对高职护理专业学生实习前心理健康状况的调查研究

Investigation on the mental health of higher vocational nursing students before clinical practice

目的了解高职护理专业学生实习前的心理健康状况。方法采用SCL-90量表对51名即将进入临床实习的高职护理专业学生进行调查,同时对筛查阳性的学生进行访谈。结果 SCL-90得分与全国常模比较,均低于常模,但筛查出阳性,需进一步检查的学生共7名,占13.73%。根据访谈记录分析,学生反映的主题集中在"对临床实习充满期待""担心不能胜任临床护理工作""害怕不能适应临床环境""担心理论不能联系实践""不能进行有效的护患沟通""担心护士的工作强度大、繁重""担心不能处理护患、医护、护护关系""担心就业问题"等。结论高职护理专业学生在实习前存在一定的心理压力,应加强实习前的健康教育。

Objective To investigate the mental health of higher vocational nursing students before clinical practice. Methods The symptom checklist 90（SCL-90） was applied in 51 higher vocational nursing students before clinical practice,then students with positive results were selected for further interview. Results The SCL-90 scores of the students were lower than that of the national norm,seven students with positive results accounting for 13.73%. According to the interview record analy- sis,students mainly focused on the following questions,such as their anticipation of clinical practice,worrying about their capa- bility for clinical nursing work ,fear of their adaptation to clinical environment ,anxiety about possibility of combing theory and practice, efficient nurse -patient communication, work intensity, proper handling of nurse -patient, doctor -nurse, and nurse -nurse relationship,employment after clinical practice,etc.Conclusion It is true that the higher vocational nursing students are stressful before clinical practice; hence ,it is important to strengthen psychological health education among them before clinical practice.