Klainin-Yobas Piyanee, Keawkerd Ornuma, Pumpuang Walailak, Thunyadee Chanya, Thanoi Wareerat, He Hong-Gu
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
J Adv Nurs. 2014 Jun;70(6):1287-98. doi: 10.1111/jan.12283. Epub 2013 Nov 17.
To test the impact of stress on psychological and physical health, and examine the mediating effects of coping on the stress-health relationships among nursing students.
Stress is associated with various physical and psychological symptoms in nursing students. Numerous studies examined the relationships among stress, coping and health; nevertheless, a mechanism of coping has not been fully explored in Thai nursing students.
This study adopted a cross-sectional, descriptive correlational research design.
A convenience sample of 335 nursing students were recruited from a University in Thailand from 2005-2007. We used self-reported questionnaires to collect information; and analysed data using descriptive statistics and structural equation modelling.
Nursing students with high levels of stress reported poorer physical health and higher psychological distress. Stress had a stronger effect and explained more variances on psychological distress than on poor physical health. The partial mediation of coping was observed. Specifically, 77·00% of the effects of stress on poor physical health and 11·30% on psychological distress were mediated by coping.
Evidence from this study contributes to the nursing science and has implications to nursing practice. Stress among nursing students should be monitored and effectively managed to prevent deleterious effects on their health. Nursing interventions focusing on coping skill training could be developed and delivered. Future research may examine the effectiveness of the interventions and/or to further explore variables associated with psychological distress in nursing students.
测试压力对身心健康的影响，并检验应对方式在护生压力与健康关系中的中介作用。
压力与护生的各种身心症状相关。众多研究探讨了压力、应对方式与健康之间的关系；然而，泰国护生应对方式的机制尚未得到充分探究。
本研究采用横断面描述性相关研究设计。
2005年至2007年从泰国一所大学招募了335名护生作为便利样本。我们使用自填问卷收集信息，并使用描述性统计和结构方程模型分析数据。
压力水平高的护生身体健康状况较差，心理困扰程度较高。压力对心理困扰的影响更强，解释的变异比身体健康差更多。观察到应对方式的部分中介作用。具体而言，压力对身体健康差的影响中有77.00%、对心理困扰的影响中有11.30%是由应对方式介导的。
本研究的证据有助于护理科学，并对护理实践具有启示意义。应监测并有效管理护生的压力，以防止对其健康产生有害影响。可以开发并实施侧重于应对技能培训的护理干预措施。未来的研究可以检验这些干预措施的有效性和/或进一步探索与护生心理困扰相关的变量。
