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护生的自我妨碍:一项干预研究。

Self-handicapping among nursing students: an interventional study.

机构信息

Community-based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Nursing, School of Nursing and Midwifery, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

BMC Med Educ. 2019 Apr 1;19(1):26. doi: 10.1186/s12909-018-1441-6.

Abstract

BACKGROUND

Self-handicapping is an effective defense strategy in an individual's behavior that leads to weak performance in different situations like education. This study aimed to investigate how training problem solving skills affected the rate of self-handicapping among nursing students.

METHODS

This interventional study was done in Jahrom, Fars province, Iran during 2016-2017. Totally, 90 nursing students were selected among those admitted from 2013 to 2016 using stratified sampling. Then, the students were randomly divided into a control and an intervention group each including 45 participants. Teaching problem solving skills to the intervention group was completed over six sessions each lasting for two hours. The students' rate of self-handicapping was evaluated based on the scores obtained in Jones and Rodwalt's self-management questionnaire before and after the intervention (immediately and one month later). The data were entered into the SPSS statistical software, version 16 and were analyzed using descriptive and inferential statistics, including t-test, chi-square, and repeated measures ANOVA. The significance level was set at 0.05.

RESULTS

The findings revealed a significant difference in the intervention group's self-handicapping scores before and after the intervention (p < 0.001). However, no significant change was observed in this regard in the control group (p = 0.575). The results indicated no significant differences between the intervention and control groups concerning the mean score of self-handicapping immediately after the intervention (p = 0.761). However, a significant difference was detected between the two groups in this regard one month after the intervention (p = 0.014).

CONCLUSION

Teaching problem solving skills influenced the students' beliefs and performances positively and led to a decrease in their self-handicapping. Thus, teaching cognitive-behavioral approaches is recommended to be considered among the ten life skills used in curricular design for medical students, including nurses.

TRIAL REGISTRATION

IRCT 2017011231895  N.Data registered: October 30, 2016.

摘要

背景

自我设限是一种有效的防御策略,它会导致个体在不同情境下表现不佳,例如在教育中。本研究旨在探讨解决问题技能培训如何影响护理学生的自我设限率。

方法

本干预研究于 2016-2017 年在伊朗法尔斯省贾赫罗姆进行。总共从 2013 年至 2016 年入学的学生中使用分层抽样法选择了 90 名护理学生。然后,将学生随机分为对照组和干预组,每组各 45 名学生。在六节课中,对干预组进行了为期两个小时的解决问题技能教学。在干预之前(立即和一个月后)和之后,根据琼斯和罗兹瓦特的自我管理问卷的得分评估学生的自我设限率。将数据输入 SPSS 统计软件,版本 16,并使用描述性和推断性统计,包括 t 检验、卡方检验和重复测量方差分析进行分析。显著性水平设置为 0.05。

结果

研究结果表明,干预组在干预前后的自我设限得分存在显著差异(p<0.001)。然而,在对照组中,这方面没有观察到显著变化(p=0.575)。干预组和对照组在干预后立即的自我设限平均得分方面没有显著差异(p=0.761)。然而,一个月后,两组在这方面存在显著差异(p=0.014)。

结论

教授解决问题的技能对学生的信念和表现产生了积极影响,并导致自我设限的减少。因此,建议在医学生包括护士的课程设计中,将认知行为方法教学作为十种生活技能之一加以考虑。

试验注册

IRCT 2017011231895N.数据注册:2016 年 10 月 30 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fad/6442433/bdd8db27a7bb/12909_2018_1441_Fig1_HTML.jpg

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