医学院校护理实习生健康自我管理和适应与感知应激的相关性

吕建军; 徐海霞; 巴特尔; 尤祥

doi:10.16835/j.cnki.1000-9817.2022.02.012

医学院校护理实习生健康自我管理和适应与感知应激的相关性

doi: 10.16835/j.cnki.1000-9817.2022.02.012

吕建军¹,
徐海霞^2, ,,
巴特尔^3, ,,
尤祥⁴

1.
内蒙古医科大学附属医院急诊科, 呼和浩特 010050
2.
内蒙古医科大学附属医院放疗科
3.
内蒙古医科大学实践教学部
4.
宁波市海曙区疾病预防控制中心

详细信息

作者简介:
吕建军(1970-), 女, 内蒙古呼和浩特人, 大学专科, 主管护师, 主要从事临床护理带教工作

通讯作者:
徐海霞, E-mail: 2970493754@qq.com

巴特尔, E-mail: 384 676526@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G444 B844.2 G647.8
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- 被引次数: 0
出版历程
- 收稿日期: 2021-08-14
- 修回日期: 2021-11-21
- 网络出版日期: 2022-02-24
- 刊出日期: 2022-02-25

Correlation between self-health management, adaptation, and perceived stress among nursing interns in medical school

LYU Jianjun¹,
XU Haixia^{2
, ,},
BA Teer^{3
, ,},
YOU Xiang.⁴

1.
Emergency Department, Affiliated Hospital of Inner Mongolia Medical University, Hohhot (010050), China

摘要

摘要: 目的探讨新冠肺炎(COVID-19)疫情常态化防控条件下医学院校护理专业实习学生健康自我管理、适应及感知应激的情况及其相关性, 以期为实习护生健康管理提供科学依据。方法采用整群随机抽样方法, 选取内蒙古地区3所医学院校进入实习期的本专科护生263名, 采用健康自我管理能力测评量表、中国大学生适应量表及感知应激量表进行调查。结果实习护生健康自我管理能力总得分为(138.31±20.13)分, 不同学历、不同户籍地护生健康自我管理能力总分差异均有统计学意义(F/t值分别为3.51, 2.46, P值均<0.05);适应总分为(3.17±0.72)分; 感知应激总分为(11.52±2.79)分, 不同学历护生感知应激总分差异有统计学意义(t=4.05, P<0.05)。Pearson分析显示, 疫情期间实习护生健康自我管理能力总分、适应总分与感知应激均呈负相关(r值分别为-0.31, -0.35, P值均<0.01)。结论护生感知应激和健康自我管理、适应之间有密切关系; 医学院校教育者应积极探索实习护生健康自我管理能力及适应水平的提高策略, 以维持其良好的身心健康。
- 自我 /
- 适应, 心理学 /
- 应激, 心理学 /
- 精神卫生 /
- 学生
Abstract: Objective To explore health self-management, adaptation, and perceived stress among nursing interns in medical colleges and universities under the normal prevention and control of COVID-19, and to provide a scientific basis for the health management of practice nursing students. Methods Medical colleges in the Inner Mongolia region were selected to study 263 nursing student interns by cluster random sampling. The survey was conducted using the Health Self-Management Ability Assessment Scale, the Chinese College Students Adjustment Scale and the Perceived Stress Scale. Results The total score of health self-management ability of nursing students during internship was (138.31±20.13). The total score of health self-management ability of nursing students with different educational backgrounds and different residence places was statistically significant (F/t=3.51, 2.46, P<0.05); the total adaptive score was (3.17±0.72); during the epidemic, the total score of perceived stress was (11.52±2.79), and the difference in the total score of perceived stress among nursing students with different educational backgrounds was statistically significant (t=4.05, P<0.05). Pearson analysis showed that there was a significant negative correlation between health self-management ability, adaptation, and perceived stress among nursing students during the epidemic period (r=-0.31, -0.35, P<0.01). Conclusion There was a close relationship between perceived stress of nursing students and health self-management and adaptation; the educators in medical colleges should actively explore strategies to improve the health self-management ability and adaptation level of nursing students to enhance the psychological adjustment ability of nursing students to maintain good physical and mental health.
- Ego /
- Adaptation, psychological /
- Stress, psychological /
- Mental health /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 不同组别护理实习生健康自我管理能力总分及各维度得分比较(x±s)

