巴林特小组对改善临床实习护生职业倦怠的干预研究
Balint Group’s Intervention Study on Improving Occupational Burnout of Nursing Students in Clinical Practice
DOI: 10.12677/ns.2024.1310192, PDF,    科研立项经费支持
作者: 王宏梅：湖北医药学院护理学院，湖北 十堰
关键词: 巴林特小组；临床实习护生；职业倦怠；职业认同感；Balint Group； Nursing Students in Clinical Practice； Occupational Burnout； Professional Identity
摘要: 目的：研究巴林特小组对改善临床实习护生职业倦怠的干预效果。方法：选取十堰市某高校本科临床实习护生140名，按照随机数字表法将其分为干预组(n = 70)和对照组(n = 70)，对照组不进行特殊干预，给予空白对照，干预组采用巴林特小组心理干预。采用职业倦怠量表(Maslach Burnout Inventory, MBI)评估两组护生的职业倦怠情况；采用实习护生压力源量表比较两组护生干预前及干预后的压力情况；采用护士职业认同感量表(Nurse Professional Identity Scale, NPIQ)比较两组护生干预前及干预后的职业认同感。结果：干预前，两组护生的情绪衰竭、去个性化、个人成就感和压力源量表评分无显著差异(P > 0.05)；干预后，干预组护生的情绪衰竭、去个性化、个人成就感和压力源量表评分均较干预前显著下降，且干预组显著低于对照组，两组比较具有统计学意义(P < 0.05)。干预前，两组护生的NPIQ评分无显著差异(P > 0.05)；干预后，干预组护生的NPIQ评分较干预前显著上升，且干预组显著高于对照组，两组比较有统计学意义(P < 0.05)。结论：巴林特小组活动可有效降低临床实习护生的职业倦怠情况，缓解其精神压力，并有效提高其职业认同感，可推广使用。
Abstract: Objective: To study the intervention effect of Balint group intervention on improving occupational burnout of nursing students in clinical practice. Methods: A total of 140 undergraduate nursing students in clinical practice from a university in Shiyan City were selected and divided into intervention group (n = 70) and control group (n = 70) according to random number table method. The control group was given blank control without special intervention, and the intervention group was given Balint group psychological intervention. The Maslach Burnout Inventory (MBI) was used to evaluate the occupational burnout of nursing students in the two groups. The stress of nursing students before and after intervention was compared by using the stress source scale of nursing students in the two groups. The Nurse Professional Identity Scale (NPIQ) was used to compare the professional identity of the two groups of nursing students before and after intervention. Results: Before intervention, there were no significant differences in emotional exhaustion, deindividuation, personal achievement and stressors scale scores between the two groups of nursing students (P > 0.05). After intervention, the scores of emotional exhaustion, deindividuation, personal achievement and stressors scale of nursing students in the intervention group were significantly lower than those before intervention, and the intervention group was significantly lower than the control group, and the comparison between the two groups was statistically significant (P < 0.05). Before intervention, there was no significant difference in NPIQ scores between the two groups of nursing students (P > 0.05). After intervention, the NPIQ score of nursing students in the intervention group was significantly higher than that before intervention, and the intervention group was significantly higher than the control group, with statistical significance between the two groups (P < 0.05). Conclusion: Balint group activities can effectively reduce the occupational burnout of nursing students in clinical practice, relieve their mental pressure, and effectively improve their professional identity, so it can be widely used.
文章引用：王宏梅. 巴林特小组对改善临床实习护生职业倦怠的干预研究[J]. 护理学, 2024, 13(10): 1349-1357. https://doi.org/10.12677/ns.2024.1310192

