摘要
目的:探讨团体辅导在降低传染病专科医院实习护生转型冲击方面的应用成效。方法:选取2023年6月至2024年4月在昆明市某三甲传染病专科医院进行临床实践的实习护生,采用随机数字表法将其分为实验组和对照组,每组43人。对照组仅参与医院组织的常规岗前培训,实验组则在常规岗前培训基础上,接受为期8周的团体辅导,每周1次,每次时长120 min。在干预前、干预4周后、干预8周后以及干预结束后3个月时,采用中文版护理本科生转型冲击评价量表对2组实习护生转型冲击水平进行测评。结果:干预4周后,2组实习护生转型冲击总分差异无统计学意义(P=0.160),干预8周后、干预结束后3个月2组实习护生转型冲击总分差异有统计学意义(P<0.001);转型冲击总分的时间效应、组别效应和交互效应差异均有统计学意义(P<0.05)。结论:团体辅导能有效缓解传染病专科医院实习护生转型冲击,但团体辅导的远期效果会随时间逐渐减弱,因此在实际临床护理管理和教学过程中,建议根据具体情况适当增加干预次数,定期开展团体辅导活动,巩固辅导效果,更好地帮助实习护生成长。
Objective:To explore the effect of group counseling in reducing transition shock among intern nursing students in infectious disease hospitals.Methods:Intern nursing students undergoing clinical practice at a tertiary infectious disease hospital in Kunming from June 2023 to April 2024 were selected and randomized into an experimental group and a control group using a random number table,with 43 students in each group.The control group only attended routine pre-employment training organized by the hospital,while the experimental group received 8-week group counseling(once weekly,120 minutes per session)in addition to the routine training.The Chinese version of the Nursing Undergraduate Transition Shock Assessment Scale was used to assess transition shock levels in the two groups before intervention,at 4 weeks post-intervention,8 weeks post-intervention,and 3 months after intervention completion.Results:After 4 weeks of intervention,there was no statistically significant difference in the total score of transition shock between the two groups of intern nursing students(P=0.160).However,after 8 weeks of intervention and 3 months after the end of the intervention,there was a statistically significant difference in the total score of transition shock between the two groups of intern nursing students(P<0.001).The time effect,group effect,and interaction effect of the total score of transition shock were all statistically significant(P<0.05).Conclusion:Group counseling can effectively alleviate transition shock in intern nursing students at infectious disease hospitals,but its long-term effects weaken over time.Therefore,in clinical nursing management and teaching practice,it is recommended to appropriately increase intervention frequency,conduct regular group counseling activities,consolidate effects,and better support the growth of intern nursing students.
作者
周文仙
赵娜
杨璇
贺启莲
张雄
武昆利
Zhou Wenxian;Zhao Na;Yang Xuan;He Qilian;Zhang Xiong;Wu Kunli(College of Nursing,Dali University,Dali,Yunnan 671000,China;Department of Clinical Psychology,Mental Health Center Affiliated to Kunming Medical University,Kunming 650225,China;Department of Nursing,The Third People′s Hospital of Kunming,Kunming 650041,China)
出处
《大理大学学报》
2025年第8期86-92,共7页
Journal of Dali University
基金
昆明市卫生健康委员会卫生科研课题项目(2022-21-01-006)。
关键词
团体辅导
转型冲击
实习护生
传染病专科医院
应用效果
group counseling
transition shock
intern nursing students
infectious disease hospital
apply effects
