Ghazavi Zahra, Mardany Zahra, Pahlavanzadeh Saeid
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Psychiatric Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2016 Sep-Oct;21(5):534-540. doi: 10.4103/1735-9066.193419.
Nurses face a great amount of stress that can threaten their health and reduce their motivation. Nurses' present working conditions lead to an increase in emotional pressures and depression. Conducting a study on this seems to be necessary, with regard to nurses' stressful working conditions, in order to take steps toward achieving different and non-meditational treatments to treat their stress, anxiety, and depression and, consequently, promote nurses' and patients' health.
This is a randomized clinical trial conducted on 52 nurses working in cancer patients wards, who were randomly assigned to intervention and control groups. Happiness educational program was administered for six sessions once a week in the study group and a communication training sessions with the patients in the control group, and DASS-42 questionnaire was completed before, immediately after, and 1 month after intervention by the subjects in both study and control groups. Data were analyzed by Chi-square, independent -test, and analysis of variance (ANOVA) through SPSS 18.
Mean scores of stress, anxiety, and depression showed no significant difference before and after intervention. Meanwhile, independent -test showed that mean scores of stress, anxiety, and depression were significantly lower in the study group compared to the control group immediately after and 1 month after intervention ( < 0.05).
Educational planning of happiness can reduce nurses' depression, anxiety, and stress in the cancer patients' wards. Psychiatric nurses can reduce depression, anxiety, and stress of nurses working in other hospitals also through application of this program.
护士面临着大量可能威胁其健康并降低其工作积极性的压力。护士目前的工作条件导致情绪压力和抑郁情绪增加。鉴于护士紧张的工作条件，开展关于这方面的研究似乎很有必要，以便采取措施实现不同的非药物治疗方法来治疗他们的压力、焦虑和抑郁，从而促进护士和患者的健康。
这是一项对52名在癌症患者病房工作的护士进行的随机临床试验，这些护士被随机分为干预组和对照组。研究组每周进行一次，共六次幸福教育课程，对照组进行与患者的沟通培训课程，研究组和对照组的受试者在干预前、干预后立即以及干预后1个月完成DASS - 42问卷。通过SPSS 18软件进行卡方检验、独立样本t检验和方差分析（ANOVA）对数据进行分析。
干预前后压力、焦虑和抑郁的平均得分无显著差异。同时，独立样本t检验显示，干预后立即和干预后1个月，研究组的压力、焦虑和抑郁平均得分显著低于对照组（P < 0.05）。
幸福教育计划可以减轻癌症患者病房护士的抑郁、焦虑和压力。精神科护士也可以通过应用该计划减轻其他医院护士的抑郁、焦虑和压力。
