Effect Of Network Positive Group Psychological Intervention On Anxiety,depression And Job Burnout Of Female Nurses With Second Child

ObjectiveThe purpose of this study was to explore the effect of network positive group psychological intervention on anxiety,depression and job burnout of female nurses with a second child,in order to improve the negative emotions of female nurses with a second child,relieve their job burnout and improve their mental resilience.MethodConvenience sampling method was adopted to recruit female nurses who had given birth to a second child in a Grade-A hospital in Zhengzhou as survey objects,and the subjects were determined according to the exclusion criteria of this study.Eighty female nurses who had given birth to a second child were randomly divided into intervention group and control group,with 40 in each group.Baseline data were collected before intervention using the general Information questionnaire,the health questionnaire Depression Symptom Group Scale(PHQ-9),the Generalized Anxiety Scale(AD-7),the Mental Resilience Scale(CD-RISC),and the Maslach Burnout Inventory-Service Industry Edition(MBI-HSS).The intervention lasted for 6 weeks,and the control group received mental health education.On the basis of the control group,the intervention group received positive group psychological intervention through Tencent video conference every week,and each intervention lasted for 90 minutes.Interventions were evaluated using PHQ-9,GAD-7,CD-RISC,and MBI-HSS measures after intervention and three months after intervention.Result1.Baseline comparison between the two groups: Before intervention,there were no statistical differences in marital status,educational level,nursing age,professional title and other general information between the two groups,as well as scores of PHQ-9,GAD-7,CD-RISC,MBI-HSS and their various dimensions(P > 0.05).2.Comparison of anxiety and depression between the two groups after intervention and three months after intervention:(1)Inter-group comparison showed that anxiety and depression scores in the intervention group were significantly lower than those in the control group after intervention and three months after intervention,the difference was statistically significant(P < 0.05).(2)Repeated measures analysis of variance showed that there were significant differences in PHQ-9 and GAD-7 scores between the two groups in terms of time,inter-group and interaction effects(P < 0.05).(3)Pair comparison of PHQ-9 and GAD-7 scores at different measuring points showed that PHQ-9 and GAD-7 scores of the two groups were statistically different before and after intervention(P < 0.05).The scores of PHQ-9 and GAD-7 in the intervention group were statistically different before intervention compared with three months after intervention(P < 0.05).There was no significant difference in PHQ-9 and GAD-7 scores between the intervention group and three months after intervention(P > 0.05).There was no significant difference in PHQ-9 and GAD-7 scores of the control group before and after intervention compared with three months after intervention(P > 0.05).3.Comparison of psychological resilience between the two groups after intervention and three months after intervention:(1)Inter-group comparison showed that the total score of CD-RISC and scores of all dimensions in the intervention group were higher than those in the control group after intervention and three months after intervention,with statistical significance(P < 0.05).(2)Repeated measurement analysis of variance showed that there were significant differences in CD-RISC scores between the two groups in terms of time,inter-group and interaction effects(P < 0.05).(3)Pairwise comparison of CD-RISC scores at different measuring points showed that the CD-RISC scores of the intervention group were statistically different before intervention,after intervention and three months after intervention(P < 0.05).There was no significant difference in CD-RISC score between the intervention group and three months after intervention(P > 0.05).There was no significant difference in the score of CD-RISC in the control group before intervention,after intervention and three months after intervention(P > 0.05).4.Comparison of job burnout between the two groups after intervention and three months after intervention:(1)Inter-group comparison showed that after intervention and three months after intervention,the total score of MBI-HSS,emotional exhaustion and depersonalization of the intervention group were lower than those of the control group,while the personal achievement of the intervention group was higher than that of the control group,with statistical significance(P < 0.05).(2)Repeated measures analysis of variance showed that in terms of time,inter-group and interaction effect,There were statistical differences in MBI-HSS scores between the two groups(P < 0.05).(3)The scores of MBI-HSS at different measurement points showed that there were statistical differences between the scores of MBI-HSS before intervention and those after intervention and three months after intervention(P < 0.05).There was no significant difference in MBI-HSS score between the intervention group and three months after intervention(P > 0.05).There was no significant difference in the score of MBI-HSS in the control group before intervention,after intervention and three months after intervention(P > 0.05).Conclusion1.The 6-week network positive group psychological intervention can effectively alleviate the negative emotions and job burnout of female nurses who have had a second child,and the effect of intervention still persists after 3 months.2.The 6-week network positive group psychological intervention can improve the mental resilience of female nurses who have given birth to their second child and promote their mental health to a certain extent.