归因训练在儿科护士中的应用效果  

Effects of attribution training in pediatric nurses

作　　者：柴红[1] 石彩晓 尚清[1] Chai Hong;Shi Caixiao;Shang Qing(Rehabilitation Department,Children's Hospital Affiliated of Zhengzhou University,Zhengzhou 450052,China;Nursing Department,Children's Hospital Affiliated of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学附属儿童医院康复科,郑州450052 [2]郑州大学附属儿童医院护理部,郑州450052

出　　处：《中华现代护理杂志》2021年第11期1468-1471,共4页Chinese Journal of Modern Nursing

基　　金：河南省科技攻关项目(172102310006);河南省医学科技攻关项目(201702322);2019年度河南省医学科技攻关计划联合共建项目(LHGJ20190899)。

摘　　要：目的探讨归因训练对儿科护士同情心疲乏和身心健康水平的影响。方法采取便利抽样法,于2019年9—12月选取郑州大学附属儿童医院的324名儿科护士作为研究对象,采用随机数字表法随机分为干预组和对照组,每组各162名。对照组儿科护士进行常规工作和日常学习,而干预组儿科护士则在对照组基础上加以归因训练进行干预,干预3个月后采用护士同情心疲乏量表和康奈尔健康问卷调查两组儿科护士的同情心疲乏和身心健康水平。结果干预3个月后,干预组护士同情心疲乏量表总分为(93.31±12.48)分,低于对照组的(110.71±13.57)分,且干预组的热情丧失、精神紧张、情感淡漠、行为消极、斗志丧失以及能力怀疑各维度得分均低于对照组,差异有统计学意义(P<0.05);干预组的康奈尔健康问卷总分为(15.78±3.46)分,低于对照组的(20.63±4.58)分,差异有统计学意义(P<0.05)。结论归因训练可降低儿科护士同情心疲乏水平,改善护士的身心健康水平,提升护理质量。Objective To explore the effects of attribution training on the level of compassion fatigue,physical and mental health of pediatric nurses.Methods From September to December 2019,convenience sampling was adopted to select 324 pediatric nurses from the Children's Hospital Affiliated of Zhengzhou University as the research object.According to the random digital table method,nurses were divided into intervention group and control group,with 162 nurses in each group.The pediatric nurses of control group performed routine work and daily learning,while the pediatric nurses of intervention group received attribution training on the basis of control group.After three months of intervention,the Compassion Fatigue Scale for Nurses and Cornell Medical Index-Health Questionnaire were used to investigate the compassion fatigue,physical and mental health of the two groups of pediatric nurses.Results After three months of intervention,the total score of the Compassion Fatigue Scale for Nurses of intervention group was(93.31±12.48),which was lower than that(110.71±13.57)of control group,and the intervention group's loss of passion,mental stress,apathy,negative behavior,loss of fighting will,and doubt of ability scores were significantly lower than those of control group,the difference was statistically significant(P<0.05).The Cornell Medical Index-Health Questionnaire total score of intervention group was(15.78±3.46),which was lower than that(20.63±4.58)of control group,and the difference was statistically significant(P<0.05).Conclusions Attribution training can reduce the level of compassion fatigue of pediatric nurses,improve the physical and mental health of nursing staff,and enhance the quality of nursing care.

关 键 词：护士 儿科 归因训练 同情心疲乏 

分 类 号：R473.72[医药卫生—护理学]