正念认知干预联合团队心理训练在神经外科ICU医护人员中的应用  

Application of mindfulness cognitive intervention combined with team psychological training in medical staff of Neurosurgery ICU

作　　者：孙林[1] 冯津芝 Sun Lin;Feng Jinzhi(Department of Neurosurgery,Xiangyang Central Hospital,Hubei Province,Xiangyang 441021,China)

机构地区：[1]湖北省襄阳市中心医院神经外科,441021

出　　处：《中华现代护理杂志》2021年第30期4174-4177,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨正念认知干预联合团队心理训练对神经外科ICU医护人员睡眠、心理和工作状态的影响。方法采用整群抽样法,选取2019年10月—2020年10月在襄阳市中心医院工作的42名神经外科ICU医护人员为研究对象,实施正念认知干预联合团队心理训练。比较干预前后神经外科ICU医护人员的中文版知觉压力量表(CPSS)、职业倦怠量表(MBI-HSS)、SAS、SDS、匹兹堡睡眠质量指数(PSQI)得分及神经外科ICU患者及家属的满意度。结果42名神经外科ICU医护人员干预后CPSS、SAS、SDS、PSQI、MBI-HSS得分均低于干预前,差异均有统计学意义(P<0.01)。干预后,神经外科ICU患者及家属满意率为98.25%(336/342),高于干预前的91.69%(298/325),差异有统计学意义(P<0.01)。结论正念认知干预联合团队心理训练可改善神经外科ICU医护人员睡眠、心理和工作状况,值得临床推广。Objective To explore effects of mindfulness cognitive intervention combined with team psychological training on the sleep,mental and working status of medical staff in Neurosurgery ICU.Methods Using the cluster sampling method,a total of 42 medical staff of Neurosurgery ICU who worked in Xiangyang Central Hospital from October 2019 to October 2020 were selected as the research objects and they were given mindfulness cognitive intervention combined with team psychological training.The scores of Chinese Perceived Stress Scale(CPSS),Maslach Burnout Inventory Human Service Survey(MBI-HSS),SAS,SDS,Pittsburgh Sleep Quality Index(PSQI)and satisfaction of Neurosurgical ICU patients and their families were compared before and after the intervention.Results The scores of CPSS,SAS,SDS,PSQI and MBI-HSS of 42 Neurosurgical ICU medical staff after the intervention were lower than those before the intervention,and the differences were statistically significant(P<0.01).After the intervention,the satisfaction rate of ICU patients and their family members was 98.25%(336/342),higher than 91.69%(298/325)before the intervention,and the difference was statistically significant(P<0.01).Conclusions Mindfulness cognition intervention combined with team psychological training can improve the sleep,psychological and working conditions of medical staff of Neurosurgery ICU,which is worthy of clinical promotion.

关 键 词：重症监护病房 神经外科 医护人员 正念认知 团队心理训练 

分 类 号：R47[医药卫生—护理学]