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正念训练对病房护士压力、焦虑、抑郁和工作满意度的影响:一项随机对照试验。

The effect of mindfulness-based training on stress, anxiety, depression and job satisfaction among ward nurses: A randomized control trial.

机构信息

Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Faculty of Nursing, Arab American University - Palestine (AAUP), Jenin, Palestine.

出版信息

J Nurs Manag. 2020 Jul;28(5):1088-1097. doi: 10.1111/jonm.13049. Epub 2020 Jun 24.

Abstract

AIM

To assess the effect of a 4-week mindfulness-based training intervention on improving stress, anxiety, depression and job satisfaction among ward nurses.

BACKGROUND

Previous literature showed that mindfulness-based training is useful for helping nurses cope with stress.

METHOD

Nurses who have mild to moderate levels of stress, anxiety and depression identified from a teaching hospital were invited to a randomized control trial. The intervention group had a 2-hr Mindfulness-Based Training workshop, followed by 4 weeks of guided self-practice Mindfulness-Based Training website. Both the intervention group (n = 118) and the control group (n = 106) were evaluated pre- and post-intervention, and 8 weeks later (follow-up) using the Depression, Anxiety, and Stress Scale-21, Job Satisfaction Scale and Mindful Attention Awareness Scale.

RESULTS

There was a significant effect over time on stress, anxiety, depression and mindfulness level (p < .05). Regarding the difference between the groups and interaction between time and group, there was a significant effect for anxiety (p = .037 p = .008) and job satisfaction (p < .001, p = .40), respectively, with moderate effect size for anxiety reduction (.465) and small for job satisfaction increment (.221).

CONCLUSION

Mindfulness-Based Training is effective in improving anxiety and job satisfaction among nurses.

CLINICAL IMPLICATIONS FOR NURSING MANAGEMENT

Mindfulness-Based Training can be included as hospital policy to reduce anxiety and increase job satisfaction among nurses.

摘要

目的

评估为期 4 周的正念训练干预对改善病房护士的压力、焦虑、抑郁和工作满意度的效果。

背景

之前的文献表明,正念训练对于帮助护士应对压力是有效的。

方法

从一所教学医院中选出压力、焦虑和抑郁处于轻度至中度水平的护士参加一项随机对照试验。干预组参加了为期 2 小时的正念训练工作坊,随后进行了 4 周的正念训练网站指导自助练习。干预组(n=118)和对照组(n=106)在干预前、干预后以及 8 周后(随访)使用抑郁、焦虑和压力量表-21、工作满意度量表和正念注意意识量表进行评估。

结果

在时间上,压力、焦虑、抑郁和正念水平都有显著的变化(p<.05)。关于组间差异和时间与组间的交互作用,焦虑(p=.037,p=.008)和工作满意度(p<.001,p=.40)有显著的影响,焦虑减轻的效应量中等(.465),工作满意度增加的效应量较小(.221)。

结论

正念训练可有效改善护士的焦虑和工作满意度。

护理管理的临床意义

正念训练可以纳入医院政策,以减轻护士的焦虑并提高其工作满意度。

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