基于叙事护理理论的三级援助模式对医务人员心理健康的影响  

Studies on the Influence of Three-level Assistance ModelBased on Narrative Nursing Theory on the MentalHealth of Medical Staff

作　　者：任之珺 高淑平 周玉梅 席宇 贺萍 REN Zhijun;GAO Shuping;ZHOU Yumei;XI Yu;HE Ping(Dept.of Adult Rehabilitation Xiangyang No.1 People’s Hospital,Hubei University of Medicine,Xiangyang Hubei 441000,China)

机构地区：[1]湖北医药学院附属襄阳市第一人民医院成人康复科,湖北襄阳441000

出　　处：《昆明医科大学学报》2024年第1期187-192,共6页Journal of Kunming Medical University

基　　金：湖北省卫生健康委卫生健康科研基金资助项目(WJ2021F068);襄阳市科技局医疗卫生领域科技计划基金资助项目(2021YL33);国家卫生健康委健康中国建设揭榜攻关基金资助项目(JKZGJBGG2327)。

摘　　要：目的 探讨基于叙事护理理论的三级援助模式对医务人员心理健康状态的影响。方法 选取在襄阳市某三甲医院工作的140名医务人员作为研究对象,采用基于叙事护理理论的三级援助模式于2021年9月至2022年7月对其进行干预。比较干预前后症状自评量表(SCL-90)得分差异。结果 干预前,医务人员SCL-90总分(156.37±32.56)分及各症状因子得分均较高;干预后,SCL-90总分(133.35±43.48)分及各症状因子得分均低于干预前,差异均有统计学意义(P <0.05)。结论 基于叙事护理理论构建的三级援助模式可降低医务人员SCL-90总分和各症状因子得分,改善心理健康状态,提高心理健康水平。Objective To explore the impact of the three-level assistance model based on the narrative nursing theory on the mental health status of medical staff.Methods 140 medical staff working in a third class hospital in Xiangyang City were selected as the research object.The three-level assistance model based on narrative nursing theory was used to intervene them from September 2021 to July 2022.The symptom self-assessment scales before and after the intervention were compared.Results Before the intervention,the total score of SCL-90(156.37±32.56)points and the scores of various symptom factors of medical staff were higher;After the intervention,the total score of SCL-90(133.35±43.48)points and the scores of various symptom factors were lower than those before the intervention and the difference was statistically significant(P<0.05).Conclusion The three-level assistance model based on narrative nursing theory can reduce the total score of SCL-90 and the scores of various symptom factors,improve the mental health status and mental health level.

关 键 词：叙事护理 医务人员 心理健康 三级援助 

分 类 号：R471[医药卫生—护理学]