Stated and unstated reasons for visiting a high school nurse's office.
Stated and unstated reasons for visiting a high school nurse's office.
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访问高中护士办公室的明示和未明示原因。
DOI：
10.1016/1054-139x(95)94071-f
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
M. Fisher
中科院分区：
文献类型：
--
作者：
M. Schneider;S. B. Friedman;M. Fisher
目的确定学生到高中护士办公室就诊时提出的投诉，并寻找具体提出的投诉与心理社会问题之间的关联。方法使用调查人员编制的问卷对郊区高中的 186 名学生进行了调查。使用卡方或费舍尔精确检验比较分类数据。通过 Kruskal-Wallis 检验确定相关性。结果头痛 (25%)、感染 (17%)、胃痛 (12%) 和头晕或疲倦 (12%) 是最常见的主诉。学生们表示，“睡眠不好”和“压力”是他们访问中最常见的两个因素。大多数学生要么想休息，要么等待回家；很少有人有兴趣接受医疗护理或与护士交谈。头痛、头晕或疲倦的具体主诉，且无具体症状，与睡眠不好、家庭问题、压力、学校问题和抑郁相关 (p < .05)。 结论 头痛、头晕或疲倦的主诉，且无具体症状，可用作探索学校护士就诊时可能出现的心理社会问题的标志。如果学校护士要解决社会心理问题，他们需要超越明确的探视原因，关注未说明的探访原因。讨论了实现这种扩大护理水平的方法。
PURPOSETo determine the presenting complaints of students visiting a high school nurse's office and seek associations between specific presenting complaints and psychosocial problems.METHODSOne hundred eighty-six students visiting the school nurse in a suburban high school were surveyed with a questionnaire developed by the investigators. Categorical data were compared utilizing chi-square or Fisher's Exact Test. Associations were determined by the Kruskal-Wallis Test.RESULTSHeadaches (25%), infections (17%), stomach aches (12%), and dizziness or tiredness (12%) were the most common presenting complaints. Students indicated that “not sleeping well” and “stress” were two factors that most frequently played a role in their visits. Most students wanted either to rest or await going home; few were interested in receiving medical care or talking to the nurse. Specific complaints of headache, dizziness or tiredness, and no specific symptom were associated (p < .05) with not sleeping well, family problems, stress, school problems and depression.CONCLUSIONSComplaints of headache, dizziness or tiredness, and no specific symptoms may be used as markers for exploring possible psychosocial problems underlying a visit to the school nurse. If school nurses are to address psychosocial issues, they will need to look beyond stated reasons to unstated reasons for visits. Ways to achieve this expanded level of care are discussed.