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一项促进重症监护病房护士压力管理的在线支持性音乐与意象干预:初步研究。

An online supportive music and imagery intervention to promote ICU nurses' stress management: Preliminary study.

作者信息

Kim Aimee Jeehae, Na Sungwon, Kim Jung Yeon, Kim Soo Ji, Kim Jeongmin

机构信息

Department of Musicology and Culture, Music Therapy Major, Graduate School, Dong-A University, Busan, 49315, Republic of Korea.

Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.

出版信息

Heliyon. 2024 Jul 23;10(15):e35117. doi: 10.1016/j.heliyon.2024.e35117. eCollection 2024 Aug 15.

DOI:10.1016/j.heliyon.2024.e35117
PMID:39170279
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11336480/
Abstract

Nurses in intensive care units are subjected to high levels of work-related stress and must cope with psychological distress. This preliminary study explored the effects of an online supportive music and imagery intervention on these nurses' perceived stress, psychological distress, and sleep quality. A prospective pre-post design was employed to investigate the effectiveness of online supportive music and imagery interventions. The intervention comprised five weekly sessions, each lasting 50-60 min, which included verbal interactions and listening to music, and were facilitated by trained music therapists. Perceived stress and psychological distress were measured before and after the five-week program to investigate its effectiveness, and the current stress level and emotional state were measured before and after each session to explore changes over the intervention period. Sleep quality was measured weekly. In total, 29 participants completed the program. The results showed a significant decrease in perceived stress ( = 0.45,  = .045) and psychological distress ( = 0.53,  = .045) after the intervention. Regarding changes over the intervention period, the findings demonstrated a significant main effect of the number of sessions on perceived stress ( = 0.001), energy ( = 0.001), and tension ( = 0.023), whereas the effects on perceived valence and scores on the Korean version of the Insomnia Severity Index were not significant. Moreover, a significant post-session main effect was observed for all perceived stress and emotion ratings ( < 0.001). Online supportive music and imagery interventions may help reduce stress levels and enhance positive emotional states among nurses in intensive care units. Integrating self-work into supportive music imagery interventions may increase adherence to the intervention and extend its effect.

摘要

重症监护病房的护士承受着与工作相关的高度压力,必须应对心理困扰。这项初步研究探讨了在线支持性音乐与意象干预对这些护士感知压力、心理困扰和睡眠质量的影响。采用前瞻性前后测设计来研究在线支持性音乐与意象干预的效果。干预包括每周一次,每次持续50 - 60分钟的五次课程,其中包括言语互动和听音乐,并由经过培训的音乐治疗师进行指导。在为期五周的项目前后测量感知压力和心理困扰,以调查其效果,并在每次课程前后测量当前压力水平和情绪状态,以探索干预期间的变化。每周测量睡眠质量。共有29名参与者完成了该项目。结果显示,干预后感知压力(= 0.45,= 0.045)和心理困扰(= 0.53,= 0.045)显著降低。关于干预期间的变化,研究结果表明课程次数对感知压力(= 0.001)、精力(= 0.001)和紧张程度(= 0.023)有显著的主效应,而对感知效价和韩国版失眠严重指数得分的影响不显著。此外,在所有感知压力和情绪评分中均观察到显著的课后主效应(< 0.001)。在线支持性音乐与意象干预可能有助于降低重症监护病房护士的压力水平,并增强其积极情绪状态。将自我练习融入支持性音乐意象干预可能会提高对干预的依从性并延长其效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab06/11336480/1c0670e91070/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab06/11336480/382972e5cd25/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab06/11336480/1c0670e91070/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab06/11336480/382972e5cd25/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab06/11336480/1c0670e91070/gr2.jpg

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