山西某高职护理专业女生心理健康状况及其影响因素的调查
发布时间：2018-07-16 12:40
【摘要】：目的:分析某高职护理专业女生的心理健康状况,深入探讨影响高职护理专业女生心理健康的因素,并通过分析人际困扰与心理健康问题之间的联系及对心理健康的影响,寻求符合高职护理专业特色的心理健康教育模式,为护理专业学生心理健康问题的预防和干预提供基础资料及心理健康教育工作可操作性、持续性提供参考依据,对进一步提升高职护理学专业学生心理健康水平具有现实意义。方法:采用普查的方法,选取山西某高职护理专业三个年级女生1300人为研究对象。选用基本情况调查表、症状自评量表SCL-90和人际关系综合诊断量表。采用Excel2003和SPSS17.0软件录入和分析数据,采用χ2检验、t检验、方差分析、Mann-Whitney U检验、多因素Logistic回归及相关分析等分析方法。结果:1.某高职护理专业女生SCL-90躯体化、强迫症状、人际交往敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性9个因子得分均高于全国青年常模;焦虑因子得分高于山西省大学生常模,人际关系敏感、抑郁、敌对、偏执4个因子得分低于山西省大学生常模;某高职护理专业一年级女生在躯体化、强迫症状、人际关系敏感、焦虑、敌对5个因子得分高于山西省大一女生常模。2.某高职护理专业女生SCL-90阳性因子检出率研究表明阳性检出率为24.92%,以因子均分≥3为阳性检出标准,人际关系敏感因子的检出率居首位,且人际关系敏感因子与强迫症状、抑郁及焦虑三因子均有极显著相关性。3.某高职护理专业不同年级女生在躯体化、强迫症状、抑郁、敌对4个因子上的差异有统计学意义(P0.05)。该高职护理专业女生中单亲女生在躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执和精神病性9个因子得分高;农村女生抑郁、人际关系敏感、焦虑、偏执、精神病性、敌对6个因子得分高;家庭经济贫困女生抑郁、焦虑、敌对、偏执5个因子得分高;专业不满意女生人际关系敏感、抑郁、焦虑、敌对这4个因子得分高;中专生源女生躯体化、人际关系敏感、敌对3个因子得分高;非独生女人际关系敏感、精神病性2个因子得分高。结合χ2检验和多因素Logistic回归分析结果,入学前教育程度低、家庭经济贫困是某高职护理专业女生发生心理健康问题的危险因素。4.通过人际关系综合诊断量表测评,有47.4%的护理专业女生存在人际困扰问题;不同年级女生在总人际困扰及交谈困扰、交友困扰、与异性交往困扰、待人接物困扰差异比较均具有统计学意义(P0.05)。该高职护理专业女生中非独生女交谈困扰维度得分高,对专业不满意的女生与异性交往维度得分高,家庭经济非贫困女生交谈困扰维度得分低,单亲女生、对专业不满意女生及中专生源女生总人际困扰得分高。结合χ2检验和多因素Logistic回归分析结果,入学前教育程度低是某高职护理专业女生发生人际困扰的危险因素。结论:山西某高职护理专业女生存在较多的心理健康问题及人际困扰问题,其心理健康问题及人际困扰问题均受单亲、独生子女、生源地、入学前受教育程度、家庭经济状况、专业满意度6个因素的影响,且入学前受教育程度低、家庭经济贫困是发生心理健康问题的危险因素,入学前教育程度低是发生人际困扰的危险因素。SCL-90量表及人际关系综合诊断量表结果提示均显示该高职护理专业一年级女生面临着更多的心理健康问题及人际困扰问题,通过增强人际交往能力可以提升其心理健康水平。
[Abstract]:Objective: to analyze the psychological health status of the nursing students in a higher vocational college and to explore the factors affecting the mental health of the female students in higher vocational nursing specialty. Through the analysis of the relationship between the interpersonal and mental health problems and the influence on the mental health, the psychological health education mode which meets the characteristics of higher vocational nursing specialty is sought, and the nursing specialty is studied for the nursing specialty. The prevention and intervention of mental health problems provide basic information and the operability of mental health education and provide a reference basis. It is of practical significance to further promote the mental health level of nursing students in higher vocational schools. Method: 1300 students in three grades of Shanxi vocational nursing major are selected by the method of census. The basic situation questionnaire, the symptom checklist SCL-90 and the interpersonal relationship comprehensive diagnosis scale were selected. The data were recorded and analyzed by Excel2003 and SPSS17.0 software, and the analysis methods such as x 2 test, t test, variance analysis, Mann-Whitney U test, multiple factor Logistic regression and correlation analysis were used. Results: 1. the nursing specialty of a higher vocational college The scores of 9 factors, such as SCL-90 somatization, compulsion, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoia and psychosis were higher than that of the national norm of youth; the scores of anxiety factors were higher than those of Shanxi university students. The scores of 4 factors of interpersonal sensitivity, depression, hostility and deviation were lower than the norm of college students in Shanxi province; In the first grade, the scores of 5 factors in somatization, compulsion, interpersonal sensitivity, anxiety, and hostility were higher than those of a female student in Shanxi province. The positive rate of SCL-90 positive factor was 24.92%. The positive rate of the factor score was equal to more than 3, and the detection rate of the interpersonal sensitivity factor was the first. There was a significant correlation between the three factors of the three female students in the different grades of a vocational nursing specialty (P0.05). There were significant differences in the somatization, compulsive symptoms, depression and hostility (P0.05). The single parent female students in the higher vocational nursing specialty were somatization, compulsive symptoms, and