Trajectories of Alcohol-Related Problems Among First-Year Nursing Students: Nature, Predictors, and Outcomes.

IF 2.9 2区 心理学 Q2 PSYCHIATRY
Pierre Cheyroux, Alexandre J S Morin, Roisin M O'Connor, Philippe Colombat, Alexis Vancappel, Rayana Eltanoukhi, Nicolas Gillet
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Abstract

This study aims to contribute to an improved dynamic person-centred comprehension of the distinct trajectories of alcohol-related problems observed among first-year nursing students. Data was collected from 2963 first-year nursing students on four occasions over the course of their first semester of professional training (3 months). Four main profiles best described trajectories of alcohol-related problems: High and Decreasing, Moderate and Stable, Moderate and Increasing, and Low and Stable. Our results suggested that initial (but not change in) levels of boredom, harassment, and alcohol use were primary drivers of these trajectories, reinforcing importance of early intervention. Initial levels of boredom and alcohol use were associated with a lower likelihood of membership into the Low and Stable profile relative to the other profiles. Boredom was also associated with higher initial levels of alcohol-related problems in the High and Decreasing and Low and Stable profiles, while alcohol use was associated with membership into the Moderate and Stable profile relative to High and Decreasing and Moderate and Increasing profiles, as well as with higher initial levels and fluctuations over time in alcohol-related problems in most profiles. Harassment was associated with higher initial levels of alcohol-related problems in the Moderate and Stable profile, and with fluctuations in problems in the High and Decreasing and Moderate and Stable profiles. Profiles with lower levels of alcohol-related problems tended to display lower levels of fatigue, and higher levels of perceived health and sleep quantity. Conversely, profiles with higher levels of alcohol-related problems displayed poorer health outcomes. The person-centred approach adopted in this study allows us to improve our understanding of how alcohol-related problems first unfold among first-year nursing students, as well as of the outcomes and predictors of these trajectories.

Abstract Image

Abstract Image

一年级护理学生酒精相关问题的轨迹:性质、预测因素和结果。
本研究旨在促进对一年级护理学生中观察到的酒精相关问题的不同轨迹的动态以人为本的理解。本研究收集了2963名护理专业一年级学生在第一学期(3个月)专业培训过程中的四次数据。四种主要概况最好地描述了与酒精有关的问题的轨迹:高度和减少,中度和稳定,中度和增加,以及低和稳定。我们的研究结果表明,最初(但没有改变)的无聊、骚扰和酒精使用水平是这些轨迹的主要驱动因素,这加强了早期干预的重要性。相对于其他类型,最初的无聊程度和酒精使用水平与低稳定类型的可能性较低有关。在高、减少型和低、稳定型人群中,无聊也与较高的酒精相关问题初始水平有关,而饮酒与相对于高、减少型和中、增加型人群的中度和稳定型人群有关,而且在大多数人群中,酒精相关问题的初始水平和随时间的波动也较高。在中度和稳定型中,骚扰与酒精相关问题的初始水平较高有关,而在高度和减少型和中度和稳定型中,骚扰与问题的波动有关。与酒精有关的问题水平较低的人往往表现出较低的疲劳程度,以及较高的健康水平和睡眠量。相反,与酒精有关的问题越严重,健康状况越差。本研究中采用的以人为本的方法使我们能够更好地理解与酒精相关的问题是如何在一年级护理学生中首先展开的,以及这些轨迹的结果和预测因素。
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来源期刊
Stress and Health
Stress and Health 医学-精神病学
CiteScore
6.40
自引率
4.90%
发文量
91
审稿时长
>12 weeks
期刊介绍: Stress is a normal component of life and a number of mechanisms exist to cope with its effects. The stresses that challenge man"s existence in our modern society may result in failure of these coping mechanisms, with resultant stress-induced illness. The aim of the journal therefore is to provide a forum for discussion of all aspects of stress which affect the individual in both health and disease. The Journal explores the subject from as many aspects as possible, so that when stress becomes a consideration, health information can be presented as to the best ways by which to minimise its effects.
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