新型冠状病毒肺炎疫情下驰援武汉ICU护士心理韧性变化的质性研究  

Qualitative research on changes of psychological resilience of nurses rushing to ICU in Wuhan under COVID-19 epidemics

作　　者：石丹 周丽娟[1] 周敏 邹莉[1] 冯国琴[1] 任震晴 Shi Dan;Zhou Lijuan;Zhou Min;Zou Li;Feng Guoqin;Ren Zhenqing(Department of Nursing,Taizhou People's Hospital,Jiangsu Province,Taizhou 225300,China)

机构地区：[1]江苏省泰州市人民医院护理部,225300

出　　处：《中华现代护理杂志》2020年第32期4516-4520,共5页Chinese Journal of Modern Nursing

摘　　要：目的了解新型冠状病毒肺炎疫情下驰援武汉ICU护士的心理韧性变化情况,为突发公共卫生事件中护士的心理调适和心理干预提供理论依据。方法采用现象学研究方法,基于Richardson心理韧性模型,采用目的抽样法,选取泰州市人民医院护理部2020年2月第1批驰援武汉医疗队的护士作为研究对象,以9名驰援武汉ICU护士的日记作为原始资料,资料收集时间以资料饱和为原则,驰援武汉18 d后资料达到饱和,9名护士均完成了日记书写,总字数累计约28452字。采用Colaizzi法分析资料和提炼主题。结果共提炼出3个一级主题,8个二级主题,分别是应激期(侵入性想法、生理挑战、心理困扰);缓冲带(心理资本动员、团队韧性激发、领悟社会支持);重组期(平衡复原、自我超越)。结论心理韧性并不是一个恒定不变的心理特征,它是在破坏和重组的博弈中不断变化的过程,驰援武汉ICU护士心理韧性处于应激期-缓冲带-重组期的动态变化过程,而增强团队韧性和外部支持,有利于驰援护士心理韧性平衡的良性发展。Objective To understand changes in psychological resilience of nurses rushing to ICU in Wuhan under COVID-19 epidemics,and provide a theoretical basis for the psychological adjustment and psychological intervention of nurses in public health emergencies.Methods Using phenomenological research method,the first batch of nurses from Nursing Department of Taizhou People's Hospital to assist Wuhan medical team in February 2020 were selected as the research objects based on Richardson psychological resilience model by the purposive sampling method.The diaries of 9 nurses who assisted Wuhan ICU were used as the original data,and the data collection time was based on the principle of data saturation.The data reached saturation after 18 days of rushing to Wuhan.A total of 9 nurses all completed the diary writing,with a total of approximately 28452 words.The Colaizzi method was used to analyze the data and extract the topic.Results A total of 3 first-level themes and 8 second-level themes were extracted,namely the stress period(intrusive thoughts,physical challenges,psychological distress),buffer zone(psychological capital mobilization,team resilience stimulation,comprehension of social support)and restructuring period(balance restoration,self-transcendence).Conclusions Psychological resilience is not a constant psychological feature,but a constantly changing process in the game of destruction and reorganization.The psychological resilience of nurses rushing to ICU in Wuhan is in a dynamic process of stress-buffer zone-reorganization period,while enhancing team resilience and external support is conducive to the healthy development of the balance of psychological resilience of nurses who rushed to wuhan.

关 键 词：重症监护病房 心理韧性 新型冠状病毒肺炎 团体韧性 日记法 质性研究 

分 类 号：R192.6[医药卫生—卫生事业管理] R395.6[医药卫生—公共卫生与预防医学]