Table 1. Comparation of the total score of health self-management ability and scores of various dimensions of nursing interns in different groups(x±s)

组别	选项	人数	统计值	健康自我管理行为	健康自我管理认知	健康自我管理环境	总分
户籍地	城市	159		41.20±11.06	59.85±10.74	36.60±7.50	141.60±20.11
	乡镇	68		41.22±10.41	55.13±10.09	33.41±9.79	132.50±20.13
	农村	36		40.73±9.58	51.20±11.21	32.03±9.60	130.10±19.08
			F值	1.03	4.02	2.73	3.51
			P值	0.42	0.02	0.04	0.02
学历	本科	106		42.20±11.01	60.85±10.70	35.44±10.53	139.69±18.04
	大专	157		37.73±9.29	52.80±11.52	35.13±9.07	132.53±20.33
			t值	4.05	4.83	0.62	2.46
			P值	＜0.01	＜0.01	0.48	0.01

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表 2 不同组别护理实习生CCSAS量表总分及各维度得分比较(x±s)

Table 2. Comparation of the total score of CCSAS scale and scores of different dimensions for nursing interns in different groups(x±s)

组别	选项	人数	统计值	自我适应	人际关系适应	情绪适应	择业适应	校园生活适应	学习适应	满意度	总分
户籍地	城市	159		3.50±0.53	3.39±0.63	3.33±0.72	3.31±0.70	3.57±0.59	3.71±0.70	2.62±0.65	3.16±0.61
	乡镇	68		3.59±0.72	3.40±0.71	3.30±0.57	3.29±0.47	3.54±0.70	3.71±0.72	2.62±0.50	3.16±0.74
	农村	36		3.53±0.81	3.37±0.70	3.30±0.49	3.29±0.57	3.55±0.49	3.68±0.70	2.60±0.62	3.17±0.60
			F值	1.13	0.75	0.48	1.92	0.90	0.57	0.46	1.30
			P值	0.15	0.13	0.75	0.06	0.44	0.76	0.73	0.16
学历	本科	106		3.41±0.60	3.39±0.63	3.40±0.72	3.31±0.70	3.57±0.59	3.71±0.57	2.57±0.57	3.16±0.63
	大专	157		3.37±0.67	3.52±0.69	3.38±0.70	3.29±0.47	3.54±0.70	3.41±0.72	2.59±0.63	3.17±0.69
			t值	1.13	-1.03	0.59	1.00	0.33	2.39	-0.91	-0.85
			P值	0.26	0.42	0.95	0.34	0.80	0.18	0.57	0.70

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表 3 不同组别护理实习生感知应激量表各维度得分比较(x±s)

Table 3. Comparation of the score of various dimensions of Perceived Stress Scale for nursing interns in different groups(x±s)

组别	选项	人数	统计值	源于照顾患者的应激	源于医院和组织的应激	源于作业和工作负荷内部的应激	源于临床条件和日常职业活动的应激	源于缺少专业知识和技能的应激	源于临床环境的应激	总分
户籍地	城市	159		2.19±0.60	1.83±0.62	1.82±0.72	1.90±0.65	1.94±0.75	1.69±0.62	11.37±3.61
	乡镇	68		2.20±0.75	1.80±0.62	1.82±0.68	1.90±0.65	1.95±0.74	1.75±0.62	11.50±3.60
	农村	36		2.20±0.73	1.83±0.62	1.82±0.68	1.90±0.65	1.94±0.80	1.70±0.57	11.49±3.49
			F值	0.93	0.85	0.41	0.91	0.37	1.26	0.72
			P值	0.24	0.57	0.72	0.23	0.83	0.09	0.65
学历	本科	106		2.40±0.69	1.84±0.72	1.71±0.55	1.84±0.65	1.65±0.81	1.53±0.73	10.53±4.06
	大专	157		2.44±0.72	1.87±0.74	1.90±0.70	1.89±0.70	1.93±0.49	1.82±0.67	12.70±2.98
			t值	-0.76	2.58	-2.93	-0.91	-3.90	-4.02	-4.05
			P值	0.50	1.14	＜0.01	0.45	＜0.01	＜0.01	＜0.01

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