焦点解决教练干预职业倦怠护士情绪和自我认知的随机对照研究  

A randomized controlled study of solution-focused coaching intervening emotion and self-perception in nurses with job burnout

作　　者：骆宏[1,2,3,4] 刘宏艳[4] 岳蕾 曹琳颖[4] 胡治国 LUO Hong;LIU Hongyan;YUE Lei;CAO Linying;HU Zhiguo(The Affiliated Hospital of Hangzhou Normal University,Hangzhou 310015,China;Center for Cognition and Brain Disorders,Hangzhou Normal University,Hangzhou 311121,China;Zhejiang Key Laboratory for Reseach in Assessment of Cognitive Impairments,Hangzhou 311121,China;Department of Psychology,Zhejiang Sci-Tech University,Hangzhou 310018,China;Hangzhou Center for Solution Focused Brief Coaching,Hangzhou 310015,China)

机构地区：[1]杭州师范大学附属医院,杭州310015 [2]杭州师范大学认知与脑疾病研究中心,杭州311121 [3]浙江省认知障碍评估技术研究重点实验室,杭州311121 [4]浙江理工大学心理学系,杭州310018 [5]杭州焦点高效教练中心,杭州310015

出　　处：《中国心理卫生杂志》2020年第10期803-809,共7页Chinese Mental Health Journal

基　　金：杭州市卫生计生科技计划项目(2018Z03);国家自然科学基金(31271195)。

摘　　要：目的:探讨焦点解决教练干预对职业倦怠护士情绪和自我认知的改善效果。方法:选取某医院中重度职业倦怠的女性护士60人,随机分为焦点解决教练(SFC)组和对照组,SFC组进行每周1次的焦点解决教练干预,每次30 min,连续3周。对照组以相同频率和时间进行阅读。在基线和3周干预后,使用积极消极情绪量表(PANAS)、正性负性信息注意量表(APNI)以及情绪性自我参照任务进行评估。结果:3周干预后,SFC组的积极情绪得分、对正性信息的注意得分均高于对照组(均P<0.05),而对负性信息的注意得分低于对照组(P<0.05)。SFC组干预后积极人格词被认为能用来形容自己的接受率高于基线(P<0.05)。结论:焦点解决教练干预可以提高职业倦怠女性护士的积极情绪,提高其对正性信息的注意偏向,还可以增强她们的积极自我认知,提示其可能是一种有效的干预手段。Objective:To explore the effectiveness of solution-focused coaching(SFC) on the emotion and self-perception in nurses with job burnout.Methods:Sixty female nurses with moderate to severe job burnout in a hospital were randomly allocated into the SFC group and control group.The participants in the SFC group were intervened with solution-focused coaching once a week for 30 minutes,which lasted for 3 weeks.The participants in the control group read at the same frequency and time.In the baseline and after the 3-week intervention,the Positive Affect and Negative Affect Schedule(PANAS),Attention to Positive and Negative Inventory(APNI),and a self-reference valence task were used to measure the effects.Results:In the post-intervention test,the scores of Positive Affect(PA) and Attention to Positive Inventory(API) were higher in the SFC group than in the control group(Ps<0.05),and the scores of Attention to Negative Inventory(ANI) were lower in the SFC group than in the control group(P<0.05).In addition,the ratio of positive trait words to be rated as being able to describe themselves in the post-test was higher than that at baseline in the SFC group(P<0.05).Conclusion:It shows that solution-focused coaching could improve the positive emotion of female nurses with burnout,improve their attention bias to positive information,and also enhance their positive self-perception,suggesting that it might be an effective intervention method to them.

关 键 词：焦点解决 教练 职业倦怠 情绪 自我认知 

分 类 号：R192.6[医药卫生—卫生事业管理] R749.055[医药卫生—公共卫生与预防医学]