临床实习初期带教教师支持、个人应激、个人应对方式对护生身心健康的影响.pdf

论 著 Research Paper 临床实习初期带教教师支持、个人应激、 个人应对方式对护生身心健康的影响 彭玉洁 周兰姝 张译文 顾李妍 冀鹏飞 林莉 李娟 [ 摘 要] 目的：了解护生在临床实习初期临床带教教师支持、个人应激、个人应对方式对其身心健康的影响。方法：采用 《教师支持问卷》《护生临床学习应激量表》《应对行为问卷》《生理-心理-社会反应量表》，对在上海某三级甲等医院实习1～3 个月的370名护生进行调查。结果：护生临床实习初期应激水平、回避行为与生理-心理-社会反应呈正相关(P0.01)，教师支持、 乐观应对、解决问题与生理-心理-社会反应呈负相关(P0.01)；多元线性逐步回归分析显示，教师支持、个人应激、个人应 对方式是生理-心理-社会反应的影响因素。结论：在临床实习阶段，应该充分发挥临床带教教师支持作用，鼓励护生采用乐 观的应对方式，提高其解决问题的能力，从而降低护生临床实习初期的生理-心理-社会反应，提高其身心健康水平。 [ 关键词 ] 护生；教师支持；应激；应对方式；身心健康 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2013.01.015 Study on the influence of nursing students perceptions of instructors support, stress and coping strategies on their physio- psycho-social response in initial period of clinical practice / PENG Yu-jie, ZHOU Lan-shu, ZHANG Yi-wen, et al. // NO.15 Postgraduate Team, Second Military Medical University, Shanghai, 200433 China /// Chinese Nursing Management- 2013,13(1): 47-51 [ ] Abstract Objective: To explore the influence of nursing students perceptions of clinical instructors support, stress and coping strategy on their physio-psycho-social response in initial period of clinical practice. Methods: A convenient sample of 370 nursing students in a tertiary class-A hospital in Shanghai in initial period of clinical practice were surveyed with Nursing Students Perceptions of Instructor Caring (NSPIC), Perceived Stress Scale(PSS), Coping Behavior Inventory (CBI) and Professional Identification Scale(PIS). Results: It showed a significant positive correlation between stress, avoidance and physio- psycho-social response (P0.01), as well as a significant negative correlation between instructors support, s