Elkind A K
Department of Epidemiology and Social Oncology, Christie Hospital, Manchester.
J Adv Nurs. 1988 Nov;13(6):733-45. doi: 10.1111/j.1365-2648.1988.tb00564.x.
A comparison of learner nurses and student teachers indicated that occupational differences in smoking prevalence were established prior to entry. However, learner nurses experienced higher stress for the greater part of their first year of training and this was one factor contributing to the consolidation of smoking among them. In general, smoking was seen as a way of dealing with negative feelings and although smokers did not experience greater stress than non-smokers, the former were more likely to feel anger. Lower levels of perceived stress were associated with moves to lesser smoking, suggesting that stress prevents smoking being given up. Some non-smokers were vulnerable in that they both experienced higher stress and saw smoking as a solution. The use of maladaptive intrapsychic coping techniques and the absence of social support outside nursing were both associated with movements to greater smoking.
实习护士和实习教师的比较表明,吸烟流行率的职业差异在入职前就已存在。然而,实习护士在培训的第一年大部分时间里承受着更高的压力,这是导致他们中吸烟行为巩固的一个因素。总体而言,吸烟被视为应对负面情绪的一种方式,尽管吸烟者并不比不吸烟者承受更大的压力,但前者更容易感到愤怒。较低的感知压力水平与减少吸烟行为相关,这表明压力阻碍了戒烟。一些不吸烟者也很脆弱,因为他们既承受着较高的压力,又将吸烟视为一种解决办法。使用适应不良的心理内部应对技巧以及在护理工作之外缺乏社会支持,都与吸烟量增加有关。