Balint组训练对重症护士职业倦怠和工作生活质量的影响:一项随机对照试验

Q3 Medicine

Neurology Psychiatry and Brain Research Pub Date : 2020-02-01 DOI:10.1016/j.npbr.2019.12.002

Huigen Huang , Huashuang Zhang , Yongbiao Xie , Shi-Bin Wang , Hong Cui , Lihua Li , Hua Shao , Qingshan Geng

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引用次数: 14

摘要

对重症监护护士来说，职业倦怠和低质量的工作生活与不良的职业行为、医疗差错和自杀风险增加有关。本研究旨在探讨Balint组培训干预是否能缓解ICU护士的职业倦怠，提高其工作生活质量。方法在广东省5个icu进行随机对照试验。将152名护士随机分为Balint组和对照组，实验组每周进行8次1.5小时的培训，对照组不进行干预。采用Maslach职业倦怠量表(MBI)和护理工作生活质量量表(QNWLS)进行干预前、干预中、干预后的结果评估。结果培训前干预时，两组护士的QNWLS和MBI得分分别为131.63 ~ 133.43分和69.96 ~ 70.07分，显示ICU护士职业倦怠程度高，工作生活质量低。在干预中期，未观察到显著差异。在训练后干预时，干预组的QNWLS得分(141.93±13.61)显著高于对照组(132.39±10.66)，这主要是由于工作生活-家庭生活和工作世界维度的改善。对于MBI，干预组的训练后倦怠(58.33±7.38)显著低于对照组(70.50±7.01)，这与去人体化和情绪耗竭维度的改善有关。限制:不能排除“健康工人效应”。结论balint小组培训是缓解ICU护士职业倦怠、提高工作生活质量的有效途径。

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Effect of Balint group training on burnout and quality of work life among intensive care nurses: A randomized controlled trial

Background

Burnout and low quality of work life were linked to poor professional conduct, increased risk of medical errors and suicide for intensive care nurses. This study was to examine whether the Balint group training intervention could relieve burnout and improve the quality of work life for ICU nurses.

Methods

We conducted a randomized controlled trial at five ICUs in Guangdong province, China. Totally 152 nurses were randomly assigned to the Balint group with 8 weekly 1.5 -h training sessions and the control group with no interventions. The outcomes were assessed at pre-, mid- and post-training intervention with the Maslach Burnout Inventory (MBI) and Quality of Nursing Work Life Scale (QNWLS) questionnaires.

Results

At pre-training intervention, the scores of QNWLS and MBI for both groups ranged in 131.63–133.43 and 69.96–70.07, respectively, suggesting the high burnout and low quality of work life for ICU nurses. At mid-intervention, no significant differences were observed. At post-training intervention, the scores of QNWLS for the intervention group (141.93 ± 13.61) was significantly higher than the control group (132.39 ± 10.66), which was mainly contributed by the improvement in the work life-home life and work world dimensions. For MBI, the burnout for intervention group (58.33 ± 7.38) was significantly lower than the control group (70.50 ± 7.01) at post-training intervention, which was contributed by the improvement in the depersonalization and emotional exhaustion dimensions.

Limitation

the ‘healthy worker effect’ cannot be excluded.

Conclusion

Balint group training was an effective way to relieve burnout and improve the quality of work life for ICU nurses.

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来源期刊

Neurology Psychiatry and Brain Research 医学-精神病学

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期刊介绍： Neurology, Psychiatry & Brain Research publishes original papers and reviews in biological psychiatry, brain research, neurology, neuropsychiatry, neuropsychoimmunology, psychopathology, psychotherapy. The journal has a focus on international and interdisciplinary basic research with clinical relevance. Translational research is particularly appreciated. Authors are allowed to submit their manuscript in their native language as supplemental data to the English version. Neurology, Psychiatry & Brain Research is related to the oldest German speaking journal in this field, the Centralblatt fur Nervenheilkunde, Psychiatrie und gerichtliche Psychopathologie, founded in 1878. The tradition and idea of previous famous editors (Alois Alzheimer and Kurt Schneider among others) was continued in modernized form with Neurology, Psychiatry & Brain Research. Centralblatt was a journal of broad scope and relevance, now Neurology, Psychiatry & Brain Research represents a journal with translational and interdisciplinary perspective, focusing on clinically oriented research in psychiatry, neurology and neighboring fields of neurosciences and psychology/psychotherapy with a preference for biologically oriented research including basic research. Preference is given for papers from newly emerging fields, like clinical psychoimmunology/neuroimmunology, and ideas.