| 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:?1423 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.?180 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:?The 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%).?The 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).?Compared 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.?After 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:?The proportion of medical staff with low,average and high STS level were 19.8%,56.4%and 23.8%.?The 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.?MoodGYM intervention could relieve STS,anxiety and depression of nurses,improve their job satisfaction and subjective well-being. |
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