同伴教育对护理专业学生在传染病专科实习压力的影响研究

Application of peer education to nursing students' early stage practice in infectious disease nursing

目的观察和评价同伴教育在传染病专科医院护理专业实习生实习初期的应用效果,探讨传染病专科医院护理专业实习生的有效管理培训方式。方法抽取2014年7月在某医院实习的100名护理专业学生进行压力测量,分为对照组和试验组各50名,两组均同时参加护理部组织的实习生培训,试验组在此基础上增加同伴教育,分别在同伴教育结束后1个月、2个月时对两组实习生进行压力测量。结果干预前,两组护理实习生均衡性较好,干预后1个月,两组护理实习生在实习压力总均分得分、工作负荷、工作性质、实习准备、人际关系方面,试验组得分低于对照组,差异有统计学意义(P<0.05),两组工作支持与学习冲突方面差异无统计学意义。干预后2个月,两组护理实习生在实习压力总均分得分、工作负荷、工作性质、实习准备比较,试验组得分低于对照组,差异有统计学意义(P<0.05)。结论护理实习生在传染病专科临床实习初期处于高水平的压力状态。同伴教育法能够缓解传染病专科医院护理实习生的实习压力,且具有持续作用。

Objective To evaluate the application effect of peer education to nursing students＇ early stage practice in infectious disease,and to search an effective management of nursing students training in infectious disease hospital. Methods Totally 100 nursing students taking internship in a hospital from July 2014 were randomly divided into a control group and an experimental group. Both the two groups participated in internship training which organized by the nursing department at the same time. Meanwhile,the experimental group received peer education. The nursing students in two groups received pressure measurement at the beginning into the hospital and 1 month,2months after intervetion. Results After 1 month＇s intervention,the total score of practice pressure and stressors in workload,the nature of work,preparation for internship,interpersonal relationship in the experimental group were significantly lower than those of the control group（P0.05）. There was no statistical difference in aspects of work support and learning conflict. After 2 months＇ intervention,the total score of practice pressure and stressors in workload,the nature of work,preparation for internship in the experimental group were significantly lower than those of the control group（P0.05）. Conclusion At the beginning of the intership in infectious disease hospital,nursing students are in high levels of stress state. Peer education can alleviate the pressure of them,and having continued effect.