认知行为疗法在防治军队医院肿瘤科合同制护士负性情绪中的应用

摘要

目的：探讨认知行为疗法(CBT)在防治军队医院肿瘤科合同制护士负性情绪中的作用。方法选取2014年4月~2014年7月解放军三〇六医院和解放军三〇七医院28名肿瘤科合同制护士分为CBT组和对照组,每组各14名。对照组给予一般支持性心理护理,CBT组在对照组基础上采用认知行为疗法干预,13周后对两组护士采用症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)和护士工作压力源量表进行测评。结果干预前,两组护士SCL-90、SAS、SDS、工作压力源量表评分比较,差异无统计学意义(P>0.05)；干预后CBT组SCL-90总分及躯体化、人际关系、抑郁、焦虑和敌对因子评分明显低于对照组,差异有统计学意义(P<0.05)。干预后,CBT组护士SAS、SDS评分显著低于对照组,差异有统计学意义(P<0.05)。干预后,护士工作压力源量表评分,除工作环境及仪器设备项外,其他各项评分CBT组均低于对照组,差异有统计学意义(P<0.05)。结论采用认知行为疗法对军队肿瘤科合同制护士进行心理干预,可帮助其解决工作中出现的情绪和行为上的负性感受,帮助培养个体正确和良好的应对方式,缓解工作中的焦虑、抑郁情绪,改善睡眠质量,值得临床应用推广。%Objective To investigate the effect of cognitive behavior therapy (CBT) in the preventiing negative emotions of oncology contract nurses in Army hospital. Methods From April 2014 to July 2014, in the 306th Hospital of PLA and the 307th Hospital of PLA, 28 oncology contract nurses were selected and divided into CBT group and the control group, with 14 cases each group. The control group was given general psychological care support. CBT group was given cognitive behavior therapy on the basis of the control group. After 13 weeks symptom check-list 90 (SCL-90), self-rat-ing anxiety scale (SAS), self-rating depression scale (SDS) and nurses working pressure scale were used for evaluating the two groups. Results Before the intervention, the differences of SCL-90, SAS, SDS, nurses work pressure scale scores in two groups were not statistically significant (P>0.05). After the intervention, the SCL-90 scores and somati-zation, interpersonal relationship, depression, anxiety and hostility scores in CBT group were significantly lower than those in the control group, the differences were statistically significant (P<0.05). After the intervention, The SAS, SDS results in CBT group were lower than those in the control group, the differences were statistically significant (P< 0.05). After the intervention, except work environment and equipment scores, nurses working pressure scale results of CBT group were lower than those of the control group, the differences were statistically significant (P< 0.05). Conclusion Using cognitive behavior therapy for psychological intervention on contract nurses of oncology in military hospital can help resolve emotional arising in the work and negative feelings on the behavioral, develop a right and good coping on individuals, relieve anxiety and depression in the work, improve sleep quality, it is worthy of clinical ap-plication and promotion.