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基于心理灵活性模型的“临床适应心理教育方案”对护理学生感知压力和应对行为的影响:一项随机对照实验研究。

The impact of a "clinical adaptation psychoeducation program" grounded in the psychological flexibility model on perceived stress and coping behaviors among nursing students: A randomized controlled experimental study.

机构信息

Ondokuz Mayıs University, Faculty of Health Sciences, Department of Nursing/Psychiatric Nursing, Turkey.

Ondokuz Mayıs University, Faculty of Health Sciences, Department of Nursing/Psychiatric Nursing, Turkey.

出版信息

Nurse Educ Today. 2024 Aug;139:106230. doi: 10.1016/j.nedt.2024.106230. Epub 2024 Apr 30.

DOI:10.1016/j.nedt.2024.106230
PMID:38703533
Abstract

BACKGROUND

The clinical adaptation psychoeducation program grounded psychological flexibility model (PFMCAP) is consisting of six areas, fills a large gap in the literature regarding the effect of nursing students on perceived stress and coping behaviors in the clinical process.

OBJECTIVES

To determine the effect of PFMCAP on perceived stress and coping behaviors of nursing students.

DESIGN

This was a simple randomized controlled experimental pre-posttest design.

SETTING

This study was conducted with 66 first-year students studying in the nursing department of a university in Türkiye.

METHODS

A simple randomization method (computer-generated random number table) was used. Data were collected with "Sociodemographic Data Form", "Perceived Stress Scale for Nursing Students (PSSNS)" and "Stress-Coping Behaviors Scale for Nursing Students (SCBNS)". PFMCAP was conducted online with first-year nursing students, consisting of a total of six sessions, each lasting 90 min. Data were analyzed using percentiles and frequency distributions, and two-way mixed ANOVA one week after the completion of the PFMCAP.

RESULTS

There was no significant difference between the groups of descriptive characteristics (p > 0.05). Post-test measurements of students in the experimental group's PSSNS total and sub-dimension scores had a significant decrease compared to the control group (p < 0.001). There was no significant difference between the groups in the post-test SCBNS total scores of the students (p > 0.05). However, there was a significant increase in the post-test SCBNS-Staying Optimistic sub-dimension scores in the experimental group (p < 0.001).

CONCLUSION

The impact of PFMCAP on nursing students' perceived stress levels was not limited to only reducing stress levels; it also contributed to an increase in the students' levels of optimism. These findings demonstrate the potential of PFMCAP in supporting nursing students during the clinical adaptation process. It is observed that the integration of PFMCAP into nursing education could assist nursing students in better adapting to clinical practices and effectively managing stress.

摘要

背景

临床适应心理教育计划基于心理灵活性模型(PFMCAP)由六个领域组成,填补了护理学生在临床过程中感知压力和应对行为方面的文献空白。

目的

确定 PFMCAP 对护理学生感知压力和应对行为的影响。

设计

这是一项简单的随机对照实验前后测试设计。

设置

这项研究是在土耳其一所大学的护理系的 66 名一年级学生中进行的。

方法

采用简单随机分组法(计算机生成的随机数表)。使用“社会人口统计学数据表格”、“护理学生感知压力量表(PSSNS)”和“护理学生压力应对行为量表(SCBNS)”收集数据。PFMCAP 以在线形式对一年级护理学生进行,共进行六次,每次 90 分钟。在 PFMCAP 完成后一周,使用百分位数和频率分布以及双向混合方差分析对数据进行分析。

结果

实验组和对照组在描述性特征方面无显著差异(p>0.05)。与对照组相比,实验组学生在实验后 PSSNS 总分和各分量表得分显著下降(p<0.001)。实验组学生在实验后 SCBNS 总分无显著差异(p>0.05)。然而,实验组在实验后 SCBNS-保持乐观分量表得分显著增加(p<0.001)。

结论

PFMCAP 对护理学生感知压力水平的影响不仅限于降低压力水平,还有助于提高学生的乐观水平。这些发现表明 PFMCAP 在支持护理学生适应临床过程方面具有潜力。观察到将 PFMCAP 融入护理教育可以帮助护理学生更好地适应临床实践并有效管理压力。

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