认知行为互动团体治疗对急诊科护士工作倦怠的干预效果  

A study on the intervening effect of a cognitive-behavioral interactive group therapy on job burnout of emergency nurses

作　　者：肖利军[1] 王玉红[2] 张佳莉 

机构地区：[1]北京军区总医院附属八一儿童医院健康门诊,北京100700 [2]北京军区总医院急诊科,北京100700 [3]总参军训部第三管理处门诊部口腔科,北京100036

出　　处：《中国医学前沿杂志（电子版）》2014年第7期34-37,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：中国博士后科学基金(2012M521923)

摘　　要：目的考察团体治疗对急诊科护士工作倦怠的干预效果。方法将48名急诊科护士分为干预组与对照组,各24人。干预组进行每周1次持续8周的认知行为互动团体干预,对照组不作干预,比较干预前后两组护士工作倦怠测试得分差异。结果急诊科护士情感耗竭、去人格化得分较Malach常模高,而低个人成就感得分较常模低(P<0.05);干预组护士情感耗竭、去人格化维度得分显著低于对照组,低个人成就感显著高于对照组,差异有显著性(P<0.05)。干预组护士情感耗竭、去人格化维度后测得分显著低于前测,低个人成就感显著高于前测,差异有显著性(P<0.05)。而对照组各维度前后测得分比较均无显著性差异(P>0.05)。结论认知行为互动团体辅导能显著降低急诊科护士工作倦怠,可作为提高护理质量的有效方法。Objective To explore the intervening effect of group therapy on job burnout of Emergency nurses. Method 48 Emergency nurses were randomly divided into intervention group and control group, 24 persons in each group. Nurses in intervention group were taken to attend Cognitive-behavioral Interactive group therapy for 8 sessions in 8 weeks, while no intervention was did in control group. Result Compared with the sample of Maslach, the nurses had higher scores of Emotional Exhaustion and Depersonalization, lower scores of Personal Accomplishment（P〈0.05）. After group therapy, compared with the control group, the nurses have lower scores of Emotional Exhaustion and Depersonalization, higher scores of Personal Accomplishment（P〈0.05）. Scores of the nurses in the intervention group in job burnout scale and its three sub-scales were significantly improvement than those in the pre-test, while in the control group, there was no significant difference compared with pre-test. Conclusion Group therapy can reduce the job burnout of emergency nurses, and be used as an effective method to improve the quality of nursing.

关 键 词：团体治疗 急诊科护士 工作倦怠 

分 类 号：R47[医药卫生—护理学]