安宁疗护专科护士心理支持培训方案的构建与应用研究  

Construction and application of psychological support training program for palliative care specialist nurses

作　　者：王英[1] 郭俊晨 李旭英[2] 沈波涌[2] 刘翔宇[2] 黄聪 叶沙[2] 李莎萍[2] 谌永毅[2] Wang Ying;Guo Junchen;Li Xuying;Shen Boyong;Liu Xiangyu;Huang Cong;Ye Sha;Li Shaping;Chen Yongyi(Department of Pain and Palliative Care,Hunan Cancer Hospital,Changsha 410006,China;Oncology Nursing Teaching and Research Section,Hunan Cancer Hospital,Changsha 410006,China)

机构地区：[1]湖南省肿瘤医院疼痛安宁病房,长沙410006 [2]湖南省肿瘤医院肿瘤护理教研室,长沙410006

出　　处：《中国实用护理杂志》2022年第30期2327-2332,共6页Chinese Journal of Practical Nursing

基　　金：湖南省自然科学基金科卫联合项目(2020JJ8021);湖南省科技厅重点领域研发计划重点研发(2020SK2121)。

摘　　要：目的基于积极心理学理论构建安宁疗护专科护士心理支持培训方案并进行初步应用。方法选取2020年8—9月湖南省安宁疗护专科护士培训基地培训班142名安宁疗护专科护士为研究对象,基于积极心理学理论,利用文献查阅与分析、半结构访谈、专家小组会议等方法构建安宁疗护专科护士心理支持培训方案,并比较培训前与培训8周后安宁疗护专科护士的工作压力、心理弹性以及主观幸福感得分。结果基于积极心理学理论构建的安宁疗护专科护士心理支持培训方案包括认知、情感、行为三大维度,使用该方案培训8周后护士工作压力得分为(80.76±20.43)分,低于培训前的(84.70±19.88)分,差异有统计学意义(t=6.59,P<0.05);心理弹性得分为(64.40±14.26)分,高于培训前的(60.19±15.85)分,差异有统计学意义(t=-7.39,P<0.05);主观幸福感得分为(75.70±7.70)分,高于培训前的(74.13±5.98)分,差异有统计学意义(t=-3.52,P<0.05)。结论基于积极心理学理论构建的心理支持培训方案能够降低安宁疗护专科护士的工作压力,改善其心理弹性状况以及增加主观幸福感。Objective To construct a psychological support training program for palliative care specialist nurses based on positive psychology theory and make a preliminary application.Methods From August to September,2020,142 palliative nursing specialist nurses in Hunan Provincial Palliative Nursing Specialist Training Base were selected as the research objects.Based on positive psychology therapy,using literature review and analysis,semi-structured interviews,expert group meetings and other methods to construct the program,and the work stress,psychological resilience and subjective well-being scores of nurses before and after 8 weeks of psychological support training were compared.Results The program included three dimensions:cognition,emotion and behavior.After the psychological support training for 8 weeks,the nursing staff's work stress score 80.76±20.43 was lower than that before the psychological support training 84.70±19.88,the difference was statistically significant(t=6.59,P<0.05),and the psychological resilience score 64.40±14.26 was higher than that before the psychological support training 60.19±15.85,the difference was statistically significant(t=-7.39,P<0.05),and the subjective well-being score 75.70±7.70 was higher than that before the psychological support training 74.13±5.98,the difference was statistically significant(t=-3.52,P<0.05).Conclusions The psychological support training program based on positive psychology theory can reduce the the work stress,improve psychological resilience and increase subjective well-being of palliative care specialist nurses.

关 键 词：安宁疗护 积极心理学 心理支持培训 专科护士 培训方案 

分 类 号：R47-4[医药卫生—护理学] C975[医药卫生—临床医学]