巴林特小组改善医护人员职业压力与职业倦怠

目的:探讨巴林特小组在改善医护人员职业压力和职业倦怠方面的效果,降低医护人员负性情绪体验,有效预防医护人员职业倦怠。方法:选取潍坊市某中医院124名医护人员,采用知觉压力量表(CPSS)、职业倦怠量表(MBI-HSS)、正性负性情绪量表(PANAS),选取量表高分端的27%中的20人为研究对象,随机划分成10人的实验组,进行为期3个月的巴林特小组干预,10人的对照组,无任何干预,在干预前后分别对实验组和对照组进行测量。结果:实验组被试在CPSS总分、紧张感、失控感、MBI-HSS总分、情绪疲惫感、工作冷漠感、负性情绪水平维度上后测得分低于前测,差异有统计学意义(t=4.58,4.58,3.58,4.92,5.60,3.34,8.17;P0.01);无工作成就感、正性情绪维度上后测得分高于前测,差异有统计学意义(t=-3.00,P0.05;t=-4.58,P0.01)。对照组被试在3个量表的各个维度前后测得分,差异无统计学意义(P0.05)。结论:巴林特小组可以改善医护人员职业压力和职业倦怠。

Research on the Balint groups to improve medical staff occupational stress and burnout aspects

Objective:To investigate the effect of Balint groups to improve of medical staff occupational stress and job burnout,and then to reduce the negative emotional experience and prevent the job burnout of medical staffs effec-tively.Methods:124 medical staffs from traditional Chinese medical hospital of Linqu were enrolled in this study,u-sing Perceived Stress Scale,Maslach Burnout Inventory,The Positive and Negative Affect Scale to investigate the status.20 people of high scores on PSS,MBI,NA were selected,divided 10 of them into Balint group in random ways and then trained for three months;10 medical staff were divided into control group without any intervention.Both ex-perimental group and control group were asked to complete all the scales before and after the intervention.Results:In scores on CPSS,sense of tension,sense of out of control,MBI- HSS,emotion exhaustion,job burnout,negative af-fect,the experimental group were significantly lower than before(t = 4.58,4.58,3.58,4.92,5.60,3.34,8.1 7;P <0.01);Scores on no job satisfaction,positive affect,the experimental group were significantly higher than before(t =-3.00,-4.58;P <0.01).Scores on three scales,the control group had no difference between before and after the two(t=-1.46,-0.63,-1.94,0.55,-0.23,0.00,-0.61,1.87,-0.59;P >0.05).Conclusion:Balint groups can improve occupation-al stress and job burnout of medical staff.