Perceived stress and physio-psycho-social status of nursing students during their initial period of clinical practice: the effect of coping behaviors
Perceived stress and physio-psycho-social status of nursing students during their initial period of clinical practice: the effect of coping behaviors
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DOI：
10.1016/s0020-7489(01)00016-5
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发表时间：
2002-02-01
影响因子：
8.1
通讯作者：
Hwang, SL
中科院分区：
文献类型：
--
作者：
Sheu, S;Lin, HS;Hwang, SL
最初的临床实践是紧张的。在台湾，五年制副学士学位课程的护理学生第一次进入临床实践，他们年轻，应对技能值得怀疑，所有这些都可能影响他们自己的健康。本研究探讨护生的压力感受程度及压力事件类型;护生实习期间的生理、心理、社会状况;护生的应对行为;不同应对行为对护生生理、心理、社会健康的影响。研究对象为561名在台湾最大的护理学校完成初次临床实习的护生。采用知觉压力量表（PSS）、生理-心理-社会反应量表（PPSRS）和应对行为量表（CBI）进行测量。结果显示，学生的压力主要来自专业知识和技能的缺乏以及对病人的照顾。最常见的应激反应是社会行为症状。保持乐观有积极的主效应，减少了生理-心理-社会症状的发生，改善了生理-心理-社会状态。最后，问题解决行为也有积极的主效应，而回避有负面的主效应，恶化的生理-心理-社会地位。本研究对护理教育工作者在临床实习中帮助学生克服压力有重要的启示。(C)2002爱思唯尔科技有限公司。保留所有权利。
Initial clinical practice is stressful. Nursing students entering clinical practice for the first time in a five-year associate degree program in Taiwan are young and have questionable coping skills, all of which can affect their own health. This study examined the following: (1) the degree of stress perceived and types of stressful events; (2) the physio-psycho-social status of nursing students during the practice; (3) the coping behaviors of these students; and (4) the effect of different coping behaviors on their physio-psycho-social health. The subjects were 561 nursing students who had completed their initial clinical practice at the largest nursing school in Taiwan. Three measurements, including Perceived Stress Scale (PSS), Physio-Psycho-Social Response Scale (PPSRS), and Coping Behavior Inventory (CBI), were adopted. Results showed that stress for these students came mainly from the lack of professional knowledge and skills as well as caring of patients. The most common response to stress was social behavioral symptoms. Staying optimistic had a positive main effect, which reduced the occurrence of physio-psycho-social symptoms and improved physio-psycho-social status. Finally, problem-solving behavior also had a positive main effect, while avoidance had a negative main effect, which deteriorated physio-psycho-social status. This study has important implications for nursing educators in helping their students to overcome stress during clinical practice. (C) 2002 Elsevier Science Ltd. All rights reserved.