FEASIBILITY AND ACCEPTABILITY OF A RESILIENCE TRAINING PROGRAM FOR INTENSIVE CARE UNIT NURSES
FEASIBILITY AND ACCEPTABILITY OF A RESILIENCE TRAINING PROGRAM FOR INTENSIVE CARE UNIT NURSES
复制标题
DOI：
10.4037/ajcc2014747
复制
发表时间：
2014-11-01
影响因子：
2.7
通讯作者：
Moss, Marc
中科院分区：
文献类型：
--
作者：
Mealer, Meredith;Conrad, David;Moss, Marc
重症监护病房（icu）等专业领域的护理人员严重短缺尤为明显。一些护士制定弹性应对策略，适应压力大的工作经历，减轻了常见的适应不良心理症状的发展。目的确定ICU护士的多模式弹性训练方案是否可行并为研究参与者所接受。方法在一项为期12周的随机对照研究中，治疗组和对照组在干预前后分别完成了人口统计学问题和心理弹性、焦虑、抑郁、创伤后应激障碍（PTSD）和倦怠综合征的测量。干预包括为期2天的教育研讨会、书面暴露会议、事件触发咨询会议、基于正念的减压练习和规定的有氧运动方案。干预组的护士也完成了对干预各组成部分的满意度调查。结果该多模式弹性训练方案实施可行，为ICU护士所接受。治疗组和对照组的护士在干预后PTSD症状得分均有显著下降。结论对ICU护士进行多方面的心理弹性训练是可行的，也是可接受的。需要一项足够有力的随机临床试验来评估干预对提高个体恢复能力水平和改善心理结果（如焦虑、抑郁、倦怠综合征和创伤后应激障碍症状）的影响。
Background The critical nursing shortage is particularly apparent in specialty areas such as intensive care units (ICUs). Some nurses develop resilient coping strategies and adapt to stressful work experiences, mitigating the development of common maladaptive psychological symptoms.Objectives To determine if a multimodal resilience training program for ICU nurses was feasible to perform and acceptable to the study participants.Methods In a randomized and controlled 12-week intervention study, treatment and control groups completed demographic questions and measures of resilience, anxiety, depression, posttraumatic stress disorder (PTSD), and burnout syndrome before and after the intervention. The intervention included a 2-day educational workshop, written exposure sessions, event-triggered counseling sessions, mindfulness-based stress reduction exercises, and a protocolized aerobic exercise regimen. Nurses in the intervention arm also completed satisfaction surveys for each component of the intervention.Results This mulitmodal resilience training program was feasible to conduct and acceptable to ICU nurses. Both nurses randomized to the treatment group and nurses randomized to the control group showed a significant decrease in PTSD symptom score after the intervention.Conclusions A multifaceted resilience training program for ICU nurses was both feasible and acceptable. A sufficiently powered, randomized clinical trial is needed to assess the effect of the intervention on improving individuals' level of resilience and improving psychological outcomes such as symptoms of anxiety, depression, burnout syndrome, and PTSD.