摘要
目的探讨合理情绪疗法对心理亚健康护士的干预效果。方法将148名心理亚健康护士按随机数字表法分为实验组和对照组各74名。对照组采用常规心理治疗,实验组在常规心理治疗基础上采用合理情绪疗法进行心理干预。入组时及干预3个月后,分别采用康奈尔医学指数(CMI)简化问卷、症状自评量表(SCL-90)和认知情绪调节问卷中文版(CERQ-C)进行调查。结果干预3个月后实验组护士亚健康状况缓解率显著高于对照组(P<0.01),SCL-90评分中躯体化、人际敏感、抑郁、焦虑、敌对5个因子评分显著低于对照组(均P<0.05);积极应对得分高于对照组,消极应对得分低于对照组(均P<0.05)。结论合理情绪疗法可改变护士不合理的信念,强化新的、合理的信念,提高护士的心理健康水平。
Objective To explore the effects of rational emotive therapy for nurses with mental sub-health.Methods One hundred and forty-eight nurses with mental sub-health were randomly and equally divided into two groups.Nurses in the control group received conventional psychological therapy, while those in the experimental group addtionally received rational emotive therapy.Two groups filled out Cornell Medical Index, Symptom Check List-90, and Cognitive Emotion Regulation Scale at entry and 3 months after intervention.Results The proportion of nurses who had relief of mental subhealth in the experimental group was significantly higher than that in the control group（P〈0.01）.Scores of somatization, interpersonal sensitivity, depression, anxiety and hostility in the experimental group was significantly lower than those in the control group （P〈0.05 for all）.The scores of positive coping in the experimental group was significantly higher, and scores of negative coping was significantly lower in the experience group than in the control group（P〈0.05 for all）.Conclusion Rational emotive therapy helps people to abandon irrational faith, and can improve the level of mental health of nurses.
基金
衡阳市科技局科研基金项目(2009KJ66)
关键词
护士
心理亚健康
合理情绪疗法
信念
nurses
mental sub-health
rational emotive therapy
faith
