摘要
目的 探讨本专科实习护生心理健康状况的影响因素,及各因素间的交互作用。方法 采用大学毕业生应激性事件量表（CSSS）、特质应对方式问卷（TCSQ）、社会支持评定量表和症状自评量表（SCL-90）对288名本专科实习护生在实习初期进行评定,统计分析采用Pearson相关分析、多因素方差分析、单纯主要效果方差分析。结果 ①应激性事件、消极应对与SCL-90总分呈正相关（r值分别为0.487,0.426,P〈0.01）,而积极应对和社会支持与SCL-90总分呈负相关（r值分别为-0.192,-0.135,P〈0.05）;②应激性事件、消极应对和社会支持对本专科实习护生心理症状的主效应显著（F值分别为34.062,16.090,20.898,P〈0.01）,消极应对与社会支持之间存在交互作用（F值为18.432,P〈0.01）;积极应对对心理症状的主效应不显著）（F值为1.853,P〉0.05）,但它通过与应激性事件的交互作用对心理症状产生影响（F值为14.579,P〈0.01）。结论 对护生的心理健康水平,除了减少应激性事件、避免消极应对以外,还需要增强护生的社会支持系统,鼓励护生建立积极的应对方式,尤其要注意应激性事件与积极应对,消极应对与社会支持之间的交互作用对护生心理健康的意义。
Objective To explore the factors affecting on nurse students＇ psychological status, and the interactions between mental symptoms and stressful factors, coping style and social support in their early clinical experiences. Methods Altogether 288 college nurse students in clinical were evaluated at the end of their first month practice in clinical, using College Seniors Stress Scale（CSSS） , Trait Coping Style Questionnaire （TCSQ） , Social Support Questionnaire and Symptom checklist 90（SCL-90）. Correlation analysis and classification ANOVA were adopted in statistics Results ① Positive correlative were found between stressful events, negative coping style and the total scores of SCL-90（ r = 0. 487, 0. 462, P〈 0.01 ） , while negative correlative insisted in positive coping style, social support and the total scores of SCL-90 （ r = - 0. 192, - 0. 135, P 〈 0.05 ）. ②Stressful factors, negative coping style and social support all have main effects on mental symptoms （ F = 34. 062,16. 090, 20.898, P〈0.01 ） , and positive coping style has no main effect on mental symptoms （ F= 1. 853, P〉0.05） , but interactions insist in stressful factors and positive coping style （ F= 14.579, P〈 0.01 ） , as well as negative coping style and social support. Conclusion To promote mental health of nurse students in clinical, reducing stressful factors, avoiding negative coping style were important ,and more attention should be paid to the students＇ social support systems and advocating positive coping style, especially to the effect of interactions between stressful factors and positive coping style, and interactions between negative coping style and social support.
出处
《中国行为医学科学》
CSCD
2007年第5期457-458,共2页
Chinese Journal of Behavioral Medical Science
关键词
护生
应激性事件
应对方式
社会支持
Nurses in clinical experiences
Stressful factors
Coping style
Social support
