感情労働に伴う感情対処育成のためのWeb版教育プログラムの検討

Examination of The Impact of The Educational Web Program to Improve Emotional Coping with Emotional Labor among Nurses

要旨

　目的：本研究の目的は，看護師の感情対処育成のため認知再構成法によるWeb版教育プログラムを実施し，感情対処傾向の変容効果を検証することである．

　方法：看護経験年数10年未満の看護師26名を対象に，認知再構成法を用いたWeb版教育プログラムを実施した．介入評価は，看護師版感情対処傾向，STAI日本語版，首尾一貫感覚（SOC）の尺度を使用し，介入前・後，および介入後1ヵ月の3期に測定した．

　結果：メンタルヘルスに効果的な対処である，患者の感情と看護師自身の感情の折り合いをつけ調整する“両感情調整対処”が高まり（F(2, 48) = 3.61, p = .035），感情への対処自信も高まった（F(2, 48) = 5.02, p = .010）．また，その効果は概ね介入直後よりも介入後1ヵ月において変容を認めた．

　結論：本研究のWeb版教育プログラムの実施により，看護師の感情対処傾向を変容させる可能性が示唆された．

　Purpose: The purpose of this research is to conduct a educational program based on the cognitive restructuring method in order to provide nurses with training in emotional coping, and to verify changes in emotional coping tendencies.

　Method: Using a web-based version of cognitive restructuring, we conducted a educational program with 26 nurses who had less than 10 year's nursing experience. Evaluation of the intervention was carried out at three stages: pre-intervention, post-intervention, and one month post-intervention, and was performed using scales of the ECSS-N (Emotional-Coping Strategies Scale for Nurses), STAI (State-Trait Anxiety Inventory), and SOC (Sense of Coherence).

　Results: The results indicated increases in a “regulating both patients' and one's own emotions”, which is effective to mental health (F(2, 48) = 3.61, p = .035). These changes led to increased confidence with regards to emotional coping (F(2, 48) = 5.02, p = .010). Additionally, this effect was observed one month post-intervention rather than immediately after intervention.

　Conclusion: The results of the conductance of educational program indicated its ability to change nurses' emotional coping tendencies.