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针对接触患者暴力言语或暴力行为的护士的小组干预方法有效性评估:一项随机对照试验。

Evaluation of the effectiveness of a group intervention approach for nurses exposed to violent speech or violence caused by patients: a randomized controlled trial.

作者信息

Inoue Makoto, Kaneko Fumiko, Okamura Hitoshi

机构信息

Graduate School of Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.

出版信息

ISRN Nurs. 2011;2011:325614. doi: 10.5402/2011/325614. Epub 2011 Jun 18.

Abstract

The purpose of this study was to evaluate the effectiveness of a group intervention approach aimed at improving the mental health of psychiatric nurses exposed to violent speech/violence. Sixty-two nurses having experienced serious episodes of violent speech/violence were enrolled in this study. A group intervention approach was used in the intervention group. For both the intervention and the control groups, evaluations were conducted at three time points. Evaluations were conducted using the Impact of Event Scale-Revised (IES-R) and Profile of Mood States (POMS). The results showed that changes in the flashback, hyper-arousal, avoidance behavior, and total scores on the IES-R and anxiety and depression scores on the POMS differed significantly between the two groups. These results suggest that a group intervention approach can lessen the psychological burden of nurses exposed to violence and reduce their mental stress.

摘要

本研究的目的是评估一种旨在改善遭受暴力言语/暴力行为的精神科护士心理健康状况的团体干预方法的有效性。本研究招募了62名经历过严重暴力言语/暴力事件的护士。干预组采用团体干预方法。干预组和对照组均在三个时间点进行评估。使用修订后的事件影响量表(IES-R)和情绪状态剖面图(POMS)进行评估。结果显示,两组在IES-R上的闪回、过度唤醒、回避行为和总分以及POMS上的焦虑和抑郁得分的变化存在显著差异。这些结果表明,团体干预方法可以减轻遭受暴力的护士的心理负担并减轻他们的精神压力。

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