中国科学院心理健康重点实验室知识库

目的:评估正念压力管理短训课程(MBSS)干预精神科护理人员职业倦怠的效果。方法:选取某精神专科医院护士56名,随机分为干预组(n=27)和对照组(n=29),干预组参加2天MBSS集训和1个月的课后自主训练,对照组在研究期间内不做干预。在基线、2天集训后、1个月自主训练后3个访视点对两组进行正念注意觉知量表(MAAS)、通用职业倦怠问卷(MBI)、抑郁-焦虑-压力问卷(DASS)测评。结果:干预组在2天集训后、1个月自主训练后的MAAS得分均高于基线,而MBI总分及各分量表得分、DASS焦虑分量表得分低于基线(均P0.05),而MBI、DASS得分在3个访视点有所升高(均P<0.05)。结论:对精神科临床护士实施MBSS课程的定式训练,可以降低职业倦怠和焦虑水平。

Objective: To evaluate the effect of mindfulness-based stress self-help ( MBSS) on burnout in psychiatric nurses. Methods: Totally 56 psychiatric clinical nurses were selected and randomly divided into an intervention group ( n = 27) and a control group ( n = 29) . The intervention group participated in 2-day MBSS training and 1 month of autonomous training after class. The control group did not intervene during the study period. At baseline，2 days later，1 month later，the participants in the intervention group and the control group were assessed with the Mindful Attention Awareness Scale ( MAAS) ，Maslach Burnout Inventory ( MBI) ，and Depression Anxiety Stress Scale-21 ( DASS) . Results: In the intervention group，the MAAS scores increased and the MBI total and subscale scores and DASS anxiety scale scores decreased after 2 days of intensive training and 1 month of autonomous training ( Ps ＜ 0. 01) . In the control group，there was no statistically significant difference in the MAAS scores among the 3 visit points ( P ＞ 0. 05) ，while the MBI and DASS scores increased at the 3 visit points ( P ＜ 0. 05) . Conclusion: The implementation of MBSS training for psychiatric clinical nurses could reduce the level of job burnout and anxiety.