interpersonal relationships. The scores of 9 factors, such as sensitivity, depression, anxiety, hostility, terror, paranoia and psychosis, were high in the rural girls' depression, interpersonal sensitivity, anxiety, paranoia, psychosis, and the high scores of 6 factors, and 5 factors of depression, anxiety, hostility and paranoia in the poor girls of the family, and the interpersonal sensitivity, depression and anxiety of the dissatisfied girls. The scores of these 4 factors were high, the secondary school students were somatization, the interpersonal relationship was sensitive, the scores of the 3 factors were high, the non single female relations were sensitive, and the 2 factors of psychosis were high. Combined with the chi square 2 test and the multiple factor Logistic regression analysis, the preschool education level was low and the family economic poverty was the occurrence of a higher vocational nursing specialty girl. The risk factor of mental health problem.4. was evaluated through the interpersonal relationship comprehensive diagnosis scale, and 47.4% of the nursing students had interpersonal problems. The differences of the students in different grades were statistically significant (P0.05). Among the professional girls, the scores of non single female conversations were high, the scores of female students who were dissatisfied with the profession were higher, the scores of the non poor girls in the family economy were low, the single parent girls had a higher score on the total interpersonal distress of the professional dissatisfied girls and the secondary school students, and the analysis was combined with the chi 2 test and the multiple factor Logistic regression analysis. The result: the low level of pre school education is the risk factor for the interpersonal problems of a higher vocational nursing student. Conclusion: there are many psychological health problems and interpersonal problems in the nursing students of a higher vocational college in Shanxi. Their mental health problems and interpersonal problems are all subject to single parent, only child, birthplace, education degree before school and family. The influence of 6 factors on economic situation, professional satisfaction, and low education level before school, family economic poverty is the risk factor of mental health problems. Low pre school education is the risk factor of interpersonal distress.SCL-90 scale and interpersonal relationship comprehensive diagnosis scale results show that the higher vocational nursing major grade one grade Girls are faced with more mental health problems and interpersonal problems. Improving their interpersonal skills can improve their mental health.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47-4;G444
本文编号：2126419
[Abstract]:Objective: to analyze the psychological health status of the nursing students in a higher vocational college and to explore the factors affecting the mental health of the female students in higher vocational nursing specialty. Through the analysis of the relationship between the interpersonal and mental health problems and the influence on the mental health, the psychological health education mode which meets the characteristics of higher vocational nursing specialty is sought, and the nursing specialty is studied for the nursing specialty. The prevention and intervention of mental health problems provide basic information and the operability of mental health education and provide a reference basis. It is of practical significance to further promote the mental health level of nursing students in higher vocational schools. Method: 1300 students in three grades of Shanxi vocational nursing major are selected by the method of census. The basic situation questionnaire, the symptom checklist SCL-90 and the interpersonal relationship comprehensive diagnosis scale were selected. The data were recorded and analyzed by Excel2003 and SPSS17.0 software, and the analysis methods such as x 2 test, t test, variance analysis, Mann-Whitney U test, multiple factor Logistic regression and correlation analysis