实习护生个人掌控感现状及潜在剖面分析

Current situation and latent profile analysis of personal mastery among intern nursing students

目的了解实习护生个人掌控感现状,探究其潜在剖面及影响因素。方法采用便利抽样法,于2023年7月至9月选取云南省肿瘤医院、昆明医科大学第二附属医院、昆明市延安医院3家三级甲等医院的517名实习护生为研究对象。使用一般资料调查表、个人掌控感量表进行调查,对实习护生个人掌控感现状进行潜在剖面分析,采用二元logistic回归分析实习护生个人掌控感潜在剖面的影响因素。结果实习护生个人掌控感得分为(21.11±3.84)分。潜在剖面分析显示,个人掌控感存在2个潜在剖面,分别命名为强掌控组(65.0%)和弱掌控组(35.0%)。弱掌控组和强掌控组的学历、临床见习经历、家庭月收入、睡眠情况、运动频率和死亡教育的知晓情况比较,差异有统计学意义(P<0.05)。二元logistic回归分析显示,临床见习经历、睡眠情况和运动频率是实习护生个人掌控感潜在剖面的影响因素(P<0.05)。结论实习护生个人掌控感水平存在明显异质性特征,护理管理者开展培训时应根据不同潜在剖面的分类特征进行个性化、精准化干预,增强实习护生的个人掌控感,维护身心健康。

Objective To understand current situation of personal mastery among intern nursing students,and explore its latent profile and the influencing factors.Methods Convenience sampling method was used to select 517 intern nursing students in three tertiary hospitals of Yunnan Cancer Hospital,the Second Affiliated Hospital of Kunming Medical University and Yan’an Hospital of Kunming as research subjects from July to September 2023.General information survey form and personal control scale were used for investigation.Latent profile analysis was applied in current status of personal control among intern nursing students.Binary logistic regression was used to analyze the influencing factors of latent profile of personal control among intern nursing students.Results The personal control score of intern nursing students was(21.11±3.84)points.Latent profile analysis showed that there were two potential profiles for personal control,named the strong control group(65.0%)and the weak control group(35.0%).There were statistically significant differences in education level,clinical internship experience,monthly family income,sleep status,exercise frequency and awareness of death education between the weak control group and the strong control group(P<0.05).Binary logistic regression analysis showed that clinical internship experience,sleep status and exercise frequency were the influencing factors on latent profile of personal control among intern nursing students(P<0.05).Conclusion There is a significant heterogeneity in personal control level of intern nursing students.Nursing managers should provide personalized and precise interventions based on classification characteristics of different latent profiles when conducting training,in order to enhance personal control of intern nursing students and maintain their physical and mental health.