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依恋风格作为护理专业学生同理心的预测指标

Attachment styles as predictors of empathy in nursing students.

作者信息

Khodabakhsh Mohammadreza

机构信息

Department of Psychology, Allameh Tabataba'i University, Tehran, Iran.

出版信息

J Med Ethics Hist Med. 2012 Nov 20;5:8. Print 2012.

Abstract

Previous studies have traced a relationship between the attachment styles of nurses working as in healthcare teams and their empathy which is an essential characteristic required of people concerned with managing relationships, supporting social events, and improving the of nurse-patient relationships. Since determining the effective variables in the quality of nurse-patient relationships in clinical settings is of paramount importance, current investigation is an effort to examine the relationship between attachment styles and empathy in nursing students. 260 university students (male = 130 and female = 130) were chosen as the sample of the study based upon specific inclusion criteria. All participants completed the Attachment Style Questionnaire (ASQ) and the Interpersonal Reactivity Index (IRI). Data was collected and analyzed using Pearson correlation coefficient and regression analysis with SPSS (v.18). The results showed that secure and insecure attachment styles have significant positive and negative correlation with empathy respectively. Based on the results of regression analysis, it was shown that secure attachment style is predicting 53% of the variance empathy variable, whereas insecure attachment styles are explaining up to 76% of the variance empathy variable collectively. The increase of attention to instructions that focus on empathetic relationships with patients and that are based upon the secure attachment style can result in positive changes in the area of nurse-patient relations and in increasing attention to medical ethics. Findings are consistent with prediction derived from attachment theory and add to our understanding of relationship between attachment styles with empathy in nursing students. The meaning and limitations of this study and suggestions for further research are also discussed.

摘要

以往的研究已经探寻了医疗团队中护士的依恋风格与其同理心之间的关系,同理心是从事人际关系管理、支持社会活动以及改善护患关系的人所必备的一项重要特质。由于确定临床环境中护患关系质量的有效变量至关重要,当前的调查旨在研究护理专业学生的依恋风格与同理心之间的关系。基于特定的纳入标准,选取了260名大学生(男性 = 130名,女性 = 130名)作为研究样本。所有参与者均完成了依恋风格问卷(ASQ)和人际反应指数(IRI)。使用SPSS(v.18)通过皮尔逊相关系数和回归分析收集并分析数据。结果表明,安全型和不安全型依恋风格分别与同理心存在显著的正相关和负相关。基于回归分析结果显示,安全型依恋风格可预测同理心变量方差的53%,而不安全型依恋风格共同解释了高达76%的同理心变量方差。增加对基于安全型依恋风格且关注与患者建立同理心关系的指导的重视,可在护患关系领域带来积极变化,并增强对医学伦理的关注。研究结果与依恋理论得出的预测一致,增进了我们对护理专业学生依恋风格与同理心之间关系的理解。同时也讨论了本研究的意义、局限性以及对进一步研究的建议。

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