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职业护理专业学生的习得性无助:现状及影响因素

Learned helplessness among vocational nursing students: current status and influencing factors.

作者信息

Wang Yiheng, Zhou Chunhong, Qian Xihong, Zhao Ying, Gao Ling, Xu Wenlan

机构信息

Public Business Management 2022, Guangzhou Medical University, Guangzhou, China.

FuYang Health School, No. 1511, Yinghe West Road, Yingzhou District, Fuyang, Anhui Province, China.

出版信息

BMC Med Educ. 2025 Jul 1;25(1):881. doi: 10.1186/s12909-025-07571-3.

Abstract

OBJECTIVE

To investigate the prevalence of learned helplessness among vocational nursing students and to analyze its influencing factors, to provide insights for nursing education.

METHODS

A cross-sectional survey was conducted among vocational nursing students from two vocational colleges in Fuyang, China using a stratified random sampling method. Data were collected using Learned Helplessness Scale (LHS, higher scores indicating a more severe degree of helplessness) and Symptom Checklist-90 (SCL-90).

RESULTS

A total of 1,373 valid questionnaires were ultimately included in the analysis, yielding a response rate of 98.1%. The mean score on the LHS was 38.18 ± 16.67. The association between LHS scores and SCL-90 scores was not statistically significant (p = 0.09). Multivariate linear regression analysis revealed that the following factors were significantly associated with learned helplessness: low per capita household income (< 3000 yuan), non-voluntary choice of major (joint decision, parental preference, or other), non-passive future career orientation (further education or employment), low self-perceived major satisfaction, and poor interpersonal relationships with classmates (P < 0.05).

CONCLUSION

The degree of learned helplessness exhibited by vocational nursing students is characterized as moderate, and it is influenced by many factors. Therefore, it is essential for educators, including instructors, head teachers, and clinical preceptors, to pay attention to the mental health status of nursing students. Schools should enhance their mental health education programs and strengthen home-school collaboration to provide timely and appropriate guidance to students.

摘要

目的

调查高职护理专业学生习得性无助的发生率并分析其影响因素,为护理教育提供参考。

方法

采用分层随机抽样方法,对中国阜阳两所高职院校的高职护理专业学生进行横断面调查。使用习得性无助量表(LHS,得分越高表明无助程度越严重)和症状自评量表(SCL-90)收集数据。

结果

最终共纳入1373份有效问卷进行分析,有效回收率为98.1%。LHS量表的平均得分为38.18±16.67。LHS得分与SCL-90得分之间的关联无统计学意义(p = 0.09)。多因素线性回归分析显示,以下因素与习得性无助显著相关:家庭人均收入低(<3000元)、非自主选择专业(联合决定、家长偏好或其他)、未来职业取向非消极(升学或就业)、自我感知的专业满意度低以及与同学的人际关系差(P<0.05)。

结论

高职护理专业学生的习得性无助程度为中等,且受多种因素影响。因此,包括教师、班主任和临床带教老师在内的教育工作者必须关注护理专业学生的心理健康状况。学校应加强心理健康教育项目,并加强家校合作,为学生提供及时、适当的指导。

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