Department of Community Nursing, School of Nursing, China Medical University, China.
School of Public Health, Peking University, China.
Nurse Educ Today. 2024 Nov;142:106346. doi: 10.1016/j.nedt.2024.106346. Epub 2024 Aug 11.
Mental health-related stigma remains a complex and pervasive issue globally. It not only inhibits individuals from seeking help but also influences the quality of healthcare they receive. Despite extensive research on mental health-related stigma, there is still limited understanding of factors influencing mental health-related stigma among nursing students.
This study aimed to assess the level of mental health-related stigma among Chinese nursing students and investigate possible associated factors.
Data were collected from the 2023 Psychology and Behavior Investigation of Chinese Residents (PBICR) survey. A total of 967 nursing students were included in the study. Multivariate stepwise linear regression analysis was conducted to examine the influencing factors of mental health stigma.
The mean mental health-related stigma score among nursing students was 15.31 ± 5.23 (range = 0-27). Perceived stress (β = 0.14, P = 0.001), self-efficacy (β = 0.22, P < 0.001), academic stage (β = 0.17, P < 0.001), depression (β = 0.15, P < 0.001), and adverse life events (β = 0.06, P = 0.044) were significantly associated with mental health-related stigma among nursing students (R = 0.147, adjusted R = 0.143, F = 33.214, P < 0.001).
Nursing students in China exhibit a moderate level of mental health-related stigma, suggesting room for improvement. Perceived stress, self-efficacy, academic stage, depression, and adverse life events emerged as significant influencing factors for mental health-related stigma. These findings provide valuable insights for developing interventions to reduce mental health-related stigma among nursing students, ultimately enhancing their well-being and preparing them for becoming competent healthcare professionals in the future.
心理健康相关污名化在全球范围内仍然是一个复杂且普遍存在的问题。它不仅阻碍个人寻求帮助，还影响他们所获得的医疗保健质量。尽管已经对心理健康相关污名化进行了广泛的研究，但对于影响护理学生心理健康相关污名化的因素仍缺乏深入的了解。
本研究旨在评估中国护理学生的心理健康相关污名程度，并探讨可能的相关因素。
数据来自 2023 年中国居民心理学与行为调查（PBICR）。共纳入 967 名护理学生。采用多元逐步线性回归分析来检验心理健康污名的影响因素。
护理学生的心理健康相关污名平均得分为 15.31±5.23（范围为 0-27）。感知压力（β=0.14，P=0.001）、自我效能感（β=0.22，P<0.001）、学业阶段（β=0.17，P<0.001）、抑郁（β=0.15，P<0.001）和不良生活事件（β=0.06，P=0.044）与护理学生的心理健康相关污名显著相关（R=0.147，调整 R=0.143，F=33.214，P<0.001）。
中国护理学生存在中度的心理健康相关污名，表明仍有改进的空间。感知压力、自我效能感、学业阶段、抑郁和不良生活事件是心理健康相关污名的重要影响因素。这些发现为制定干预措施提供了有价值的见解，以减少护理学生的心理健康相关污名，最终增强他们的幸福感，并为他们未来成为有能力的医疗保健专业人员做好准备。
