护理本科生躯体——心理症状现状及其影响因素分析

Current status and influencing factors of somatic and psychological symptoms among nursing undergraduate students

目的探讨护理本科生躯体—心理症状现状及其影响因素。方法本研究为横断面研究。通过滚雪球抽样和方便抽样的方式,2021年3—7月选取华东、华南、华中、华北、西北、西南的护理本科生806名为研究对象。采用患者健康问卷躯体症状群量表(Patient Health Questionnaire-15,PHQ-15)、患者健康问卷抑郁情绪群量表-2(Patient Health Questionnaire-2,PHQ-2)、广泛性焦虑障碍量表-2(Generalized Anxiety Disorder-2,GAD-2)对其进行调查。结果806名护理本科生躯体症状、抑郁和焦虑的阳性检出率分别为66.5%(536/806)、14.3%(115/806)、12.9%(104/806)。二项Logistic回归分析结果显示,慢性疾病、自觉健康状况和饮水量等是护理本科生躯体—心理症状的影响因素(P<0.05)。护理本科生的躯体症状、抑郁和焦虑呈正相关(P<0.05)。结论护理本科生的躯体症状检出率较高,家庭和学校应及时关注护理本科生的心理—躯体健康,并针对不同特征的学生提供有针对性的心理支持。

ObjectiveTo explore the current situation and influencing factors of somatic and psychological symptoms among nursing undergraduate students.MethodsThis study was a cross-sectional study.Through snowball sampling and convenience sampling,806 nursing undergraduate students from East,South,Central,North,Northwest and Southwest China were selected as the research subjects from March to July 2021.A survey was conducted among nursing undergraduate students using the Patient Health Questionnaire-15(PHQ-15),Patient Health Questionnaire-2(PHQ-2),and Generalized Anxiety Disorder-2(GAD-2).ResultsThe positive detection rates of somatic symptoms,depression,and anxiety among 806 nursing undergraduate students were 66.5%(536/806),14.3%(115/806),and 12.9%(104/806),respectively.The results of binomial Logistic regression analysis showed that chronic diseases,perceived health status,and water intake were the influencing factors for psychological and somatic symptoms of nursing undergraduate students(P<0.05).Nursing undergraduate students'somatic symptoms,depression and anxiety were positively correlated(P<0.05).ConclusionsThe detection rate of somatic symptoms among nursing undergraduate students is high.Families and universities should pay timely attention to the psychological and somatic health of nursing undergraduate students,and provide targeted psychological support for students with different characteristics.