School of Nursing, Nanjing University of Chinese Medicine, 138 Xianlin Avenue, Qixia District, Nanjing, 210023, China.
School of Nursing, Peking University, Beijing, China.
Nurse Educ Pract. 2021 Mar;52:103009. doi: 10.1016/j.nepr.2021.103009. Epub 2021 Mar 1.
Stigma and negative attitudes towards people with mental illness are frequently found among nursing students. Interventions targeting mental illness stigma are the critical elements in altering the status. The aim of the present study was to examine the effects of the psychiatric-mental health education with role-play and real-world contact on stigma of nursing students towards people with mental illness in China. A single group pretest and posttest study design was adopted and total 373 students were recruited whilst 343 completed the course. We integrated the role-play and contact with patients in the routine psychiatric-mental health education. After the education was completed, the students' stigma towards people with mental illness were positively changed (pretest mean score of stigma: 53.77, posttest mean score of stigma: 49.01, 95% CI: 2.63-6.87) and their willingness to care for the people with mental illness was also significantly increased (pretest mean score of willingness: 5.45, posttest mean score of willingness: 7.38, 95% CI: -2.22--1.65). The psychiatric-mental health education especially with integrated role-play and real-world contact is an effective way to reduce nursing students' stigma and negative attitudes towards people with mental illness and increases their willingness to care for people with mental illness.
护理学生中经常存在对精神疾病患者的污名化和负面态度。针对精神疾病污名化的干预措施是改变这种状况的关键因素。本研究旨在探讨角色扮演和现实接触相结合的精神科-心理健康教育对中国护理学生对精神疾病患者污名化的影响。采用单组前后测设计，共招募 373 名学生，其中 343 名完成了课程。我们将角色扮演和与患者接触融入到常规的精神科-心理健康教育中。教育结束后，学生对精神疾病患者的污名化程度呈正向变化（污名化前测平均得分：53.77，污名化后测平均得分：49.01，95%CI：2.63-6.87），照顾精神疾病患者的意愿也显著增加（照顾意愿前测平均得分：5.45，照顾意愿后测平均得分：7.38，95%CI：-2.22--1.65）。精神科-心理健康教育，特别是结合角色扮演和现实接触的教育，是减少护理学生对精神疾病患者污名化和负面态度、增加他们照顾精神疾病患者意愿的有效途径。
