团体叙事护理管理对胸心外科重症监护室护理实习生心理压力及负性情绪的影响
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中图分类号 R47 文献标识码 A 文章编号 1671-0223（2025）18-1428-05
【Abstract】 Objective To analyze the application effect of group narative nursing management in nursing interns in the intensivecareunit （ICU）of thoracic and cardiac surgery.Methods Sixty nursing inters from the thoracic and cardiac surgery ICU who workedattheFirstPeople's Hospitalof Neijiang CityfromJulytoDecember 2024wereselectedastheresearch subjects.Onthe basisof balanced andcomparable baseline data such asgenderageand internship periodbetween twogroups ofstudents，theyweredivided intoacontrolgroupandanobservationgroupaccording tothedoublecolorballmethod，with30 cases in each group.The control groupadopts conventional management，while the observation group adopts group narrative nursing management.Comparethesatisfaction levels of two groups of teachersand students，as wellas their levels of alarm fatigue，psychological stressandnegativeemotions.ResultsAfterthenursing wascompleted，thesatisfactionscoresofthe teaching staffand students in the observation group were higher thanthose in thecontrol group，whilethe students'alarm fatigue scores were lower than those in the control group，and the differences were statistically significant （P<0.05） .Before the group narrative ursing maagement interventionthre was nstatisticallysignifcant diference in HAMD，HAM，Qnd SPBS scores between the two groups of students （P>0.05） ;After intervention， the psychological pressure and negative emotion scores ofbothgroupsofstudentsdecreased，butthe HAMD，HAMA，PSQIand SPBSscoresoftheobservation groupwere lower than those of the control group，and the differences were statistically significant （P<0.05） . Conclusion The application effectof group narative nursing management in ICU nursing intensof thoracicand cardiac surgery is goodwhich can efectively relievestudents'psychological pressre andanxietyanddepression，helpimprove work efciencyreduce students' alarm fatigue，and enhance the satisfaction of both teachingand mentoring parties.
【KeyWords】Group NarrativeNursing;Nursing interninthe ICUofThoracicand Cardiac Surgery;Psychological stress; Negative emotions
胸心外科重症监护室（intensivecareunit，ICU）是国内医院对于胸心外科重症患者的首选监护科室。（剩余6399字）
