某高校男护生心理健康状况分析与评价研究

发布时间：2018-05-17 13:08

本文选题：男护生 + 心理健康　；参考：《山东大学》2010年硕士论文

【摘要】： 研究背景社会发展和护理专业发展的需要,使越来越多的男护士逐渐走上护理岗位。各个医学院校护理专业中男护生的招生人数也在逐年增加,从社会发展和时代进步的趋势看,越来越多男护士的出现是必然的,然而,社会对护理角色的设立和确认具有先入为主、约定俗成的特点,加之传统观念、社会偏见、专业特点等因素影响,使得男护生这一特殊群体面临着巨大的社会舆论压力和心理压力,因此,探讨男护生的心理健康问题,促进其心身健康发展具有重要意义。研究目的分析与评价高等护理专业男生心理健康状况及影响因素,并与男医学生心理健康状况进行比较,找出主要问题,以期为高等护理院校心理健康教育和心理卫生干预提供科学决策依据。资料与方法 2008年底至2009年10月,选取某医学院护理系一至五年级(包括护理本科、护理专升本、护理专科)的全部男生132名,按照分层、随机方法抽取同期医疗系男生132名,共264名学生为研究对象。测量工具包括：基本情况调查表、症状自评量表(SCL-90)、特质应对方式问卷、社会支持评定量表和“艾森克个性特征问卷(EPQ)”。采用SPSS 13.0软件进行统计分析。主要结果1.男护生心理健康状况分析经单因素分析及部分因素Spearman相关分析显示：(1)男护生心理健康状况在学历、专业兴趣、来源地、是否独生子女、家庭经济状况等方面存在差异,专科男护生心理健康水平低于本科,而本科与专升本相比差异不显著。不同年级的男护生心理健康状况差异不明显。(2)男护生心理健康症状与社会偏见、专业认识呈显著相关,与专业成就及群体归属感均有不同程度的相关。(3)男护生心理健康症状与应对方式中的消极应对、社会支持利用度、人格特征中的神经质、掩饰纬度均有统计意义的相关性。积极应对、客观支持、主观支持、精神质与心理健康症状部分相关。多元线性逐步回归分析结果发现,专业兴趣、学习成绩、社会偏见、归属感、专业认识、神经质、社会支持利用度、客观支持、消极应对等因素是影响男护生心理健康的主要因素。 2.男护生心理健康状况评价评价结果显示：(1)男护生SCL-90的总分及各因子得分均高于男医学生,尤其在偏执、人际关系、焦虑、抑郁及精神病性因子上尤为显著,与全国青年常模比较,除了躯体化和敌对因子两项外,其余各因子得分均高于全国青年常模。(2)男护生心理问题总检出率高于男医学生,轻、中度心理问题检出率分别为51.52%和15.15%,心理问题均突出表现为强迫症状、人际敏感、精神、偏执、敌对及抑郁等六个方面。(3)男护生积极应对得分高于男医学生,社会支持利用度上低于男医学生,神经质维度得分高于男医学生。结论与建议高等护理专业男生心理健康水平较低,心理问题检出率较高,心理健康状况不容乐观。其心理健康受社会环境、学校、自身等各个方面的综合影响,其中,社会偏见、专业认识、群体归属感等因素是影响其心理健康的最主要因素,高等护理院校应加强对男护生这一特殊群体的关注,多方采取措施,展开针对性的健康教育,促进其心身健康发展。
[Abstract]:Research background
The needs of the development of social development and nursing specialties make more and more male nurses gradually go to nursing posts. The enrollment of male nursing students in various medical colleges and universities is increasing year by year. From the trend of social development and the progress of the times, more and more male nurses are inevitable. However, the social role of nursing care is set up and It is of great significance to explore the psychological health problems of the male nursing students and to promote the healthy development of the mental health of the male nursing students, which is influenced by the traditional concepts, social prejudices and professional characteristics, which make the special group of male nursing students face great pressure and psychological pressure on social public opinion.
research objective
The psychological health status and influencing factors of male students in higher nursing specialty were analyzed and evaluated, and compared with the mental health status of male medical students, the main problems were found out in order to provide scientific decision-making basis for mental health education and mental health intervention in higher nursing colleges.
Information and methods
From the end of 2008 to October 2009, a total of 132 male students from grade 1 to five of the nursing department of a Medical College (including nursing undergraduate, nursing college and nursing specialist) were selected and 132 boys were selected by stratified and random methods. A total of 264 students were selected as the subjects. The measurement tools included the basic situation questionnaire, the symptom checklist (SCL-90), Trait coping style questionnaire, social support rating scale and Eysenck Personality Questionnaire (EPQ) were used for statistical analysis using SPSS 13 software.
Analysis of the mental health status of 1. male nursing students
The single factor analysis and some factors Spearman related analysis showed that: (1) the mental health status of the male nursing students was different in educational background, professional interest, source, only child and family economic condition. The psychological health level of the male nursing students was lower than that of the undergraduate, but the difference was not significant compared with the undergraduate students. The male nursing students in different grades were in different grades. There was no significant difference in mental health status. (2) the psychological health symptoms of male nursing students were significantly related to social prejudice, professional knowledge, professional achievement and group belonging to varying degrees. (3) the negative coping, social support utilization, neuroticism and latitudes of the personality characteristics of the male nursing students were all related to the professional achievement and the sense of group belonging. There was statistically significant correlation. Positive coping, objective support, subjective support, psychoticism and mental health symptoms were partly related.
The results of multivariate linear stepwise regression analysis found that professional interest, academic achievement, social prejudice, sense of belonging, professional knowledge, neuroticism, social support utilization, objective support and negative coping were the main factors affecting the mental health of the male nursing students.
Evaluation of mental health status of 2. male nursing students
The results showed that: (1) the scores and factors of SCL-90 in male nursing students were higher than those of male medical students, especially in paranoia, interpersonal relationship, anxiety, depression and psychosis. Compared with the National Youth norm, the scores of the other factors except somatization and hostile factors were higher than those of the National Youth norm. (2) male nurse's heart. The total detection rate of physical problems was higher than that of male medical students. The detection rates of mild mental problems were 51.52% and 15.15% respectively. Psychological problems showed six aspects of compulsive symptoms, interpersonal sensitivity, spirit, paranoia, hostility and depression. (3) the male nursing students' positive coping scores were higher than those of male medical students, and the social support utilization was lower than the male medical students and neuroticism. The dimension score was higher than that of the male medical students.
Conclusions and suggestions
The psychological health level of male students in higher nursing specialty is low, the rate of psychological problems is high and the mental health is not optimistic. The psychological health is influenced by the social environment, school and itself, among which social prejudice, professional knowledge and group belonging are the most important factors affecting their mental health. Schools should pay more attention to the special group of male nursing students, and take measures to carry out targeted health education to promote their psychosomatic health development.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R395

【引证文献】