Lv Xiaoheng
Department of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang, China.
Alpha Psychiatry. 2023 Nov 1;24(6):252-256. doi: 10.5152/alphapsychiatry.2023.231232. eCollection 2023 Nov.
The aim of the study was to explore the effect and feasibility of psychological intervention on reducing stress in nurses caring for terminally ill patients in the Department of Oncology.
This quasi-experimental study enrolled oncology nurses at Sir Run Run Shaw Hospital, affiliated to Zhejiang University School of Medicine, between April 2021 and February 2022. Interventions included Soul Moisturizing Hall, Balint group, one-on-one interviews, and routine debriefing sessions. Psychological interventions for the nurses were carried out by a team of psychiatrists and senior clinical nurse specialists. The Work Stressors Questionnaire of Nurses in the Department of Oncology (WSQNDO) was used to measure the stress in nurses before and after intervention.
A total of 27 female nurses were enrolled, with the majority of them aged <30 years. Following intervention, the scores in each of the WSQNDO dimensions were all significantly lower ( < .001) than prior to intervention (social factors and career prospect: 15.18 ± 3.67 vs. 11.11 ± 2.42; working environment and working nature: 20.22 ± 5.03 vs. 17.29 ± 4.87; professional skills: 19.11 ± 3.93 vs. 16.51 ± 3.27; stress from the patient and their family: 11.85 ± 3.07 vs. 10.37 ± 2.45; interpersonal relationship: 9.77 ± 2.54 vs. 8.62 ± 1.62; the problem of oncology specialist nursing: 41.03 ± 8.46 vs. 38.51 ± 6.30). Moreover, the nurses reported alleviation of negative emotions after the psychological intervention.
Psychological interventions can reduce the stress experienced by nurses while caring for terminally ill cancer patients.
本研究旨在探讨心理干预对减轻肿瘤内科护理临终患者的护士压力的效果及可行性。
本准实验研究于2021年4月至2022年2月招募了浙江大学医学院附属邵逸夫医院的肿瘤内科护士。干预措施包括心灵滋润坊、巴林特小组、一对一访谈和常规汇报会。护士的心理干预由一组精神科医生和资深临床护理专家进行。采用肿瘤内科护士工作压力源问卷（WSQNDO）测量护士干预前后的压力。
共招募了27名女护士，其中大多数年龄<30岁。干预后，WSQNDO各维度得分均显著低于干预前（<0.001）（社会因素和职业前景：15.18±3.67 vs. 11.11±2.42；工作环境和工作性质：20.22±5.03 vs. 17.29±4.87；专业技能：19.11±3.93 vs. 16.51±3.27；来自患者及其家属的压力：11.85±3.07 vs. 10.37±2.45；人际关系：9.77±2.54 vs. 8.62±1.62；肿瘤专科护理问题：41.03±8.46 vs. 38.51±6.30）。此外，护士们报告心理干预后负面情绪有所缓解。
心理干预可以减轻护士在护理临终癌症患者时所经历的压力。
