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护理专业学生的心理健康与摩洛哥地震:一项横断面研究。

Mental health of nursing students regarding the Moroccan earthquake: A cross-sectional study.

机构信息

ISPITS-Higher Institute of Nursing Professions and Health Techniques, Marrakech, Morocco.

ISPITS-Higher Institute of Nursing Professions and Health Techniques, Marrakech, Morocco.

出版信息

Enferm Clin (Engl Ed). 2024 Sep-Oct;34(5):377-385. doi: 10.1016/j.enfcle.2024.09.002. Epub 2024 Sep 21.

Abstract

OBJECTIVE

In addition to the economic and social impact, mental health issues are one of health needs during natural disaster such as earthquake. Thus, surveillance for mental health variables is crucial for public health planning. Nursing students as professional students may be particularly vulnerable to adverse mental health effects after an earthquake because of their potential role in emergency response and the challenges associated with providing medical care in crisis conditions. The aim of this research was to assess the mental health of students after six months of the Moroccan earthquake and associated factors.

METHOD

A cross-sectional survey of student nurses was conducted on March 2024; six months after the Moroccan earthquake in front to 261 students using class sampling method. Three validated psychometric measures, Post-Traumatic Stress Disorder (PCL-C), Depression, Anxiety and Stress Scale (DASS-21), and The Connor-Davidson Resilience Scale (CD-RISC) were used to assess the nursing student mental health after Moroccan earthquake.

RESULTS

Anxiety, Depression, Stress and abnormal post-traumatic stress rank was present respectively in 44.8%, 37.1%, 7.7%, 61.3% of participants. However, a minority of students obtained the high resilience score (13.8%). The results showed that the DAS scale correlated negatively with age (p = 0.034). Furthermore, the female gender, 3rd grade students (as final year for the nursing diploma) and those who had lost a family member in the natural disaster obtained higher medians with a significant difference in the DAS scale score (p < 0.05). The post-traumatic stress scale was only affected by material damage (p = 0.044). However, the high level of scores resilience obtained significantly for students living with their families. In contrast, no association between the mental health of nursing students and attending the phenomenon or living near earthquake foci.

CONCLUSION

This study has demonstrated the crucial need to train healthcare providers in emotion management in the event of a natural disaster, and to launch a priori initiatives, particularly with regard to the mental health of students in health universities, in order to prepare them psychologically for any intervention in the case of an alert.

摘要

目的

除了经济和社会影响外,心理健康问题也是地震等自然灾害中的健康需求之一。因此,监测心理健康变量对于公共卫生规划至关重要。护理专业学生可能特别容易受到不良心理健康影响,因为他们在紧急救援中的潜在作用以及在危机条件下提供医疗服务的挑战。本研究旨在评估摩洛哥地震六个月后学生的心理健康状况及其相关因素。

方法

2024 年 3 月,采用班级抽样法对 261 名学生进行了护理专业学生的横断面调查;这是在摩洛哥地震六个月后进行的。使用三种经过验证的心理测量学措施,创伤后应激障碍(PCL-C)、抑郁、焦虑和压力量表(DASS-21)和Connor-Davidson 韧性量表(CD-RISC),评估摩洛哥地震后护理专业学生的心理健康状况。

结果

焦虑、抑郁、压力和异常创伤后应激分别存在于 44.8%、37.1%、7.7%、61.3%的参与者中。然而,只有少数学生获得了高韧性评分(13.8%)。结果表明,DAS 量表与年龄呈负相关(p=0.034)。此外,女性、三年级学生(护理文凭的最后一年)和在自然灾害中失去家庭成员的学生在 DAS 量表评分上获得了更高的中位数,且差异具有统计学意义(p<0.05)。创伤后应激量表仅受物质损失的影响(p=0.044)。然而,与住在家里的学生相比,高韧性得分显著提高。相反,护理专业学生的心理健康与参加地震现象或居住在地震焦点附近之间没有关联。

结论

本研究表明,在自然灾害发生时,必须培训医疗保健提供者进行情绪管理,并且必须提前采取行动,特别是要关注卫生大学学生的心理健康,以便在警报发出时为他们的心理干预做好准备。

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