Institute for Community Health, Hanyang University, Seoul, Korea.
BMC Nurs. 2011 Nov 8;10:22. doi: 10.1186/1472-6955-10-22.
Although nursing students experience a high level of stress during their training, there has been limited research on stress and its impact on the student's physical responses, such as gastrointestinal symptoms. The aims of this study are to assess the prevalence of GI symptoms in nursing students in Korea and to examine the association between the perceived stress and GI symptoms.
A cross-sectional descriptive study design was used. A total of 715 students of a three-year associate degree nursing program in a Korean college participated. The Perceived Stress Scale and a GI Symptoms Questionnaire were administered through a self-reported system. Chi-square tests, Fisher's exact test, and logistic regression analysis were performed using SPSS 17.0.
Sixty-five percent of the nursing students experienced more than one GI symptom, with 31.1% of students reporting more than three GI symptoms. Most of the nursing students complained of upper dysmotility and bowel symptoms. In addition, students who reported higher perceived stress were significantly more likely to complain of GI symptoms. Compared to nursing students with the lowest perceived stress level, the adjusted odds ratio (OR) for GI symptoms in students with the highest perceived stress level was 3.52 times higher (95% CI = 2.05-6.06).
GI symptoms that are highly prevalent among nursing students are significantly associated with the perceived stress level. High perceived stress should be considered a risk factor for GI symptoms. To reduce perceived stress, stress management programs including cognitive reappraisal training are needed in nursing curriculum.
尽管护理专业的学生在培训过程中承受着较高的压力，但关于压力及其对学生身体反应（如胃肠道症状）影响的研究却相对较少。本研究旨在评估韩国护理专业学生胃肠道症状的发生率，并探讨感知压力与胃肠道症状之间的关系。
采用横断面描述性研究设计。共纳入韩国一所大学三年制大专护理专业的 715 名学生。通过自我报告系统，使用感知压力量表和胃肠道症状问卷进行评估。采用卡方检验、Fisher 确切检验和 logistic 回归分析，使用 SPSS 17.0 进行数据分析。
65%的护理学生经历了一种以上的胃肠道症状，其中 31.1%的学生报告了三种以上的胃肠道症状。大多数护理学生抱怨上消化道动力障碍和肠道症状。此外，报告感知压力较高的学生更有可能抱怨胃肠道症状。与感知压力最低的护理学生相比，感知压力最高的学生发生胃肠道症状的调整优势比（OR）为 3.52 倍（95%可信区间为 2.05-6.06）。
护理学生中普遍存在的胃肠道症状与感知压力水平显著相关。高感知压力应被视为胃肠道症状的一个风险因素。为了降低感知压力，护理课程中需要包括认知重评训练在内的压力管理计划。
