临床实习男护生心理干预效果

发布时间：2018-09-10 09:14

【摘要】：目的评估临床实习对男护生心理健康的影响,探讨促进男护生心理健康的干预策略。方法采用整群抽样方法,选择吉林省5所普通高等医学院校护理学院408名临床实习男护生随机分为干预组和对照组。采用《感知压力量表》(CPSS)、《康奈尔健康量表》的M-R分量表和《症状自评量表》(SCL-90)对2组男护生的健康危险压力、心理亚健康和心理症状情况进行调查。于临床实习第9周(干预前)进行首次调查后,对干预组男护生实施心理干预支持系统,对照组不作任何心理干预;分别于临床实习第20和30周(干预第11和21周)再次进行调查。结果在干预第11和21周,干预组男护生的健康危险压力、心理亚健康和心理症状阳性率分别低于同时间点对照组(P0.01),且均低于同组干预前(P0.01)。干预前,2组男护生的CPSS、M-R和SCL-90总分分别比较,差异均无统计学意义(P0.05);在干预第11和21周,干预组男护生的上述3个指标均低于同时间点对照组(P0.01)。干预组男护生的CPSS和M-R总分均随着干预时间的增加而下降(P0.01),在干预第11和21周的SCL-90总分分别低于干预前(P0.01)。结论临床实习导致男护生有明显的心理压力;启动学校、医院和社会的干预支持系统,有利于帮助男护生克服心理压力,促进心理健康。
[Abstract]:Objective to evaluate the effect of clinical practice on mental health of male nursing students and explore the intervention strategies for promoting mental health of male nursing students. Methods using cluster sampling, 408 male nursing students in 5 medical colleges in Jilin province were randomly divided into two groups: intervention group and control group. The M-R component and symptom Checklist (SCL-90) of (CPSS), < Cornell Health scale > were used to investigate the health risk stress, mental sub-health and psychological symptoms of male nursing students in two groups. After the first investigation at the 9th week of clinical practice (before intervention), the male nursing students in the intervention group were given psychological intervention support system, while the control group did not take any psychological intervention. The investigation was conducted at the 20th and 30th weeks of clinical practice (11 and 21 weeks of intervention) respectively. Results at the 11th and 21st weeks of intervention, the positive rates of health risk stress, mental subhealth and psychological symptoms of male nursing students in the intervention group were lower than those in the control group at the same time point (P0.01), and were lower than those before the intervention in the same group (P0.01). Before intervention, the total scores of CPSS,M-R and SCL-90 of male nursing students in the two groups were not significantly different (P0.05); at the 11th and 21st weeks of intervention, the above three indexes of the male nursing students in the intervention group were lower than those in the control group at the same time point (P0.01). The total scores of CPSS and M-R of male nursing students in the intervention group decreased with the increase of intervention time (P0.01), and the total scores of SCL-90 in the 11th and 21st weeks of intervention were lower than those before intervention (P0.01). Conclusion Clinical practice results in obvious psychological pressure for male nursing students and the initiation of school, hospital and social intervention support system is helpful to help male nursing students overcome psychological pressure and promote their mental health.
【作者单位】：吉林医药学院护理学院;吉林医药学院附属医院;北华大学第一临床医学院;
【基金】：吉林省教育厅职业教育与成人教育改革研究项目(2015ZCY250) 吉林省教育科学“十二五”规划项目(GH150425) 吉林省高等教育学会教育科研项目(JGJX2015D228) 吉林省2015年高等教育教学研究项目:地方高校应用技术型人才培养模式研究项目
【分类号】：G444;R47-4

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