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心理特征对护生首次医院临床实习期间自主神经反应的影响。

Influence of psychological profile in autonomic response of nursing students in their first hospital clinical stays.

机构信息

Applied Psychophysiological Research Group, European University of Madrid, Spain.

Applied Psychophysiological Research Group, European University of Madrid, Spain; Universidad Europea de Madrid, Faculty of Sports Sciences, Spain; Grupo de Investigación en Cultura, Educación y Sociedad, Universidad de la Costa, Barranquilla, Colombia.

出版信息

Physiol Behav. 2019 Aug 1;207:99-103. doi: 10.1016/j.physbeh.2019.05.008. Epub 2019 May 9.

DOI:10.1016/j.physbeh.2019.05.008
PMID:31078671
Abstract

BACKGROUND

This research aimed to analyse the psychological profile of nursing students and its relationship with the physiological anticipatory anxiety response at the earliest clinical practices; and to analyse the habituation response at the psychophysiological level of nursing students throughout their first clinical practices.

METHODS

18 students of the first year of Nursing degree were studied in their first clinical stays. Their psychophysiological stress response was evaluated throughout the analysis of the autonomic modulation and their subjective perception to stress at the beginning and at the end of the stays. In addition, an inventory of psychological test was carried out to observe its association with the psychophysiological stress response.

RESULTS

The results showed that the students presented a large anticipatory anxiety response at the beginning of the stays, as well as an absence of a habituation process during the stay. It was also observed a positive relation between the loneliness perceived and the autonomic stress response.

CONCLUSION

The clinical stays in the hospital performed by first year students of the nursing degree, did not produce the expected habituation response at psychophysiological level. Also, a higher perception of social isolation was significantly related with a higher objective (sympathetic modulation) and subjective (perceived stress) stress responses.

摘要

背景

本研究旨在分析护理专业学生的心理特征及其与早期临床实践中生理预期性焦虑反应的关系;并分析护理专业学生在整个第一临床实习过程中的心理生理适应反应。

方法

研究了 18 名护理专业一年级学生在其第一次临床实习期间的情况。通过分析自主神经调节以及他们在实习开始和结束时对压力的主观感知,评估他们的心理生理应激反应。此外,还进行了心理测试清单,以观察其与心理生理应激反应的关联。

结果

结果表明,学生在实习开始时表现出较大的预期性焦虑反应,并且在实习期间没有适应过程。还观察到,孤独感与自主应激反应之间存在正相关关系。

结论

护理专业一年级学生在医院进行的临床实习并没有在心理生理水平上产生预期的适应反应。此外,较高的社会隔离感与更高的客观(交感神经调节)和主观(感知压力)应激反应显著相关。

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