| Objective:The purpose of this study is to understand the post-traumatic stress disorder symptoms,post-traumatic growth,and coping styles of emergency nurses,and analyze the influencing factors for the symptoms of emergency nurses with post-traumatic stress disorder.Through literature search and Delphi expert consultation,a group cognitive behavior intervention program was constructed and implemented to explore the effect of group cognitive behavior therapy on the symptoms of post-traumatic stress disorder,post-traumatic growth,and coping styles of emergency nurses,providing reference basis for alleviating emergency nurses’ stress symptoms,improving emergency nurses’ psychological crisis intervention,and promoting physical and mental health.Methods:This study is divided into three parts:Part I: A cross-sectional study on the post-traumatic stress disorder symptoms,post-traumatic growth,and coping styles of emergency nurses.From July 2022 to August 2022,222 emergency nurses from two hospital districts in a hospital in Nanchang City were selected by using a random sampling method.The self-made general information questionnaire,the Post-traumatic Stress Disorder Symptom Assessment Scale,the Chinese version of the Post-traumatic Growth Questionnaire,and the Simple Coping Style Questionnaire were used as research tools,investigate emergency nurses who meet the inclusion criteria.The median(quartile interval)was used to describe the status quo of post-traumatic stress disorder symptoms,post-traumatic growth,and coping styles of emergency nurses;the rank sum test and Kruskal-Wallis H test were used to analyze the influencing factors of post-traumatic stress disorder in emergency nurses;the influencing factors of positive symptoms of post-traumatic stress disorder in emergency nurses were analyzed by binary logistic regression;spearman correlation was used to analyze the correlations among post-traumatic stress disorde symptoms,post-traumatic growth and coping styles among emergency nurses.Part II: Constructing a group cognitive behavior intervention program.Through literature review and theoretical research,we initially constructed a group cognitive behavior intervention program.According to the Delphi expert consultation method,two rounds of expert consultation were conducted for 21 experts from both inside and outside the province.The final intervention plan was improved and determined through analysis from four aspects: expert enthusiasm coefficient,expert authority coefficient,expert opinion concentration degree,and expert opinion coordination degree.Part III: Study on the Intervention Effect of Group Cognitive Behavior Therapy on Post-traumatic Stress Disorder Symptoms in Emergency Nurses.From the first part of the investigation and study,58 emergency nurses with positive symptoms of post-traumatic stress disorder and meeting the inclusion criteria were selected for intervention.They were divided into a control group(28 cases)and an trial group(30 cases)by hospital districts.The control group was given routine psychological care,while the trial group received an 8-week group cognitive behavioral intervention on the basis of routine psychological care.Compare the scores of post-traumatic stress disorder symptoms,post-traumatic growth,and coping styles of emergency nurses before and after 8 weeks of intervention.Results:Part I: 222 emergency nurses scored 17.50(6.00,36.00)points for post-traumatic stress disorder symptoms,with a positive rate of 27.93%.Binary logistic regression analysis showed that nursing of dying relatives or friends,sexual harassment,self(lover)miscarriage,accidental shock or accident were the influential factors leading to positive post-traumatic stress disorder symptoms of emergency nurses(P<0.05).The 222 emergency nurses scored 56.00(42.00,62.00)points for post-traumatic growth,22.00(16.75,24.00)points for positive coping,and 10.00(8.00,14.00)points for negative coping.Spearman correlation analysis showed that post-traumatic stress disorder in emergency nurses was positively correlated with post-traumatic growth and negative coping scores,while negatively correlated with positive coping scores,with statistically significant results(P<0.05).Part II: Results of Delphi expert consultation: among the 21 experts participating in the consultation,90.47% had deputy senior professional titles or above;the age range is 36 to 64 years old;all have bachelor’s degree or above,with a master’s degree accounting for 52.38% and a doctoral degree accounting for38.10%;71.43% had worked for more than 20 years.In the first round of correspondence,a total of 25 copies were distributed and 21 copies were recovered,with a recovery rate of 84.00%;in the second round,21 copies were distributed and fully recovered,with a recovery rate of 100.00%.The expert opinion submission rates for the first and second rounds of correspondence were 76.19% and 14.29%respectively;the authority coefficient of experts is 0.921,indicating a high level of authority among experts;The Kendall’s W values for two rounds of expert correspondence were 0.12 and 0.21,respectively,indicating a relatively high degree of coordination of expert opinions.The analysis of the results of two rounds of expert inquiries indicates that the scheme constructed in this study has certain feasibility.Part III:1.There was no statistically significant difference in the general information(gender,working years,professional title,number of children,etc.)of emergency nurses between the two groups(P>0.05).2.Before intervention,there was no statistically significant difference between the two groups of emergency nurses in the scores of symptoms of post-traumatic stress disorder,post-traumatic growth,positive coping,and negative coping(P>0.05);there was no statistically significant difference between the two groups in the scores of post-traumatic stress disorder symptoms for the types of traumatic events experienced by emergency nurses(only having experienced work trauma events and having experienced work trauma events combined with having experienced life trauma events)(P>0.05).3.Intervention effect of group cognitive behavioral therapy on emergency nurses:(1)Post-traumatic stress disorder symptom score: after intervention,the control group’s post-traumatic stress disorder symptom score was 33.00(23.75,35.00)points,while the trial group’s score was 18.50(13.75,24.50)points.The difference between the two groups of emergency nurses’ post-traumatic stress disorder symptom scores was statistically significant(P<0.05).There was a statistically significant difference in the scores of post-traumatic stress disorder symptoms between the two groups of emergency nurses(P<0.05).(2)Post-traumatic growth score: after intervention,the post-traumatic growth score of the control group was 59.00(46.25,60.00)points,while the trial group was 64.00(51.00,84.25)points,while the difference in the post-traumatic growth score of the emergency nurses in the trial group was statistically significant(P<0.05).There was a statistically significant difference in the post-traumatic growth scores between the two groups of emergency nurses(P<0.05).(3)Positive coping score: after intervention,the positive coping score of the control group was 21.00(15.00,24.00)points,while the trial group was 24.00(19.75,30.00)points,while the difference in the positive coping score of emergency nurses in the trial group was statistically significant(P<0.05).There was a statistically significant difference in the scores of positive coping between the two groups of emergency nurses(P<0.05).(4)Negative coping score: after intervention,the negative coping score in the control group was11.00(8.00,14.75)points,while that in the trial group was 10.50(8.00,13.25)points,while the difference in the negative coping score in the trial group was statistically significant(P<0.05).Conclusion:1.The positive rate of post-traumatic stress disorder symptoms in emergency nurses is relatively high.Emergency nurses who have worked for 5-9 years,have a nursing professional title,are employed,and have two or more children have a higher score for post-traumatic stress disorde symptoms,which requires more attention.2.The expert authority of the group cognitive behavior intervention construction program is relatively high,the indicators are important and the opinions tend to be consistent.After the implementation of the intervention program,it can effectively reduce the symptoms of post-traumatic stress disorder in emergency nurses,alleviate the symptoms of post-traumatic stress disorder,improve post-traumatic growth levels and help build positive coping tendencies;compared to conventional psychological care,group cognitive behavioral therapy has a more significant therapeutic effect on post-traumatic stress disorder symptoms in emergency nurses. |
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