He Li, Wang Haiyan, Guo Zhiwei, Zhou Yu, Hu Lu, Zhao Juan, Chen Yi, Xiang Li
Department of Nursing, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, Nanchong, China.
Institute of Brain Function, Department of Radiology, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, Nanchong, China.
Front Hum Neurosci. 2025 Jun 24;19:1492298. doi: 10.3389/fnhum.2025.1492298. eCollection 2025.
To explore the effects of a positive psychological intervention on the psychological state and brain function of trained nurses during the transition period.
Randomization was used to assign 130 trained nurses to the observation and control groups. The control group underwent routine training, while the observation group underwent a 12-week positive psychological intervention based on the "Three Good Things" program. The Core Self-Evaluation Scale, Patient Health Questionnaire Depressive Symptom Cluster Scale, Generalized Anxiety Disorder Scale, and resting-state functional magnetic resonance imaging were used for data collection pre- and post-intervention. The amplitude of low-frequency fluctuation, fractional amplitude of low-frequency fluctuation, and regional heterogeneity indices were calculated to assess the functional brain activity of the participants. Pearson's correlation coefficient was used to assess the relationship between the changes in brain function and behavior.
There was no difference in the general information of the two groups pre-intervention. Post-intervention, the observation group reported higher self-evaluation scores and lower anxiety and depression scores than the control group. The amplitudes of low-frequency fluctuation of the observation group were significantly higher than those of the control group in the bilateral calcarine gyrus, left cuneus lobe, left supramarginal gyrus, left middle temporal gyrus, left inferior frontal gyrus, left inferior parietal lobe, right superior parietal lobe, right angular gyrus, and right middle temporal gyrus. The observation group displayed significantly higher regional heterogeneity values in the bilateral superior parietal lobe, bilateral supramarginal gyrus, and bilateral inferior parietal lobe ( < 0.05).
Positive psychological interventions based on the "Three Good Things" program can assist nurses in training during the transition period to enhance their core self-assessment ability, alleviate their anxiety and depression, and improve their sense of occupational identity and mental health.
探讨积极心理干预对处于转型期的实习护士心理状态及脑功能的影响。
采用随机化方法将130名实习护士分为观察组和对照组。对照组接受常规培训，而观察组基于“三件好事”计划进行为期12周的积极心理干预。在干预前后，使用核心自我评价量表、患者健康问卷抑郁症状群量表、广泛性焦虑障碍量表和静息态功能磁共振成像进行数据收集。计算低频振幅、低频分数振幅和区域异质性指数，以评估参与者的脑功能活动。采用Pearson相关系数评估脑功能变化与行为之间的关系。
干预前两组的一般资料无差异。干预后，观察组的自我评价得分高于对照组，焦虑和抑郁得分低于对照组。观察组在双侧距状回、左侧楔叶、左侧缘上回、左侧颞中回、左侧额下回、左侧顶下小叶、右侧顶上小叶、右侧角回和右侧颞中回的低频振幅显著高于对照组。观察组在双侧顶上小叶、双侧缘上回和双侧顶下小叶的区域异质性值显著更高（<0.05）。
基于“三件好事”计划的积极心理干预可以帮助转型期的实习护士提高其核心自我评估能力，缓解焦虑和抑郁，增强职业认同感和心理健康水平。
