实习护生自测健康状况与应对方式的相关

Analysis of Self-rated Health and Coping Style of Practice Nurses

目的:探讨某军队医院实习护生自测健康状况与应对方式现状及相关性,为提升护生健康、提高临床教学质量提供参考依据。方法:采取方便抽样,选用一般情况调查表、自测健康评定量表(SRHMS V1.0)、简易应对方式问卷对某军队3级甲等医院242名实习护生实施问卷调查。结果:(1)242名实习护生自测健康总分与3个子量表得分均高于国内常模(t=9.38,P<0.01);心理症状与负向情绪、社会支持、身体症状与器官功能3个维度的实际值/理论值均<70%,其中得分最低的是心理症状与负向情绪维度;(2)实习护生积极应对方式高于常模(t=8.72,P<0.01),消极应对方式低于常模(t=-14.02,P<0.01);(3)积极应对方式与自测健康的总分和3个子量表得分呈显著正相关(r=0.322,0.213,0.284,0.288;P<0.01),消极应对方式与自测健康的总分和3个子量表得分呈显著负相关(r=-0.311,-0.162,-0.299,-0.292;P<0.01)。结论:与常模比较,实习护生自测健康水平较好,但心理症状与负向情绪、社会支持、身体症状与器官功能3个维度的健康状况有待进一步提高。实习护生采取积极应对方式较多,消极应对方式较少,采取积极应对方式越多,健康状况越好。

Objective： To investigate the current status and the relationship of self-rated health and coping style of practice nurses in military hospital, and provide scientific base to improve the health of practice nurses, the quality of clinical teaching.Methods：By randomizing method,a total of 242 practice nurses were recruited and investigated with the Common Questionnaire,Self-rated Health Measurement Scale and Simplified Coping Style Questionnaire. Results：①The total score and three subscales of self-rated health of practice nurses were higher than those of general population in China（t = 9.38, P〈0.01） ;The ratio of actual value to theoretical value of psychological symptoms and negative emotions, social support, body symptoms and organ function were lower than 70%, the score of psychologi cal symptoms and negative emotions was the lowest;②Compared with the health adults of Chinese norm on the coping style, the practice nurses got higher marks on the energetic coping style（t = 8.72, P 〈0.01）, and less marks on the inactive coping style（t =-14.02 ,P〈0.01）;③The energetic coping style had a positive correlation with the total score and three subscales of self-rated health （r = 0.322,0.213,0.284,0.288 ; P 〈0.01 ）, While inactive coping style had a negative correlation with them （ r =-0.311 ,-0.162, -0.299,-0.292 ; P 〈0.01 ）. Conclusion ： The practice nurses＇ self-rated health is better than the adult norm, but the health of psychological symptoms and negative emotions,so- cial support,body symptoms and organ function need to further enhance.The energetic coping style score is higher than the adult norm and the inactive coping style score is lower.The energetic coping style do good to the self-rated health of the practice nurses.