护士长期处于高压力、高风险、复杂人际关系的工作环境中，日常需要处理各种繁杂的医疗任务，导致护士群体神经长期高度紧张、消极情绪多、身体疲惫。护士群体的心理健康问题高于一般人群，而护士的焦虑情绪最为普遍，发生率最高。护士心理健康状况对医疗服务质量起到非常重要的作用，直接影响其专业表现和治疗效果。因此，本研究关注护士的焦虑情绪，研究目的为：（1）通过问卷调查形式探究护士群体积极情绪和焦虑的现状以及两者之间的关系；（2）参考问卷调查结果，开发一套基于积极情绪拓展-建构理论的缓解护士焦虑情绪的团体辅导方案，并通过实证研究验证团体干预的有效性。
本研究包含研究1与研究2。研究1采用问卷调查形式，采用定量研究方法，了解护士群体积极情绪和焦虑的现状及其两者之间的关系。结果显示护士焦虑的发生率为42.72%，平均分为11.39 ± 13.56，高于一般人群的发生率和平均分。护士的积极情绪和焦虑呈负相关（p=0.001），β=-1.54，t=-7.76。研究2包含两个子研究。研究2a：在查阅大量针对焦虑情绪干预研究的基础上，设计开发一套基于积极情绪拓展-建构理论的缓解护士焦虑情绪的艺术团体辅导方案。经由预实验初步验证方案的有效性，通过带领者反思、专家督导及建议、团体成员反馈，研究者对方案进行优化调整，最终形成一套缓解护士焦虑情绪的艺术团体辅导方案。研究2b：采用研究2a所设计的团体辅导方案对护士实施团体干预，采用2×3的实验设计，量化分析结果显示，团体干预对缓解护士的焦虑情绪效果显著，通过1个月后追踪发现干预效果具有良好的持续性。
研究结果显示：（1）护士焦虑情绪普遍存在，焦虑的均分高于一般人群，积极情绪对焦虑情绪有负向预测作用（研究1）；（2）基于积极情绪拓展-建构理论设计的艺术团体干预可以有效提升护士的积极情绪，缓解其焦虑情绪，对焦虑的干预的效果可以维持一个月以上（研究2）。
综上所述，护士焦虑情绪问题普遍存在，基于积极情绪拓展-建构理论设计的单次线上艺术团体辅导可以有效缓解护士的焦虑情绪，并具有良好的维持效果，可以继续发展和推广。

Nurses typically work in an environment of high stress, high risk, and complex interpersonal relationships and their daily work involves handling various complicated medical tasks, which leads to long-term high levels of tension, more negative emotions, and physical exhaustion. Nurses experience more psychological health issues than the general population, with anxiety being the most common and seeing the highest incidence. The mental well-being of nurses is of high concern for the quality of healthcare services and directly impacts their professional performance and the outcome of their treatment. Therefore, this study focuses on the anxiety of nurses with the following research objectives: (1) to explore the current status of anxiety and positive emotions among nurses and the relationship between the two through a questionnaire survey; (2) based on the results of the questionnaire survey, to develop a group counseling program for alleviating anxiety in nurses by drawing on the broaden-and-build theory of positive emotions and to validate its effectiveness through empirical research.
The research includes Study 1 and Study 2. Study 1 used a questionnaire survey with quantitative analysis to understand the status quo of positive emotions and anxiety among nurses as well as the relationship between the two. The results showed that the occurrence rate of anxiety among nurses was 42.72%, with an average score of 11.39 ± 13.56, higher than the general population. The positive emotions and anxiety of nurses are negatively correlated (p=0.001), β=－1.54, t=－7.76.
Study 2 was divided into two sub-studies. In Study 2a, based on a mass review of studies on anxiety intervention, an art group psychological counseling program for alleviating nurses’ anxiety was designed and developed based on the broaden-and-build theory of positive emotions. After preliminary validation of effectiveness through a pre-experiment, the researchers adjusted and optimized the program drawing on the leader’s reflection, experts’ supervision and advice, and group members’ feedback, and finally formed an art group counseling program for alleviating anxiety in nurses. In Study 2b, the group counseling program set in Study 2a was implemented among nurses through group intervention. Under a 2×3 experimental design, results of a quantitative analysis showed that the program had a significant effect on alleviating nurses’ anxiety. The results of a follow-up measurement one month later showed that the group intervention had a good continuous effect.
Results showed：(1) anxiety is prevalent among nurses with their anxiety scores higher than the general population; positive emotions can predict an opposite trend in anxiety (Study 1); (2) art group counseling programs designed based on the broaden-and-build theory of positive emotions can effectively enhance positive emotions and alleviate nurses’ anxiety, and the effects of anxiety intervention can be maintained for more than a month.
    In summary, nurses' anxiety is the most common , and a single online art group intervention can effectively alleviate nurses' anxiety and have a good maintenance effect, which should continue to develop and promote.
A single online art group counseling based on the broaden-and-build theory of positive emotions design can effectively alleviate nurses' anxiety and have a good maintenance effect, which can continue to be developed and promoted.