琼妮[1] 李乐之[1] 

机构地区：[1]中南大学湘雅二医院精神卫生研究所,长沙410011

出　　处：《中华行为医学与脑科学杂志》2012年第5期430-432,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家科技支撑计划项目（2007BAI17B03;2009BA177B02）

摘　　要：目的评价威廉姆斯生活技能训练（WLST）对重症监护病房（ICU）护士工作压力、职业倦怠水平的影响。方法招募符合纳入标准的75名ICU护士，分为干预组（n=37）和对照组（n=38）。干预组接受为期8周每周1次的威廉姆斯生活技能训练（WLST），对照组不实施WLST。采用护士工作压力调查表（NWSQ）、护士职业倦怠调查表（MBI）于干预前、后分别对护士进行评定，比较护士的工作压力、职业倦怠的差异。结果干预后干预组护士NWSQ的评分[（74．09±11．04）分]比对照组NWSQ评分[（85．42±13．25）分]低，差异有统计学意义沪〈0．05）；干预组MBI的情绪疲倦感分量表和工作冷漠感分量表得分[（12．33±7．21）分、（3．45±2．76）分]低于对照组[（23．97±9．46）分、（7．03±5．51）分]，工作成就感分量表得分干预组[（34．18±5．07）分]高于对照组[（29．31±5．75）分]，差异有统计学意义（P〈0．05）。结论生活技能训练对减轻ICU护士的工作压力、职业倦怠感有效。Objective To evaluate the efficacy of Williams life skills training（WLST） on the occupational stress and burnout in the nursing of the intensive care unit （ICU）. Methods 75 female nurses, from ICU of the Second Hospital of Xiangya Medical School, were randomly assigned to the study group（ n = 37） and the control group（n=38）. A 8-week WLST was taken for the nurses in the study group,while the control group did not take training course. All subjects were assessed with nurses working stress questionnaire（ NWSQ）, Maslach burnout in- ventory （MBI） before and after the WLST. Results After 8-week WLST, the score of NWSQ decreased significantly in the study group than that of the control group（ （74.09 ± 11.04） vs （85.42 ± 13.25）, P〈0.01 ）. The score of the emotional burnout sense of job indifference decreased significantly in the study group than that of the control group（ （ 12.33 ± 7.21 ） vs （23.97 ± 9.46） ; （3.45 ± 2.76） vs （7.03 ± 5.51 ） ） and the score of sense of a- chievement improved obviously in the study group than that of control group （ （34.18 ± 5.07 ） vs （29.31 ± 5.75 ）, P 〈 0.01 ）. Conclusion WLST in effective to decrease the occupational stress and burnout level for the ICU nurses.

关 键 词：生活技能训练 重症监护病房护士 工作压力 职业倦怠 

分 类 号：R47[医药卫生—护理学]