Zhao Jiukai, Wu Yibo, Yuan Jie, Miao Juanxia, Wang Xue, Yang Yu, Zang Shuang
Department of Community Nursing, School of Nursing, China Medical University, Shenyang, Liaoning Province, China.
School of Public Health, Peking University, Beijing, China.
BMC Nurs. 2024 Nov 28;23(1):864. doi: 10.1186/s12912-024-02537-0.
The symptoms of interpersonal sensitivity and loneliness are prevalent among college nursing students. This study aims to investigate the interactions at the symptom level and elucidate the characteristics of the interpersonal sensitivity and loneliness symptoms network among Chinese college nursing students.
A cohort of 864 college nursing students participated in the study. Interpersonal sensitivity was assessed using the Chinese Version of the Short Form of the Interpersonal Sensitivity Measure (IPSM-CS), while loneliness symptoms were evaluated using the three-item Loneliness Scale (T-ILS). Central symptoms and bridge symptoms were determined using centrality and bridge centrality indices, respectively. The stability of the network was evaluated through the case-dropping procedure.
The most robust direct relationship was observed between the interpersonal sensitivity symptoms 'Feel happy when someone compliments' (IPSM-CS9) and 'Make others happy' (IPSM-CS10). 'Feel happy when someone compliments' (IPSM-CS9) exhibited the highest node strength in the interpersonal sensitivity and loneliness network, with 'They would not like me' (IPSM-CS2) following closely behind. Among the loneliness symptoms, 'Relational loneliness' (T-ILS1) demonstrated the highest bridge strength, followed by 'Intimate loneliness' (T-ILS3) and 'Social loneliness' (T-ILS2). The entire network displayed robustness in both stability and accuracy assessments.
This study emphasized the importance of central symptoms (e.g., 'Feel happy when someone compliments' and 'They would not like me') and bridge symptoms (e.g., 'Relational loneliness', 'Intimate loneliness', and 'Social loneliness'). Intervening in the central symptoms may effectively enhance the self-confidence of nursing students and foster harmonious relationships with others, thereby facilitating better adaptation to interpersonal relationships. Furthermore, by addressing bridge symptoms (e.g., meeting the need for approval and providing social support), nursing students can better adjust to their studies and practice with a more positive attitude during their college years.
人际敏感和孤独症状在护理专业大学生中普遍存在。本研究旨在调查症状水平上的相互作用，并阐明中国护理专业大学生人际敏感和孤独症状网络的特征。
864名护理专业大学生参与了本研究。人际敏感采用中文版人际敏感量表简表（IPSM-CS）进行评估，孤独症状采用三项孤独量表（T-ILS）进行评估。分别使用中心性和桥接中心性指标确定中心症状和桥接症状。通过逐个剔除案例的程序评估网络的稳定性。
在人际敏感症状“有人称赞时感到高兴”（IPSM-CS9）和“让别人高兴”（IPSM-CS10）之间观察到最强的直接关系。“有人称赞时感到高兴”（IPSM-CS９）在人际敏感和孤独网络中表现出最高的节点强度，“他们不会喜欢我（IPSM-CS2）紧随其后。在孤独症状中，“关系孤独”（T-ILS1）表现出最高的桥接强度，其次是“亲密孤独”（T-ILS3）和“社交孤独”（T-ILS2）。整个网络在稳定性和准确性评估中均表现出稳健性。
本研究强调了中心症状（如“有人称赞时感到高兴”和“他们不会喜欢我”）和桥接症状（如“关系孤独”、“亲密孤独”和“社交孤独”）的重要性。干预中心症状可能有效增强护生的自信心，促进与他人建立和谐关系，从而更好地适应人际关系。此外，通过解决桥接症状（如满足认可需求和提供社会支持），护生在大学期间可以以更积极的态度更好地适应学习和实践。
