Drew Barbara L, Motter Tracey, Ross Ratchneewan, Goliat Laura M, Sharpnack Patricia A, Govoni Amy L, Bozeman Michelle C, Rababah Jehad
College of Nursing, Kent State University, Kent, Ohio (Drs Drew and Ross, Ms Motter, and Mr Rababah); The Breen School of Nursing, Ursuline College, Pepper Pike, Ohio (Drs Goliat and Sharpnack); School of Nursing, Cleveland State University, Cleveland, Ohio (Ms Govoni); and HeartWaves Institute, Painesville, Ohio (Ms Bozeman).
Holist Nurs Pract. 2016 May-Jun;30(3):148-54. doi: 10.1097/HNP.0000000000000140.
Stress affects the well-being of both nursing students and the individuals with whom they work. With the theory of cognitive appraisal as a framework for this study, it is proposed that mind-body self-care strategies promote stress management by stabilization of emotions. Outcomes will be a perception of less stress and more mindful engagement with the environment. Objective of the study was to describe an evaluation of student perceived stress and mindfulness to 1-hour per week of class time dedicated to mind-body self-care (yoga, mindful breathing, Reiki, and essential oil therapy). It was a quasi-experimental study; data collection took place at 4 time points. Participants were entry-level accelerated nursing students from 3 US universities: 50 in the treatment group, 64 in the comparison group. Data included health-promoting practices using Health-Promoting Promotion Lifestyle Profile II as a control variable, stress and mindfulness (Perceived Stress Scale [PSS] and Mindful Attention Awareness Scale [MAAS]), and demographic information; analysis using mixed-design repeated-measures analysis of variances. There was a statistically significant interaction between intervention and time on PSS scores, F(3, 264) = 3.95, P = .009, partial η(2) = 0.043, with PSS scores of the intervention group decreasing from baseline to T3 when intervention ended whereas PSS scores of the comparison group increased from baseline. The average scores on the MAAS did not differ significantly. Evaluation of an embedded mind-body self-care module in the first nursing course demonstrated promising improvements in stress management. The findings support the appropriateness of integrating mind-body self-care content into nursing curricula to enhance students' ability to regulate stress.
压力会影响护理专业学生以及他们所服务对象的身心健康。本研究以认知评价理论为框架,提出身心自我护理策略通过稳定情绪来促进压力管理。结果将是压力感减轻,对环境的关注更加专注。本研究的目的是描述一项评估,即针对每周1小时用于身心自我护理(瑜伽、正念呼吸、灵气疗法和精油疗法)的课程时间,评估学生感知到的压力和正念程度。这是一项准实验研究;数据收集在4个时间点进行。参与者是来自美国3所大学的入门级加速护理专业学生:治疗组50人,对照组64人。数据包括使用健康促进生活方式概况II作为控制变量的健康促进实践、压力和正念(感知压力量表[PSS]和正念注意觉知量表[MAAS])以及人口统计学信息;分析采用混合设计重复测量方差分析。在PSS得分上,干预与时间之间存在统计学上的显著交互作用,F(3, 264) = 3.95,P = 0.009,偏η(2) = 0.043,干预组的PSS得分从基线到干预结束时的T3下降,而对照组的PSS得分从基线开始上升。MAAS的平均得分没有显著差异。对第一门护理课程中嵌入的身心自我护理模块的评估表明,在压力管理方面有显著改善。研究结果支持将身心自我护理内容纳入护理课程以提高学生调节压力能力的合理性。