关键词: Internet-based intervention Mental health recovery Nurses Psychological trauma

来  源:   DOI:10.1159/000540350   PDF(Pubmed)

Abstract:
UNASSIGNED: Nurses, who care for patients with various traumas, may also experience post-traumatic stress disorder due to indirect or direct exposure to traumatic situations. This study examined the effectiveness of an Internet-based trauma recovery intervention for Korean nurses.
UNASSIGNED: This randomized controlled trial was conducted with 112 nurses aged 23-40 years who were randomly assigned to the intervention (n = 56) or control group (n = 56) from May 7 to December 20, 2020. Nurses in the intervention group attended eight sessions, and the same intervention was administered to the control group. Repeated measures were collected at pre-test, post-test 1 (immediately after the intervention), and post-test 2 (4 weeks after the intervention). A total of 102 nurses (intervention group: n = 49; control group: n = 53) were completed because 10 nurses dropped out before the first session. Data were analyzed using the χ2 test, Fisher\'s exact test, t-test, Mann-Whitney U test, and repeated measures ANOVA (intention-to-treat and per protocol).
UNASSIGNED: There were significant changes in functional health, resilience, post-traumatic stress, depressive symptoms, state anxiety, and trait anxiety over time and in the group-by-time interactions (intention-to-treat and per protocol). There was a significant difference in social support in the group-by-time interactions, but there were no significant changes between the two groups or over time (intention-to-treat and per protocol).
UNASSIGNED: The Internet-based trauma recovery nursing intervention is effective in clinical and community settings for nurses who cannot participate in fixed-schedule programs due to shift work. This study\'s findings are relevant for implementing Internet-based trauma recovery programs for nurses and the general population, including survivors and relatives of patients who suffered from COVID-19. This program will also be very useful for people in other high-stress situations. Nurse leaders should consider different populations and situations when offering effective coping strategies suitable for changing environments.
摘要:
护士,照顾各种创伤的病人,也可能由于间接或直接暴露于创伤情况而经历创伤后应激障碍。这项研究调查了基于互联网的创伤恢复干预对韩国护士的有效性。
这项随机对照试验于2020年5月7日至12月20日对112名年龄在23-40岁的护士进行了随机分配到干预组(n=56)或对照组(n=56)。干预组的护士参加了八次会议,对照组给予相同的干预措施。在预测试时收集重复的措施,测试后1(干预后立即),和测试后2(干预后4周)。共有102名护士(干预组:n=49;对照组:n=53)完成,因为10名护士在第一次会议前退出。数据分析采用χ2检验,费希尔的精确检验,t检验,Mann-WhitneyU测试,和重复测量方差分析(意向治疗和按照方案)。
功能健康发生了重大变化,弹性,创伤后应激,抑郁症状,状态焦虑,和特质焦虑随着时间的推移和分组的相互作用(意向治疗和每个方案)。在不同时间的群体互动中,社会支持存在显著差异,但两组之间或随时间推移(意向治疗和方案)无显著变化.
基于互联网的创伤恢复护理干预在临床和社区环境中对于由于轮班工作而无法参加固定时间表计划的护士是有效的。这项研究的结果是相关的实施基于互联网的创伤恢复计划的护士和一般人群,包括COVID-19患者的幸存者和亲属。该计划对其他高压力情况下的人们也非常有用。护士领导者在提供适合不断变化的环境的有效应对策略时,应考虑不同的人群和情况。
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