Ballester-Ferrando David, Cáceres-Malagelada Esther, Rascón-Hernán Carolina, Botigué Teresa, Lavedán Ana, Masot Olga, Burjalés Dolors, González-Osorio Luis, Osorio-Spuler Ximena, Serrat-Graboleda Eva, Fuentes-Pumarola Concepció
Department of Nursing, University of Girona, 17003 Girona, Spain.
Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain.
Nurs Rep. 2025 Aug 8;15(8):288. doi: 10.3390/nursrep15080288.
Nursing students often face high academic and emotional demands, which can negatively affect both their mental health and academic performance. From a salutogenic perspective, the sense of coherence (SOC) is considered a key protective factor in managing stress and fostering resilience. : This study aimed to explore the SOC levels among nursing students and examine their associations with perceived academic stress and sociodemographic variables. : A multicenter, cross-sectional, exploratory study was conducted in a sample of 1301 undergraduate nursing students from four universities in Spain and Chile. Participants completed the Orientation to Life Questionnaire, a validated instrument assessing SOC and its three dimensions: comprehensibility, manageability, and meaningfulness. Sociodemographic data and students' perceived stress in relation to key academic activities were also collected. Descriptive and inferential statistical analyses were performed, including -tests and ANOVA. : The mean SOC score was 62.65 (SD = 12.36), with no significant differences between universities. Significant associations ( < 0.05) were found between SOC scores and age, marital status, academic year, work status, and university entry path, but not with gender or caregiving responsibilities. Students aged ≥29 years and those who were married or working had higher SOC scores. Higher levels of perceived stress in lectures, seminars, clinical practice, group work, and written assignments were significantly associated with lower SOC scores. : This study's findings suggest that a stronger SOC is associated with lower perceived academic stress and certain sociodemographic characteristics. Integrating salutogenic approaches into nursing curricula could strengthen students' SOC, promoting their mental well-being and academic resilience.
护理专业学生常常面临较高的学业和情感要求，这可能会对他们的心理健康和学业表现产生负面影响。从健康生成视角来看，连贯感（SOC）被认为是应对压力和培养复原力的关键保护因素。本研究旨在探讨护理专业学生的连贯感水平，并检验其与感知到的学业压力及社会人口统计学变量之间的关联。在西班牙和智利四所大学的1301名本科护理专业学生样本中开展了一项多中心、横断面探索性研究。参与者完成了《生活取向问卷》，这是一份经过验证的评估连贯感及其三个维度（可理解性、可管理性和意义性）的工具。还收集了社会人口统计学数据以及学生在关键学业活动方面感知到的压力。进行了描述性和推断性统计分析，包括t检验和方差分析。连贯感平均得分为62.65（标准差 = 12.36），各大学之间无显著差异。发现连贯感得分与年龄、婚姻状况、学年、工作状态和大学入学途径之间存在显著关联（P < 0.05），但与性别或照顾责任无关。年龄≥29岁以及已婚或工作的学生连贯感得分更高。在讲座、研讨会、临床实习、小组作业和书面作业中感知到的压力水平较高与较低的连贯感得分显著相关。本研究结果表明，更强的连贯感与较低的感知学业压力及某些社会人口统计学特征相关。将健康生成方法纳入护理课程可以增强学生的连贯感，促进他们的心理健康和学业复原力。
