| Objective:To understand the secondary traumatic stress(STS)among medical staff and its related factors,evaluate the efficacy of MoodGYM Internet-delivered Cognitive Behavioral Therapy in the treatment of STS among nurses,and providing evidence for promoting the mental health of medical staff.Methods:①1423 medical staffs in public hospitals were selected,and evaluated STS by Professional Quality of Occupational Life Scale(ProQOL),evaluated personality trait by Chinese Big Five Personality Inventory brief version(CBF-PI-B),General Self-Efficacy Scale(GSES),Rosenberg Self-Esteem Scale(RSES),Connor-Davidson Resilience Scale(CDRS),Langer Mindfulness Scale(LMS),and Multidimensional Sense of Humor Scale(MSHS),and analysed the relationship between STS and personality trait.②180 nurses with high STS level and anxiety or depression or both anxiety and 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 the two groups,respectively.Another group as a blank control.Before and after intervention,ProQOL subscale STS,Depression Anxiety Stress Scale 21(DASS-21),Minnesota Satisfaction Questionnaire(MSQ)and Subjective Happiness Scale(SHS)were used to evaluate psychological status.Results:①The average STS score of 1423 medical staffs was(27.57±5.97),including male(27.46±6.29)and female(27.61±5.88).Low STS level 282(19.8%),average 802(56.4%),high 339(23.8%).②The STS score positively associated with the score of positional title,hospital rank,qualification,working hours,annual income,Neuroticism and Conscientiousness in CBF-PI-B,Humor Coping in MSHS(r=0.06-0.40,P<0.05),and negative associated with the score of Other Social Support in MSPSS,Engagement in LMS and RSES(r=-0.24,-0.19,-0.29,P<0.01).③Compared with pre-intervention,the score of STS[(43.45±1.69)vs.(32.24±3.34),t=29.37,P<0.01]、anxiety in DASS-21[(16.76±7.61)vs(9.67±5.78),t=21.34,P(0.01]and depression in DASS-21[(13.86±7.60)vs.(10.91±7.12),t=16.72,P<0.01]decreased,job satisfaction in MSQ[(65.11±11.12)vs.(67.97±11.10),t=-16.40,P<0.01]and subjective well-being in SHS[(17.67±4.59)vs.(21.83±3.53),t=-20.22,P(0.01]increased in the MoodGYM group,the score of STS[(42.89±1.32)vs.(35.29±2.47),t=20.18,P<0.01],anxiety[(15.81±8.24)vs.(12.45±7.68),t=17.57,P(0.01]and depression[(12.44±8.23)vs.(12.09±7.95),t=3.93,P<0.01]decreased,job satisfaction[(67.37±9.76)vs.(68.91±9.67),t=-4.47,P<0.01]and subjective well-being[(17.93±3.80)vs.(19.85±3.96),t=-14.90,P<0.01]increased in the health education group.④After intervention,the effect of improving STS,anxiety,depression,job satisfaction and subjective well-being(P<0.01)in the MoodGYM group was more obvious than that in the health education group and control group.Conclusion:①The proportion of medical staff with low,average and high STS level were 19.8%,56.4%and 23.8%.②The STS of medical staff was positively associated with age,income,hospital rank,positional title,working hours,qualification,Neuroticism,Conscientiousness,Humor Coping,and negatively associated with Other Social Support,Engagement and Selfesteem.③MoodGYM intervention could relieve STS,anxiety and depression of nurses,improve their job satisfaction and subjective well-being. |
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