Fadaei Mohammad Hosein, Torkaman Mahya, Heydari Naval, Kamali Maryam, Ghodsbin Fariba
Student Research Committee, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Student Research Committee, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Indian J Occup Environ Med. 2020 Sep-Dec;24(3):178-182. doi: 10.4103/ijoem.IJOEM_286_19. Epub 2020 Dec 14.
Nurses working in the intensive care units (ICU) are faced with numerous stressors that can pose a serious threat to their self-efficacy and affect the quality of care. The aim of this study was to evaluate the effectiveness of Cognitive Behavioral Therapy (CBT) on the ICU nurses' occupational stress.
This interventional study was conducted in a hospital in southeast of Iran. The participants included 120 nurses, who were randomly assigned into the control ( = 60) and intervention ( = 60) groups. In the pre-test, the occupational stress was assessed using Osipow questionnaire. Later, the intervention group attended the CBT course conducted in six 90 minute sessions. One month after the intervention, the post-test data were collected from both groups.
The means of occupational stress and its dimensions were not significant before the intervention between the intervention and control groups ( = 0.47). The means of occupational stress and its dimensions were moderately high at pretest for all nurses. In the post-test, the stress level and all its dimensions reduced from moderate-high to moderate-low ( < 0.001), except for the physical environment dimension that remained at the moderate-high level ( = 0.32).
The findings showed that CBT was effective on the nursing stress. Therefore, CBT training is suggested in in-service training programs for nurses.
在重症监护病房（ICU）工作的护士面临着众多压力源，这些压力源可能对其自我效能构成严重威胁，并影响护理质量。本研究的目的是评估认知行为疗法（CBT）对ICU护士职业压力的效果。
本干预性研究在伊朗东南部的一家医院进行。参与者包括120名护士，他们被随机分为对照组（n = 60）和干预组（n = 60）。在预测试中，使用奥西波问卷评估职业压力。之后，干预组参加了为期六个90分钟课程的CBT课程。干预一个月后，从两组收集后测数据。
干预组和对照组在干预前职业压力及其维度的均值无显著差异（p = 0.47）。所有护士在预测试时职业压力及其维度的均值处于中等偏高水平。在后测中，除身体环境维度仍处于中等偏高水平（p = 0.32）外，压力水平及其所有维度均从中等偏高降至中等偏低（p < 0.001）。
研究结果表明CBT对护理压力有效。因此，建议在护士在职培训项目中开展CBT培训。