参考文献

[1] 韦捷, 徐玉涵, 龚玉婷, 等. 健康公平视域下护士角色及现状分析[J]. 全科护理, 2023, 21(36): 5080-5083.
[2] 康天翼. 临床护士工作压力与职业倦怠的关系——一个有调节的中介[D]: [硕士学位论文]. 聊城: 聊城大学, 2023.
[3] 娄倩倩. 护士工作压力、职业认同与护理缺失的关系研究[D]: [硕士学位论文]. 蚌埠: 蚌埠医学院, 2020.
[4] 卢志芬, 黄碧灵, 黄敏清, 等. 护士实习生工作压力源调查及相关因素分析[J]. 实用临床护理学电子杂志, 2019, 4(14): 184-185.
[5] 沈木子, 彭静, 李贝, 等. 临床实习环境及压力源对护理实习生职业认同的影响[J]. 中国高等医学教育, 2024(3): 10-12.
[6] 韦悦敏. 护理实习生职业倦怠现状的调查分析[J]. 循证护理, 2022, 8(6): 847-849.
[7] 王旭美. 实习护生心理弹性在情绪智力与职业倦怠间的中介效应研究[J]. 蚌埠医学院学报, 2023, 48(4): 512-515.
[8] 刘芳, 唐大龙, 刘伟楠, 等. 全科专业住院医师规范化培训学员职业倦怠及其影响因素研究[J]. 中国全科医学, 2020, 23(9): 1151-1157.
[9] Poncet, M.C., Toullic, P., Papazian, L., Kentish-Barnes, N., Timsit, J., Pochard, F., et al. (2007) Burnout Syndrome in Critical Care Nursing Staff. American Journal of Respiratory and Critical Care Medicine, 175, 698-704. [Google Scholar] [CrossRef] [PubMed]
[10] Luban-Plozza, B. (1995) Empowerment Techniques: From Doctor-Centered (Balint Approach) to Patient-Centred Discussion Groups. Patient Education and Counseling, 26, 257-263. [Google Scholar] [CrossRef] [PubMed]
[11] Olthuis, J.V., Watt, M.C., Bailey, K., Hayden, J.A. and Stewart, S.H. (2016) Therapist-Supported Internet Cognitive Behavioural Therapy for Anxiety Disorders in Adults. Cochrane Database of Systematic Reviews, 2016, Article No. CD011565. [Google Scholar] [CrossRef] [PubMed]
[12] Carroll, K.M. and Rounsaville, B.J. (2010) Computer-Assisted Therapy in Psychiatry: Be Brave—It’s a New World. Current Psychiatry Reports, 12, 426-432. [Google Scholar] [CrossRef] [PubMed]
[13] Kjeldmand, D., Holmström, I. and Rosenqvist, U. (2004) Balint Training Makes GPS Thrive Better in Their Job. Patient Education and Counseling, 55, 230-235. [Google Scholar] [CrossRef] [PubMed]
[14] Embriaco, N., Papazian, L., Kentish-Barnes, N., Pochard, F. and Azoulay, E. (2007) Burnout Syndrome among Critical Care Healthcare Workers. Current Opinion in Critical Care, 13, 482-488. [Google Scholar] [CrossRef] [PubMed]
[15] 张桂霞, 高姗, 黄海燕. 实习护生压力源问卷的编制及结构分析[J]. 护理学杂志, 2014(12): 60-62.
[16] 刘玲, 郝玉芳, 刘晓虹. 护士职业认同评定量表的研制[J]. 解放军护理杂, 2011, 28(3): 18-20.
[17] 王君, 陈天勇. 职业压力源量表的编制及信效度检验[J]. 中国健康心理学杂志, 2022, 30(5): 693-698.
[18] 邓开琴, 王成瑶. 心理护理干预联合巴特林小组模式在焦虑患者健康教育的应用[J]. 当代护士(中旬刊), 2021, 28(5): 118-120.
[19] 徐浩岚. 本科实习护生专业承诺和职业倦怠的状况及其关系分析[J]. 重庆医学, 2016, 45(32): 4566-4569.
[20] 黄丽, 肖吉芳, 黄兰香, 等. 巴林特小组活动对高职实习护生职业成熟度的国内外研究现状[J]. 中国卫生产业, 2022, 19(5): 253-256.
[21] Shorer, Y., Rabin, S., Zlotnik, M., Cohen, N., Nadav, M. and Shiber, A. (2016) Balint Group as a Means for Burnout Prevention and Improvement of Therapist-Patient Relationship in a General Hospital—The Soroka Experience. Harefuah, 155, 115-118.
[22] 张倩, 张秀军, 胡成洋, 等. 护士职业倦怠现状及其影响因素分析[J]. 蚌埠医学院学报, 2021, 46(2): 232-236.
[23] Wang, T., Abrantes, A.C.M. and Liu, Y. (2022) Intensive Care Units Nurses’ Burnout, Organizational Commitment, Turnover Intention and Hospital Workplace Violence: A Cross-Sectional Study. Nursing Open, 10, 1102-1115. [Google Scholar] [CrossRef] [PubMed]
[24] 王冬华, 袁爱华, 邓雪英. 本科护生实习中后期职业倦怠的调查研究[J]. 护理实践与研究, 2015, 12(1): 5-7.
[25] 徐敏, 陈勤, 刘晓虹, 等. 护理本科实习生职业认同感的认知干预研究[J]. 中华护理杂志, 2019, 54(5): 709-714.
[26] 杨燕青, 郑宏, 王慧燕, 等. 医护人员压力源与应对策略现状分析[J]. 中华全科医学, 2018, 16(6): 983-988.
[27] 王雨琴, 李育玲. 团体心理辅导联合巴林特小组活动对新入职护士职业认同感的影响[J]. 护理研究, 2022, 36(9): 1676-1680.
[28] Chen, J., Li, J., Cao, B., Wang, F., Luo, L. and Xu, J. (2019) Mediating Effects of Self-Efficacy, Coping, Burnout, and Social Support between Job Stress and Mental Health among Young Chinese Nurses. Journal of Advanced Nursing, 76, 163-173. [Google Scholar] [CrossRef] [PubMed]

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