灵性关怀培训对护士灵性健康和灵性照护能力的影响

目的探讨灵性关怀培训方案对护士灵性健康和灵性照护能力的影响。方法2018年3—9月以自愿报名的方式在某省肿瘤医院招募80名护士参与研究,以随机数字表法将其分为试验组(40名)和对照组(40名)。试验组在常规业务学习的基础上连续6个月接受每月2次的集体灵性关怀培训,主要形式包括专家授课、团体干预、临床实践和案例分享;对照组连续6个月参与医院组织的业务学习。培训前后,采用灵性健康量表和灵性照护认知量表对两组护士进行调查,比较培训效果。结果培训6个月后,试验组护士灵性健康和灵性照护认知总分分别为(106.30±8.72)、(185.75±16.53)分,均高于对照组,差异有统计学意义(t值分别为5.38、4.52;P<0.01);各维度得分也均高于对照组,差异有统计学意义(t值为2.22~5.22,P<0.05);且试验组护士的灵性健康和灵性照护认知总分及各维度得分均高于试验组干预前得分,差异有统计学意义(t值为3.18~8.99,P<0.01)。结论基于自我与患者共同成长理念构建的灵性关怀培训方案可提高护士的灵性健康和灵性照护认知水平。

Effects of spiritual care training on improving nurses'spiritual well-being and perceptions of spiritual care

Objective To explore the influence of spiritual care training program on nurses'spiritual well-being and spiritual care competency.Methods From March to September 2018,a total of 80 nurses working in a provincial cancer hospital were recruited by voluntary registration to participate in this study.They were randomly divided into experimental group(n=40)and control group(n=40)by random number table.The experimental group received the specially designed spiritual care training twice a month for 6 consecutive months on the basis of regular vocational studies.The main forms included expert lectures,group interventions,providing spiritual care for cancer patients,and clinical case reporting.The control group participated in the vocational study organized by the hospital for 6 consecutive months.Before and after the training,the Nurses'Spiritual Health Scale and the Spiritual Care Cognitive Scale were used to investigate and test the nurses in two groups,and the implementation effect was compared.Results After 6 months of training,the total scores of Nurses'Spiritual Health Scale and the Spiritual Care Cognitive Scale in the experimental group were(106.30±8.72)and(185.75±16.53),which were higher than those in the control group,and the differences were statistically significant(t=5.38,4.52;P<0.01);the scores in each dimension were also higher than those in the control group,and the differences were statistically significant(t=2.22-5.22,P<0.05).And in the experimental group the total scores and scores in each dimension of Nurses'Spiritual Health Scale and the Spiritual Care Cognitive Scale after the intervention were higher than before the intervention,and the differences were statistically significant(t=3.18-8.99,P<0.01).Conclusions The spiritual care training program based on the concept of self-growth with patients can improve nurses'spiritual well-being and nurses'perceptions of spiritual care.