Narrative therapy online intervention improves post-traumatic stress disorder symptoms, perceived stress, anxiety, and depression in nurses: A randomized controlled trial.

IF 3.6 3区医学 Q1 PSYCHIATRY Revista Brasileira de Psiquiatria Pub Date : 2024-09-27 DOI:10.47626/1516-4446-2024-3740

Mengxin Xue, Ping Yu, Zhie Gu, Yanfei Sun

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Abstract

Background: Clinical nurses have symptoms of post-traumatic stress disorder (PTSD), anxiety and depression, which seriously affect their physical and mental health. Narrative therapy (NT), a therapy for trauma-related psychological disorders, may be an effective intervention.

Objective: The aim of this study was to evaluate the effect of NT on improving PTSD symptoms, perceived stress, anxiety and depression in nurses.

Methods: A total of 92 participants who were clinical nurses and had positive PTSD symptom screening results were randomly assigned (1:1) to the intervention and control groups. The intervention group received NT and a psychological stress leaflet, while the control group received only a psychological stress leaflet. PTSD, perceived stress, anxiety, and depression were measured before and after the intervention to assess the effect of NT.

Results: After the intervention, the intervention group showed significantly lower levels of PTSD symptoms (P=0.025), perceived stress (P=0.033), anxiety (P=0.004), and depression (P=0.015) compared with the control group. Regarding the dichotomous outcomes of PTSD, anxiety, and depression, there was a statistically significant decrease in the number of positive cases of PTSD (P=0.030) and anxiety (P=0.002), while there was no statistically significant change in the number of positive cases of depression (P=0.060).

Conclusions: NT is expected to alleviate PTSD symptoms, stress, anxiety, and depression among clinical frontline nurses, and healthcare professionals should consider applying NT to improve nurses' mental health.

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在线叙事疗法干预可改善护士的创伤后应激障碍症状、感知压力、焦虑和抑郁：随机对照试验。

背景：临床护士有创伤后应激障碍（PTSD）、焦虑和抑郁等症状，严重影响其身心健康。叙事疗法（NT）是一种治疗创伤相关心理障碍的疗法，可能是一种有效的干预措施：本研究旨在评估叙事疗法对改善护士创伤后应激障碍症状、感知压力、焦虑和抑郁的效果：将 92 名创伤后应激障碍症状筛查结果呈阳性的临床护士随机（1:1）分配到干预组和对照组。干预组接受 NT 和心理压力宣传单，对照组只接受心理压力宣传单。在干预前后测量创伤后应激障碍、感知压力、焦虑和抑郁，以评估 NT 的效果：干预后，与对照组相比，干预组的创伤后应激障碍症状（P=0.025）、感知压力（P=0.033）、焦虑（P=0.004）和抑郁（P=0.015）水平明显降低。关于创伤后应激障碍、焦虑和抑郁的二分法结果，创伤后应激障碍（P=0.030）和焦虑（P=0.002）的阳性病例数有统计学意义的显著下降，而抑郁的阳性病例数没有统计学意义的显著变化（P=0.060）：NT有望缓解临床一线护士的创伤后应激障碍症状、压力、焦虑和抑郁，医护人员应考虑应用NT来改善护士的心理健康。

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来源期刊

Revista Brasileira de Psiquiatria 医学-精神病学

CiteScore

6.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry). The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.