理性情绪疗法中的认识论引导对护理本科生临床见习的心理调节

Psychological adjustment of epistemological guide in rational emotive therapy for clinical intern of undergraduate nursing students

[目的]探讨运用理性情绪疗法(RET)中的认识论引导对护理本科生临床见习的心理调节作用,为护理本科生的临床见习教学管理工作提供参考依据。[方法]将即将进行临床见习的148名护理本科生分为对照组和实验组,对照组采用常规见习教育,实验组在对照组的基础上给予认识论引导。采用症状自评量表(SCL-90)和护理见习认知心理量表对其临床见习前后的心理进行评价。[结果]实验组见习后在抑郁、焦虑、恐怖、偏执、精神病性因子和绝对化要求、过分概括化、糟糕至极等方面有明显改善(P<0.05),而对照组仅在恐怖和偏执因子有明显改善(P<0.05);两组见习后抑郁、焦虑、恐怖、偏执、精神病性、绝对化要求、过分概括化和糟糕至极等比较,差异有统计学意义(P<0.05)。[结论]RET中的认识论引导对护理本科生临床见习心理调节有积极作用,使其能够平稳地度过临床见习期,有利于提高临床见习效率。

Objective：To probe into the effect of epistemological guide in rational emotive therapy for clinical practice of undergraduate nursing students,in order to provide the references for clinical intern teaching man-agement of undergraduate nursing students.Methods：A total of 148 undergraduate nursing students who will participate in clinical practice were divided into control group and experimental group.The students in control group received routine intern education,while the students in experimental group received the epistemological guide on the basis of the routine intern education.Then the students＇psychological state was evaluated before and after the clinical intern by using symptom check list （SCL 90）and nursing trainee cognitive psychological scales.Results：The students’psychological state in experimental group after the clinical intern had significantly improved in aspects of depression,anxiety,terror,paranoid,psychotic factors and absolute requirements,over-generalization and horrible thing （P〈0.05）,however that in control group only had significantly improved in aspects of terror and paranoid （P〈0.05）.There was statistically significant difference in depression,anxiety, terror,paranoid,psychotic factors,absolute requirements,overgeneralization,horrible thing between both groups after the clinical intern （P〈0.05）.Conclusion：The epistemological guide in rational emotive therapy has posi-tive effect for the psychological adj ustment of undergraduate nursing students in clinical intern,and it can make them get through the clinical intern smoothly and improve the efficiency of clinical intern.