护理实习生压力源、自我效能及应对方式的现状调查研究  

Investigation on the current situation of stressors,self-efficacy and coping styles of nursing interns

作　　者：周燕莉[1] 卢建兰 徐瑶 谢丹宇 陈静[1] ZHOU Yanli;LU Jianlan;XU Yao;XIE Danyu;CHEN Jing(Department of Gynaecology and Obstetrics,Nanfang Hospital,Southern Medical University,Guangdong Province,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院妇产科,广东广州510515

出　　处：《中国当代医药》2025年第3期30-34,共5页China Modern Medicine

基　　金：南方医科大学护理科研专项资金项目(Y2021010)。

摘　　要：目的护理实习生在临床实习期间常因面对各种压力而影响身心健康和实习效果,本研究计划对护理实习生的主要压力源和应对方式的现状进行调查,为改善护理实习生的心理健康和提高实习效果提供参考依据。方法选取2022年3月至2023年10月南方医科大学南方医院的176名护理实习生作为研究对象,采用护理实习生压力源量表、简易应对方式量表及一般自我效能量表等,对其临床实习压力源、自我效能和应对方式现状进行调查分析,多元线性回归模型分析压力源和一般自我效能的影响因素。采用Pearson相关分析评估压力源总得分、简易应对方式和一般自我效能之间的相关性。结果全体护理实习生的压力源量表平均(33.483±1.143)分,一般自我效能量表平均(21.171±0.351)分。单因素结果显示,护理实习生专业喜欢程度在压力源得分比较,差异有统计学意义(P<0.05);性别、专业喜欢程度和简易应对方式在一般自我效能得分比较,差异有统计学意义(P<0.05)。多元线性回归显示专业喜欢程度(B=5.428,t=2.403,95%CI=0.970~9.887)是压力源得分的影响因素(P<0.05)。简易应对方式(B=0.114,t=2.828,95%CI=0.034~0.193)是一般自我效能的影响因素(P<0.05)。护理实习生压力源量表得分与一般自我效能量表得分呈负相关(r=-0.215,P=0.004),简易应对方式得分与一般自我效能量表得分呈正相关(r=0.233,P=0.002)。结论护理实习生的压力源得分因一般自我效能感、对专业喜欢程度不同而不同,护理实习生的主要压力源来自对知识技能的需求和接触传染性疾病的不安,其面对压力的应对方式主要是保持积极乐观心态和寻求他人倾诉或帮助。护理带教老师需了解护理实习生对专业的喜欢程度和压力情况,尤其是对专业喜欢程度一般的实习护生,需及时引导和提供帮助。Objective Nursing interns often face various kinds of pressure during clinical practice,which will affect their physical and mental health and practice effect.This study plans to investigate the current situation of the main stressors and coping styles of nursing interns,so as to provide reference for improving the mental health of nursing interns and improving practice effect.Methods A total of 176 nursing interns in the Nanfang Hospital of Southern Medical University from March 2022 to October 2023 were selected as research objects.The stressors,self-efficacy and coping styles of nursing interns were investigated and analyzed by using the stressors scale,simple coping style scale and general self-efficacy scale.Multiple linear regression model was used to analyze the influencing factors of stressors and general self-efficacy.Pearson correlation analysis was used to evaluate the correlation between total stressor score,simple coping style and general self-efficacy.Results The average score of stressor scale and general self-efficacy scale were(33.483±1.143)and(21.171±0.351)respectively.Univariate analysis showed that nursing interns'professional preference had a statistically significant difference in the scores of stressors(P<0.05).Gender,professional preference and simple coping style had significant differences in general self-efficacy scores(P<0.05).Multiple linear regression showed that professional preference(B=5.428,t=2.403,95%CI=0.970-9.887)was an influential factor in the score of stressors(P<0.05).Simple coping style(B=0.114,t=2.828,95%CI=0.034-0.193)was the influence factor of general self-efficacy(P<0.05).There was negative correlation between nursing intern stressor scale score and general self-efficacy scale score of nursing interns(r=-0.215,P=0.004),and positive correlation between simple coping style score and general self-efficacy scale score(r=0.233,P=0.002).Conclusion The scores of stressors of nursing interns vary according to their general self-efficacy and liking for majors.The main stres

关 键 词：实习护理生 压力源 自我效能 应对方式 

分 类 号：R248.3[医药卫生—中医临床基础]