新進護理人員介入支持性團體對憂鬱焦慮與自尊程度之改變

Change in Mood and Self-Esteem Among New Nursing Staff After Participating in Support Group Therapy

研究之目的主要是比較新進護理人員參加支持性團體與否對其憂鬱與焦慮、自尊程度之改變，採類實驗性研究方法，以南部某醫學中心之新進護理人員為對象，經立意取樣之方式，將前半年到職新進護理人員分派在實驗組，後半年分派在對照組，實驗組除維持原有新進護理人員訓練外，到職後每二週施予結構式支持性團體一次，每次九十分鐘，共計四次，對照組則維持原有新進護理人員訓練，以憂鬱焦慮視覺類比量表、Rosenberg自尊程度量表來評量二組在團體介入前後在憂鬱與焦慮情緒分數、自尊程度改變，另實驗組於每次團體後以自擬式問卷評量團體滿意度，結果實驗組與對照組各收案23名，支持性團體之介入在憂鬱情緒改善（p=.043）有顯著之成效，在焦慮情緒之改善（p=.061）及自尊程度之提升（p=.069）沒有顯著之成效，但實驗組確實在團體介入後焦慮量分下降，自尊量分提升，而對照組出現焦慮量分上升，自尊量分下降，支持性團體之介入對新進人員而言，在「我喜歡這次團體的程度」滿意度上顯現分數高為8.05分（1-10分），成員對團體介入之滿意度量分每次增加，肯定工作適應團體介入新進護理人員之有效性。

The purpose of this study is to measure new staff nurses’ quantitative change in depression, anxiety and self-esteem after participating in support group therapy. The subjects are recruited from a medical center in southern Taiwan using the quasi-experimental design. Thesubjects are assigned to the experimental group or control group depending on purposive sampling. The experimental groups received a total of 4 therapeutic sessions which lasted 90 minutes each and the sessions were held biweekly. This study examines the effectiveness of a support group through a structured questionnaire. The experimental group or control group of subjects accept a test at pre-group and post-group. This is to understand the alteration of the subject's depression, anxiety and self-esteem. In both groups, new nursing faculty's self-esteem, depression and anxiety were measured by Rosenberg sale and visual analog scale of anxiety and depression. This was conducted before and after their participation in the group therapy. 46 new staff nurses (the experimental group=23, control group=23) participated in the study. Statistically, there is a signifi cant difference in depression between the two groups. There is no statistically signifi cant in self esteem and anxiety improvement. The experimental group has higher self-esteem and lower anxiety. The highest scored item from the satisfaction survey was "I like this group", yielding a score of 8.05 (full score: 10). Participants approved the effort of the support group therapy. The degree of their group therapy satisfaction increased everytime.