在校女护生抑郁情绪相关自我效能及主观幸福感的8周集体积极心理治疗  

An 8-week group positive psychotherapy intervention on depression associated self-efficacy and subjective well-being in female nursing students

作　　者：郭玉芳[1] 李树雯[1] 陈偶英[2] 张庆华[3] 齐秀杰[2] 张静平[1] 

机构地区：[1]中南大学湘雅护理学院,长沙410013 [2]湖南中医药大学护理学院,长沙410007 [3]新疆医科大学护理学院,乌鲁木齐830000

出　　处：《中国心理卫生杂志》2015年第3期172-177,共6页Chinese Mental Health Journal

基　　金：湖南省重点学科资助项目(B121053337)

摘　　要：目的：探讨集体积极心理治疗对伴有轻至中度抑郁情绪的在校女护生自我效能及主观幸福感的作用。方法：在长沙市3所护理本科院校中，选取伴有轻至中度抑郁情绪[贝克抑郁量表第二版（BDI-Ⅱ）测量得分在14～28分]的在校女护生74名，采用随机数字表分为集体心理治疗组（n ＝34）和对照组（n ＝40）。集体心理治疗组接受8周集体积极心理治疗，对照组未给予治疗措施（在研究结束确定治疗方法有效或对照组需要治疗时，向对照组提供相应治疗）。采用一般自我效能感量表（GSES）和幸福感指数（IWB），分别在基线、集体心理治疗后、治疗后第3个月、治疗后第6个月对两组的自我效能和主观幸福感状况进行调查。结果：GSES、IWB 得分的分组与时间的交互作用均有统计学意义（均 P ＜0.05）。进一步简单效应分析表明，两组间各量表的基线得分差异均无统计学意义（均 P ＞0.05）；集体心理治疗后、治疗后第3个月、治疗后第6个月集体心理治疗组的 GSES、IWB 得分均高于对照组（均 P ＜0.05）。结论：8周集体积极心理治疗可提高伴轻至中度抑郁情绪在校女护生的自我效能和主观幸福感水平，并具有一定的长期效果。Objective：To explore the effects of eight-week group positive psychotherapy intervention on de-pression associated self-efficacy and subjective well-being in female nursing students.Methods：Totally 74 female nursing students with mild to moderate depression [the score of Beck Depression Inventory （BDI-Ⅱ）was 14 to 28]were selected from three nursing colleges of Changsha.They were randomly divided into two groups,40 in the control group and 34 in the intervention group.Samples in the intervention group were given the eight-week group positive psychotherapy,while the control group was given nothing （the control group could receive the intervention when the intervention was proved to be effective or the control group needed treatments）.The General Self-efficacy Scale（GSES）and Index of Well-being（IWB）were used to get the outcome of female nursing students＇self-effica-cy,subjective well-being at baseline,the time after the intervention,3 month follow-up,6 month follow-up.Results：The interactive effect between group and time of self-efficacy,subjective well-being were statistically significant （Ps0.05）.At the end of the intervention,3 month follow-up and 6 month follow-up,the GSES score and IWB score in the intervention group were higher than those in the control group （Ps 〈0.05）.Conclusion：Eight-week group positive psychotherapy could improve self-efficacy and subjective well-being of female nursing students who have mild to moderate depressive symptom.This intervention also has a long-term effect.

关 键 词：学生 护理 集体治疗 积极心理 自我效能 主观幸福感 

分 类 号：R749.055[医药卫生—神经病学与精神病学] R192.6[医药卫生—临床医学]