摘要
目的：了解手术室护士的心理状况,评价团体心理咨询对手术室护士心理状况的干预效果。方法采取便利抽样的方法抽取某军区的5家军队医院及淮安市2家三级医院,采取整群抽样的方法抽取122名手术室护士,采取调查问卷的方法调查122名手术室护士的心理状况,将32名心理评估阳性者进行为期8次的团体心理咨询,咨询后再次进行问卷调查及比较,同时使用焦虑与抑郁自评量表进行前后评估。结果122名手术室护士SCL-90量表中躯体化、焦虑、抑郁、强迫、人际关系敏感、恐怖因子均分分别为（1.88±0.76）,（1.78±0.80）,（1.95±0.88）,（2.05±0.84）,（1.84±0.75）,（1.43±0.72）分,均高于中国常模,差异有统计学意义（t值分别为7.41,5.38,5.65,5.65,2.80,3.07；P〈0.05）；焦虑量表、抑郁量表得分分别为（46.40±6.53）,（51.82±8.87）分,均高于中国常模,差异有统计学意义（t值分别为4.06,12.38；P〈0.05）。参加团体心理咨询的32名手术室护士干预前SCL-90量表中躯体化、焦虑、抑郁、强迫、人际关系敏感评分分别为（2.01±0.87）,（1.88±0.75）,（2.00±0.98）,（2.13±0.94）,（1.96±0.79）分,均高于干预后,差异有统计学意义（t值分别为2.56,2.20,2.13,2.20,2.09；P〈0.05）；焦虑、抑郁量表得分分别为（45.58±6.47）,（42.25±11.24）分,低于干预前的（59.84±7.24）,（61.76±6.32）分,差异有统计学意义（t值分别为8.31,8.56；P〈0.01）。结论团体心理咨询可有效改善手术室护士的心理状况。
Objective To understand nurses′ psychological status in Operating Room （ OR ） and evaluate the intervention effect of group psychological counseling on OR nurses. Methods The questionnaire survey was adopted to investigate 122 OR nurses′ mental status in 5 military hospitals and 3 local level three hospitals by chester sampling. A total of 32 nurses in whole, who had positive symptom of psychological assessment, received group psychological counseling 8 times. After consultation, the questionnaires were used again and the comparison was made with 32 people. At the same time, self-rating anxiety scale （ SAS） and self-rating depression scale （ SDS） were used for evaluation. Results To the 122 operating room nurses, the average scores of somatization was （1. 88 ± 0. 76）, anxiety （1. 78 ± 0. 80）, depression （1. 95 ± 0. 88）, obsessive disorder （2. 05 ± 0. 84）, interpersonal relationship （1. 84 ± 0. 75） and phobic anxiety （1. 43 ± 0. 72） in the SCL-90 scale higher than those of the Chinese norm. The differences were statistically significant （ t=7. 41, 5. 38,5. 65, 5. 65, 2. 80, 3. 07;P〈0. 05）. The scores of SAS scale （46. 40 ± 6. 53） and SDS scale （51. 82 ± 8. 87） were higher than norm in China, and the difference was statistically significant （ t=4. 06, 12. 38;P〈0. 05）. To the 32 operating room nurses who attended group psychological counseling, the average scores of somatization （2. 01 ± 0. 87）, anxiety （1. 88 ± 0. 75）, depression （2. 00 ± 0. 98）, obsessive disorder （2. 13 ± 0. 94） and interpersonal relationship （ 1. 96 ± 0. 79 ） in SCL-90 scale before intervention were higher than （1. 54 ± 0. 57）, （1. 54 ± 0. 45）, （1. 58 ± 0. 53）, （1. 72 ± 0. 48） and （1. 50 ± 0. 87） after intervention with statistical significantce （t=2. 56, 2. 20, 2. 13, 2. 20, 2. 09;P〈0. 05）. SAS scale （45. 58 ± 6. 47） and SDS scale （42. 25 ± 11. 24） were lower than SAS scale （59. 84 ± 7. 24） and SDS scale （61. 76 ± 6. 32） after intervention, and the difference was statistically significant （t=8. 31, 8. 56;P〈0. 01）. Conclusions Group psychological counseling can effectively improve the OR nurses′mental status.
出处
《中华现代护理杂志》
2015年第15期1752-1756,共5页
Chinese Journal of Modern Nursing
基金
准安市科技局立项课题（HAS2012008）
关键词
手术室
护士
团体心理咨询
心理状况
Operating room
Nurse
Group psychological counseling
Mental status
