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助产士学生的二次创伤应激。

Secondary traumatic stress among midwifery students.

机构信息

Midwifery Department, Health Sciences Faculty, Marmara University, Basıbuyuk Campus, Maltepe, Istanbul, Turkey.

出版信息

Perspect Psychiatr Care. 2021 Jul;57(3):1195-1201. doi: 10.1111/ppc.12674. Epub 2020 Nov 1.

Abstract

PURPOSE

This study aimed to examine the factors affecting secondary traumatic stress on midwifery students.

DESIGN AND METHODS

This descriptive study was conducted between November and December 2018. Data were collected using information form and the Secondary Traumatic Stress Scale.

FINDINGS

The study found that 22.2% of midwifery students met all the trauma criteria for posttraumatic stress disorder according to the Secondary Traumatic Stress Scale. Midwifery students who were unhappy to continue their education and those who wished to switch to another profession after graduation respectively showed a 2.8- and a 4-fold higher risk of meeting the trauma criteria (p < 0.05).

CONCLUSION

The secondary traumatic stress rate in midwifery students is particularly high considering the fact that one in five students fulfills all of the Secondary Traumatic Stress criteria. However, to reduce their secondary traumatic stress rate, students should be thoroughly assessed by the educators who could provide the support necessary.

IMPLICATIONS FOR NURSING PRACTICE

Before graduation from the midwifery departments, students traumatic stress symptoms could be assessed mental health nursing courses, which might enable to change their attitudes towards to cope with this situation. Especially after traumatic childbirths, midwifery students should be supported by mental health nurses to cope with traumatic stress. Midwifery students should be encouraged each and every possible moment to express their feelings when they experience traumatic stress and thus their skills for effective coping can be reinforced.

摘要

目的

本研究旨在探讨影响助产学生创伤后应激的因素。

设计和方法

这是一项描述性研究,于 2018 年 11 月至 12 月进行。数据通过信息表和二次创伤应激量表收集。

结果

研究发现,根据二次创伤应激量表,22.2%的助产学生符合创伤后应激障碍的所有创伤标准。对继续学业感到不满和毕业后希望转专业的助产学生分别有 2.8 倍和 4 倍的风险符合创伤标准(p<0.05)。

结论

考虑到五分之一的学生符合二次创伤应激的所有标准,助产学生的二次创伤应激率特别高。然而,为了降低他们的二次创伤应激率,教育者应该通过教育者进行彻底评估,为他们提供必要的支持。

对护理实践的意义

在助产部门毕业前,可以通过心理健康护理课程评估学生的创伤后应激症状,这可能会改变他们应对这种情况的态度。特别是在经历创伤性分娩后,应通过心理健康护士为助产学生提供支持,以应对创伤后应激。应鼓励助产学生在经历创伤后应激时随时随地表达自己的感受,从而增强他们有效的应对技能。

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