were used. Results: 1. the nursing specialty of a higher vocational college The scores of 9 factors, such as SCL-90 somatization, compulsion, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoia and psychosis were higher than that of the national norm of youth; the scores of anxiety factors were higher than those of Shanxi university students. The scores of 4 factors of interpersonal sensitivity, depression, hostility and deviation were lower than the norm of college students in Shanxi province; In the first grade, the scores of 5 factors in somatization, compulsion, interpersonal sensitivity, anxiety, and hostility were higher than those of a female student in Shanxi province. The positive rate of SCL-90 positive factor was 24.92%. The positive rate of the factor score was equal to more than 3, and the detection rate of the interpersonal sensitivity factor was the first. There was a significant correlation between the three factors of the three female students in the different grades of a vocational nursing specialty (P0.05). There were significant differences in the somatization, compulsive symptoms, depression and hostility (P0.05). The single parent female students in the higher vocational nursing specialty were somatization, compulsive symptoms, and interpersonal relationships. The scores of 9 factors, such as sensitivity, depression, anxiety, hostility, terror, paranoia and psychosis, were high in the rural girls' depression, interpersonal sensitivity, anxiety, paranoia, psychosis, and the high scores of 6 factors, and 5 factors of depression, anxiety, hostility and paranoia in the poor girls of the family, and the interpersonal sensitivity, depression and anxiety of the dissatisfied girls. The scores of these 4 factors were high, the secondary school students were somatization, the interpersonal relationship was sensitive, the scores of the 3 factors were high, the non single female relations were sensitive, and the 2 factors of psychosis were high. Combined with the chi square 2 test and the multiple factor Logistic regression analysis, the preschool education level was low and the family economic poverty was the occurrence of a higher vocational nursing specialty girl. The risk factor of mental health problem.4. was evaluated through the interpersonal relationship comprehensive diagnosis scale, and 47.4% of the nursing students had interpersonal problems. The differences of the students in different grades were statistically significant (P0.05). Among the professional girls, the scores of non single female conversations were high, the scores of female students who were dissatisfied with the profession were higher, the scores of the non poor girls in the family economy were low, the single parent girls had a higher score on the total interpersonal distress of the professional dissatisfied girls and the secondary school students, and the analysis was combined with the chi 2 test and the multiple factor Logistic regression analysis. The result: the low level of pre school education is the risk factor for the interpersonal problems of a higher vocational nursing student. Conclusion: there are many psychological health problems and interpersonal problems in the nursing students of a higher vocational college in Shanxi. Their mental health problems and interpersonal problems are all subject to single parent, only child, birthplace, education degree before school and family. The influence of 6 factors on economic situation, professional satisfaction, and low education level before school, family economic poverty is the risk factor of mental health problems. Low pre school education is the risk factor of interpersonal distress.SCL-90 scale and interpersonal relationship comprehensive diagnosis scale results show that the higher vocational nursing major grade one grade Girls are faced with more mental health problems and interpersonal problems. Improving their interpersonal skills can improve their mental health.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47-4;G444
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