巴林特小组活动对肿瘤科护士同情心疲乏的干预研究  

Intervention study of compassion fatigue of oncology nurses in Balint group activities

作　　者：姚林燕[1] 项敏利[1] 叶志弘[1] 钱颖[1] 陆琴[1] 严林娟[1] 蒋丽雅 钟洪波 

机构地区：[1]浙江大学医学院附属邵逸夫医院,杭州310016

出　　处：《中华劳动卫生职业病杂志》2017年第12期910-913,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：浙江大学医学院邵逸夫医院护理科研基金项目（201506HL）;浙江省自然科学基金（LY16G030006）

摘　　要：目的 研究巴林特小组活动对肿瘤科护士同情心疲乏的干预效果.方法 于2016年1至12月,选择某三甲综合性医院35名肿瘤科护士,按电脑个案随机法将其分成观察组和对照组,观察组18人,对照组17人.观察组护士进行每月2次、每次1.5 h共8次的巴林特小组活动,讨论临床工作中遇到的困难案例,帮助护士深入体验并理解护患双方在互动过程中的情绪和行为,潜意识的幻想和需要,以及彼此的影响.对照组不实施任何干预.对两组研究对象干预前后进行共情能力、同情心满意、职业倦怠、二次创伤压力和一般健康状况测评.结果 两组护士的年龄、工作年限、婚姻和学历等差异均无统计学意义（P＞0.05）;干预前两组护士的共情能力、同情心满意、职业倦怠、二次创伤压力、一般健康状况得分差异均无统计学意义（P＞0.05）.干预后观察组肿瘤科护士观点采择、情感护理、换位思考3个共情因子和共情总分以及同情心满意的评分明显高于对照组,一般健康状况评分明显低于对照组,差异均有统计学意义（P＜0.05）;两组护士职业倦怠和二次创伤压力水平差异均无统计学意义（P＞0.05）.结论 巴林特小组对提高肿瘤科护士的共情技能、同情心满意度以及心理健康水平有积极作用.Objective To explore the effectiveness of Balint group on compassion fatigue among oncology nurses.Methods From January to December 2016,35 oncology nurses from one general hospital were enrolled.18 cases were allocated in the observation group and 17 cases in the control group by computer randomization.Nurses in the observation group were received a total of 8 times Balint Group activities,with 2 times a month and 1.5 hours each time,which is aiming to discuss difficult cases encountered in the clinic to help nurses have a deeper experience and a better understanding of the emotions and behaviors,fantasies and needs between nurse-patient interaction.Nurses in the control group without intervention.All the Participants were requested to complete the survey of the Professional Quality of Life （ProQOL）,the Jefferson Scale of Empathy-Health Professionals （JSE-HP）,and the General Health Questionnaire （GHQ） at pre and post intervention.Resets Before intervention,two group of nurses in age,working years,marriage,and education were not statistically significant （P〉0.05）.There was no difference in the scores of empathy,compassion satisfaction,secondary traumatic stress,and General health （P〉0.05）.After intervention,the scores of JSE-HP and its three dimensions of perspective taking,emotional care,and trans-positional consideration in the observation group had significantly higher than the control group （P〈0.05）.The level of compassion satisfaction in the observation group was higher,and the general health status was lower（P〈0.05）.There was no statistically difference in the level of burnout and secondary traumatic stress between two groups （P〉0.05）.Conclusion Balint group has a positive role in promoting nurses＇ empathetic skills,compassion satisfaction and mental health.

关 键 词：肿瘤科 医院 护士 巴林特小组 同情心满意 职业倦怠 二次创伤压力 

分 类 号：R47[医药卫生—护理学]