应对战略与抑郁症的学生在COVID-19大流行期间执业于护理诊所

Esti Widiani, Ira Rahmawati, Nurul Hidayah
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引用次数: 0

摘要

在新冠肺炎疫情大流行的背景下,对护理专业学生临床实践的要求需要提高专业水平。矛盾的是,这种强化的临床环境也增加了护理学生中抑郁症的发病率,使他们面临的先前存在的挑战复杂化。本研究旨在调查新冠肺炎大流行期间积极从事临床实践的护生应对策略与抑郁的相关性。共有373名护生参与本横断面研究。采用患者健康问卷(PHQ-9)对被调查者的抑郁状况进行评估。运用《问题经验量表》(Brief-COPE)对大学生的应对策略进行评价。结果产生了重要的见解,重组的应对策略(p=0.009)显示了与抑郁的显著相关性。在以情绪为中心的应对策略领域,接受分量表(p=0.310)与抑郁无显著相关,而情绪支持(p=0.037)、发泄(p=0.000)、幽默(p=0.000)和自责(p=0.003)与抑郁均有显著相关。此外,在回避应对领域,自我分心(p=0.000)、否认(p=0.008)、物质使用(p=0.000)和行为脱离(p=0.000)也被发现与抑郁显著相关。这些发现强调了培养适应性应对策略的重要性,并强调了临床教师在临床实践中,特别是在2019冠状病毒病大流行的挑战背景下,在准备和支持学生有效管理自己情绪健康方面的关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strategi Koping dan Depresi pada Mahasiswa yang Praktek Klinik Keperawatan saat Pandemi COVID-19
Against the backdrop of the COVID-19 pandemic, the demands placed on nursing students during clinical practice have necessitated a heightened level of professionalism. Paradoxically, this intensified clinical environment has also given rise to increased rates of depression among nursing students, compounding the preexisting challenges they face. This study is driven by the objective of investigating the correlation between coping strategies and depression among nursing students actively engaged in clinical practice during the COVID-19 pandemic. A total of 373 nursing students participated in this cross-sectional study. The assessment of depression among the respondents was carried out using the Patient Health Questionnaire (PHQ-9). Coping strategies were evaluated through the application of the Coping Orientation to Problems Experienced Inventory (Brief-COPE). The results yielded significant insights, with the coping strategy of reframing (p=0.009) demonstrating a noteworthy correlation with depression. In the realm of emotion-focused coping strategies, while the acceptance subscale (p=0.310) did not exhibit a significant correlation with depression, emotional support (p=0.037), venting (p=0.000), humor (p=0.000), and self-blame (p=0.003) all displayed notable correlations with depression. Furthermore, within the domain of avoidance coping, self-distraction (p=0.000), denial (p=0.008), substance use (p=0.000), and behavioral disengagement (p=0.000) subscales were also found to be significantly correlated with depression. nThese findings underscore the paramount importance of fostering adaptive coping strategies and emphasize the pivotal role of clinical instructors in preparing and bolstering students to effectively manage their emotional well-being during clinical practice, particularly within the challenging context of the COVID-19 pandemic.
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