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愈合触摸:急性护理护士压力减轻策略。

Healing Touch: A Strategy for Acute Care Nurses' Stress Reduction.

机构信息

Nurse Educator University Medical Center, LA, USA.

Louisiana State University Health NOLA School of Nursing, LA, USA.

出版信息

J Holist Nurs. 2023 Dec;41(4):347-359. doi: 10.1177/08980101221142193. Epub 2023 Jan 30.

Abstract

The purpose of the study is to determine whether administering healing touch (HT) is more effective than deep breathing (DB) for reducing acute care nurses' stress during a shift. A randomized cluster trial assessed 150 nurses' vital signs and Visual Analog Scale for Stress (VASS) levels pre, post, and at follow-up to achieve a power of .7 and medium affect size. Open-ended questions following the intervention enriched quantitative findings describing the experience, facilitators, and barriers to potential use in nursing. The generalized estimating equation 1 (GEE1) comparisons of mean change over time, found that nurses in the HT intervention, had significantly lower VASS stress scores at posttreatment (-0.95,   =  .0002) and at follow-up (-0.73,   =  .0144) than the DB group, and the respiratory rate (RR) rate differences were nearly significant at post-intervention and significant at follow-up, respectively (1.36,   =  .0568 and -2.28,   =  .0011), indicating lower RR after HT. These findings support the use of HT as an effective stress reduction strategy as a relevant strategy to sustain a viable nurse work force post-COVID-19.

摘要

这项研究的目的是确定在轮班期间,进行愈合触摸(HT)是否比深呼吸(DB)更能有效减轻急症护理护士的压力。一项随机聚类试验评估了 150 名护士的生命体征和应激视觉模拟量表(VASS)水平,在干预前、干预后和随访时进行评估,以达到 70%的功效和中等影响大小。干预后提出的开放式问题丰富了定量发现,描述了在护理中潜在使用的体验、促进因素和障碍。广义估计方程 1(GEE1)比较随时间的平均变化发现,HT 干预组的护士在治疗后(-0.95,   =  .0002)和随访时(-0.73,   =  .0144)的 VASS 应激评分显著低于 DB 组,干预后和随访时的呼吸频率(RR)差异分别接近显著和显著(1.36,   =  .0568 和 -2.28,   =  .0011),表明 HT 后 RR 降低。这些发现支持将 HT 作为一种有效的减压策略,作为在 COVID-19 后维持可行护士劳动力的相关策略。

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