摘要
目的研究团体心理辅导联合正念放松训练在院外救护医护人员中的应用及对其心理波动的影响,以期为医院管理维护院外急救医护人员的心理健康提供依据。方法选取2021年1月1日—2023年12月31日某院在职的80名院外救护医护人员,采用随机数字表法分为对照组与观察组。对照组接受常规心理辅导干预,观察组接受团体心理辅导联合正念放松训练干预。比较两组院外救护医护人员知觉压力CPSS评分、心理弹性CD-RISC评分、心理波动GAD-7评分、职业倦怠感MBI评分和主观幸福感IWB评分。结果干预后,两组CPSS评分总分均低于干预前(P<0.05);且观察组紧张感(11.84±1.12)分、失控感(10.18±1.00)分和总分(22.02±2.12)分均低于对照组(13.43±1.26)分、(13.01±1.27)分、(26.44±2.53)分(P<0.05)。干预后,两组CD-RISC评分中的坚韧、自强及乐观等维度评分均高于干预前(均P<0.05);且观察组坚韧(33.87±1.39)分、自强(24.62±1.39)分及乐观(24.62±1.39)分均高于对照组(30.36±1.47)分、(20.17±1.42)分、(20.17±1.42)分(P<0.05)。干预后,两组GAD-7评分低于干预前(P<0.05);且观察组GAD-7评分(5.64±0.52)分低于对照组(9.05±0.87)分(P<0.05)。干预后,两组MBI评分中的情感耗竭、去人格化评分均低于干预前(P<0.05),个人成就感评分高于干预前(P<0.05);且观察组的情感耗竭(22.58±1.72)分、去人格化(6.29±1.19)分均低于对照组(25.66±1.78)分、(10.44±1.12)分(均P<0.05),个人成就感(28.96±2.79)分高于对照组(25.03±2.74)分(P<0.05)。干预后,两组IWB评分中的总体情感指数、生活满意度等维度得分和总分均高于干预前(均P<0.05);且观察组总体情感指数(6.61±0.55)分、生活满意度(5.84±0.54)分和总分(12.45±1.09)分均高于对照组(5.87±0.47)分、(5.01±0.48)分、(10.88±0.95)分(均P<0.05)。结论团体心理辅导联合正念放松训练可以减轻院外救护医护人员的知觉压力,增强心理弹性,减少心理波动,缓解职业倦怠,提升主观幸福感。
Objectives This study aims to explore the application of group psychological counseling combined with mindfulness and relaxation training in out-of-hospital emergency medical staff and its impact on their psychological fluctuations,with the aim of providing a basis for hospital management to support the mental health of emergency medical personnel.Methods From January 1,2021 to January 1,2023,80 out-of-hospital emergency medical services workers in a hospital were selected and divided into control group and observation group by random number table method.The control group received routine psychological counseling intervention,while the observation group received psychological counseling combined with mindfulness and relaxation training intervention.Perceived stress[Chinese perceived stress scale(CPSS)score],psychological resilience[Connor-Davidson resilience scale(CD-RISC)score],psychological fluctuation[generalized anxiety disorder 7-item scale(GAD-7)score],job burnout[Maslach Burnout Inventory(MBI)score]and subjective well-being[index of well-being(IWB)score]of out-of-hospital emergency medical services workers were compared between these two groups.Results After the intervention,scores for tension,sense of loss of control,and total scores on the CPSS were significantly lower in both groups compared to before the intervention(all P<0.05);moreover,the observation group showed lower tension(11.84±1.12),sense of loss of control(10.18±1.00),and total scores(22.02±2.12)than the control group(13.43±1.26,13.01±1.27,and 26.44±2.53,respectively)(all P<0.05).After the intervention,scores for resilience,tenacity,self-improvement,and optimism on the CD-RISC increased in both groups(all P<0.05);the observation group had higher scores in tenacity(33.87±1.39),self-improvement(24.62±1.39),and optimism(24.62±1.39)than the control group(30.36±1.47,20.17±1.42,and 20.17±1.42,respectively)(all P<0.05).After the intervention,GAD-7 scores decreased in both groups(P<0.05),with the observation group scoring lower(5.64±0.52)than the control group(9.05±0.87)(P<0.05).Post-intervention,both groups showed decreased scores in emotional exhaustion and depersonalization and increased scores in personal accomplishment on the MBI(all P<0.05);the observation group had lower emotional exhaustion(22.58±1.72)and depersonalization(6.29±1.19)scores compared to the control group(25.66±1.78 and 10.44±1.12,respectively)(all P<0.05),and higher personal accomplishment scores(28.96±2.79)than the control group(25.03±2.74)(P<0.05).Finally,after the intervention,overall affect and life satisfaction scores and total scores on the IWB were significantly higher in both groups compared to pre-intervention(all P<0.05);the observation group had higher overall affect(6.61±0.55),life satisfaction(5.84±0.54),and total scores(12.45±1.09)than the control group(5.87±0.47,5.01±0.48,and 10.88±0.95,respectively)(all P<0.05).Conclusions Group psychological counseling combined with mindfulness and relaxation training can relieve perceived pressure,enhance mental resilience,reduce mental fluctuation,relieve job burnout and enhance subjective well-being of out-of-hospital emergency medical services workers.
作者
王星光
张晓露
葛怡然
梁文静
李幼东
韩拓
Wang Xingguang;Zhang Xiaolu;Ge Yiran;Liang Wenjing;Li Youdong;Han Tuo(Shijiazhuang Traditional Chinese Meolicine Hospital,Shijiazhuang 050000,Hebei Province,China;不详)
出处
《中国病案》
2025年第7期106-110,共5页
Chinese Medical Record
基金
河北省医学科学研究课题计划项目(20211624)。
关键词
团体心理辅导
正念放松训练
院外
救护医护人员
心理波动
Group psychological counseling
Mindfulness relaxation training
Out-of-hospital
Emergency medical services workers
Psychological fluctuation
