摘要目的 评估MoodGYM网络认知行为治疗对护理人员焦虑、抑郁情绪的疗效.方法选取180例具有焦虑或者抑郁或者兼有焦虑抑郁情绪的护理人员,随机分成3组,每组各60例,分别使用 MoodGYM(MoodGYM组)和健康教育(健教组)进行为期2个月的干预(每周1次,每次30~45分钟),另一组作为对照组.干预前后分别采用抑郁焦虑压力量表( depression anxiety stress scale 21, DASS-21)、明尼苏达满意度问卷(Minnesota satisfaction questionnaire,MSQ)和主观幸福感量表( subjec-tive happiness scale,SHS)进行心理评估.结果 与干预前相比,干预后 MoodGYM 组焦虑因子分[(16. 76±7. 61)分,( 9. 67± 5. 78)分,t=21. 339,P<0. 01]、抑郁因子分[(13. 86± 7. 60)分,( 10. 91± 7. 12)分,t=16. 716,P<0. 01]下降, MSQ 工作满意度[( 65. 11 ± 11. 12)分,( 67. 97 ± 11. 10)分,t=-16. 400,P<0. 01]、SHS主观幸福感[(17. 67±4. 59)分,(21. 83±3. 53)分,t=-20. 221,P<0. 01]升高;健教组焦虑[(15. 81±8. 24)分,(12. 45±7. 68)分,t=17. 566,P<0. 01]、抑郁因子分[(12. 44±8. 23)分, (12. 09±7. 95)分,t=3. 934,P<0. 01]下降,工作满意度[( 67. 37 ± 9. 76)分,( 68. 91 ± 9. 67)分,t=-4. 474,P<0. 01]、主观幸福感分值[(17. 93±3. 80)分,(19. 85±3. 96)分,t=-14. 897,P<0. 01]升高;干预后,MoodGYM组在改善焦虑、抑郁、提升工作满意度和主观幸福感方面的效应较健教组更明显(均P<0. 01).结论 MoodGYM干预能缓解护理人员的焦虑、抑郁情绪,提升护理人员的工作满意度与主观幸福感.

abstractsObjective To evaluate the efficacy of MoodGYM Internet-delivered Cognitive Behavior-al Therapy in the treatment of anxiety and depression among nurses. Methods A total of 180 nurses with anxiety or depression were randomly divided into three groups,60 in each group,and 2 months of intervention with MoodGYM and health education ( once a week,30-45 minutes each time) in MoodGYM group and health education group,respectively. Another group was as a control group. Before and after intervention,De-pression Anxiety Stress Scale 21 ( DASS-21),Minnesota Satisfaction Questionnaire ( MSQ) and Subjective Happiness Scale (SHS) were used to evaluate psychological status. Results Compared with pre-interven-tion,the scores of anxiety in DASS-21 ((16. 76±7. 61) vs (9. 67±5. 78),t=21. 339,P<0. 01) and depres-sion in DASS-21 ((13. 86±7. 60) vs (10. 91±7. 12),t=16. 716,P<0. 01) decreased,meanwhile job satis-faction in MSQ((65. 11±11. 12) vs (67. 97±11. 10),t=-16. 400,P<0. 01) and subjective well-being in SHS((17. 67 ± 4. 59) vs (21. 83 ± 3. 53),t=-20. 221, P<0. 01) increased in post-intervention in the MoodGYM group. The scores of anxiety((15. 81±8. 24) vs (12. 45± 7. 68),t=17. 566,P<0. 01) and de-pression((12. 44± 8. 23) vs ( 12. 09 ± 7. 95), t=3. 934,P<0. 01) decreased, meanwhile job satisfaction ((67. 37±9. 76) vs (68. 91± 9. 67),t=-4. 474,P<0. 01) and subjective well-being(( 17. 93± 3. 80) vs (19. 85±3. 96),t=-14. 897,P<0. 01) increased in post-intervention in the health education group. After in-tervention,the effect of improving anxiety, depression, job satisfaction and subjective well-being in the MoodGYM group was more obvious than that in the health education group (P<0. 01). Conclusion -MoodGYM intervention can relieve anxiety and depression of nurses,improve their job satisfaction and sub-jective well-being.