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中国取消毕业大补考背景下护生复读生应激反应的预测因素。

Predictive factors of stress response of nursing student repeaters under the background of abolishing the final supplementary examination in China.

机构信息

School of Nursing, Guizhou Medical University, Guiyang, 550004, China.

School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100144, China.

出版信息

BMC Med Educ. 2024 Aug 25;24(1):920. doi: 10.1186/s12909-024-05909-x.

Abstract

BACKGROUND

Academic pressure and frustration stimulation are significant stressors in college students, and response to the prolonged stimuli would cause adverse mental and physical outcomes. However, more is needed to know about the stress response and its predictors among undergraduate nursing students retaking failed course under the background of the abolition of the Final Supplementary Examination in China. This study aimed to investigate the stress response and its predictive factors of nursing student repeaters who are retaking at least one failed course.

METHODS

A cross-sectional study was conducted, utilizing convenience sampling to recruit 120 nursing student repeaters from four 4-year undergraduate medical universities in China between September 2020 and May 2021. Data collection instruments included a general information questionnaire, a stress response questionnaire, the Connor-Davidson resilience scale, a self-control scale, and a academic self-efficacy questionnaire. The data were analyzed using descriptive statistics, Pearson correlation coefficients, t-tests, analysis of variance (ANOVA), and multiple linear regression.

RESULTS

The average scores of the total stress response, emotional response, physical response, and behavioral response were 58.07 ± 26.72, 86.97 ± 17.12, 57.69 ± 9.75, 67.16 ± 9.22, respectively. Stress response was predicted by psychological resilience, self-control ability, academic self-efficacy and the number of retaking courses.

CONCLUSIONS

The stress response among nursing student repeaters is relatively active. Higher psychological resilience, self-control ability, and academic self-efficacy predict lower levels of stress response. In order to help nursing students with failing and repeating course release their psychological stress and maintain well-being, nursing educators could adopt self-control promotion strategies and emphasize the cultivation of psychological resilience and academic self-efficacy as parts of health promotion programs for this particular student group.

摘要

背景

学术压力和挫折刺激是大学生的重要应激源,对长期刺激的反应会导致不良的心理和生理后果。然而,在中国取消期末补考的背景下,我们需要更多地了解本科护生重修失败课程时的应激反应及其预测因素。本研究旨在调查至少有一门课程重修的护生复读者的应激反应及其预测因素。

方法

采用横断面研究,于 2020 年 9 月至 2021 年 5 月,便利抽取中国四所 4 年制本科医学院校的 120 名护生复读者进行调查。数据收集工具包括一般情况问卷、应激反应问卷、Connor-Davidson 韧性量表、自我控制量表和学业自我效能感问卷。采用描述性统计、Pearson 相关系数、t 检验、方差分析(ANOVA)和多元线性回归分析数据。

结果

总应激反应、情绪反应、身体反应和行为反应的平均得分为 58.07±26.72、86.97±17.12、57.69±9.75、67.16±9.22。应激反应由心理韧性、自我控制能力、学业自我效能感和重修课程数预测。

结论

护生复读者的应激反应较为活跃。较高的心理韧性、自我控制能力和学业自我效能感预测应激反应水平较低。为帮助重修课程的护生缓解心理压力,维护身心健康,护理教育者可采取自我控制促进策略,并将心理韧性和学业自我效能感的培养作为该特殊学生群体健康促进计划的一部分。

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