袁群　屈群芳　何清湖

〔摘要〕 目的 观察五行音乐联合八段锦锻炼对养老护理员职业倦怠与抑郁情绪的改善效果。方法 通过整群抽样将初筛的77例具有轻中度抑郁情绪的女性养老护理员随机分为对照组（38例）与试验组（39例），对照组采取五行音乐听乐干预，试验组采用五行音乐联合八段锦锻炼干预，两组养老护理员均干预3个月，通过抑郁自评量表和工作倦怠问卷评价干预效果。结果 两组养老护理员干预前后比较，测量量表各维度评分均有下降，差异具有统计学意义（P<0.05）;干预后试验组评分较对照组下降更明显，差异具有统计学意义（P<0.05）。结论 “形神一体”观下五行音乐联合八段锦锻炼在缓解养老护理员抑郁情绪方面效果显著，值得推广应用。

〔关键词〕 抑郁;职业倦怠;五行音乐;八段锦;养老护理员

〔中图分类号〕R277.7      〔文献标志码〕B       〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.02.026

〔Abstract〕 Objective To explore the improvement effect of the five elements of music and Baduanjin exercise on job burnout and depression of nursing staff for female seniors. Methods Through cluster sampling， 77 nursing staff for female seniors with mild to moderate depression were randomly divided into the control group （38 cases） and the experiment group （39 cases）. The control group was given five elements of music， while the experiment group was given five elements of music and Baduanjin training， and the intervention lasted 3 months. The intervention effects were evaluated by self-rating depression scale and occupation fatigue sense scale. Results Compared with before and after intervention， the scores of depression self-rating scale and occupation fatigue sense scale of the two groups were decreased， and there were statistical significance （P<0.05）; after intervention， the score of the experiment group decreased more significantly than the control group， and the difference was statistically significant （P<0.05）. Conclusion On the "integration of form and spirit"， the combination of five elements of music and Baduanjin training can significantly alleviate the negative emotion of nursing staff for female seniors. It is worth popularizing and allying in clinic.

〔Keywords〕 depression; job burnout; five element music， Baduanjin; nursing staff for female seniors

隨着人口老龄化，养老护理员成为了一种朝阳而又重要的职业，护理着不同自理水平的老人，同时也承受着来自多方面的压力，如工作环境与单位性质、专业人才匮乏与专业技能缺乏、服务要求与社会认同、福利待遇与家庭负担等，长期的工作压力会影响其身心健康[1]。张静等[2]的研究发现养老护理员普遍存在比较严重的心理隐患，高达30%的人存在焦虑、急躁、抑郁等问题。而这些负性情绪若长期得不到良好的疏导可引起一系列连锁反应，如产生工作倦怠、降低服务质量、产生离职意愿等。因此及时调整和疏导养老护理员的不良情绪是提高护理服务水平，稳定养老护理队伍的重要前提。“形神合一”是中医防治疾病维护健康的重要理论，提出躯体状况与精神活动密切相关，在疾……