An investigation of response to SARS stress and mental health of nurse students during SARS prevalent period
- VernacularTitle:护理学员在严重急性呼吸系统综合征流行期间心理应激与心理健康状况调查
- Author:
Xiaolin LI
;
Xiaoling LI
;
Qi ZHANG
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2005;9(44):165-167
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND: SARS, as a kind of sudden stress source, make quite a few people present symptoms such as panic emotion, psychological allergic reaction, etc. There are also partial nurse students who worry about to be infected, fear to practice in clinical departments and live in an irritable mood, which interferes their clinical practice and affects both body and mind health.OBJECTIVE: Through the investigation of the nurse students' stress response and anxiety symptom to understand their psychological stress response scale and anxiety level during the prevailing period of SARS.DESIGN: An intersectional investigation with the nurse students doing clinical practice or probation apprentice as observative objects.SETTING: Department of Psychiatry, West China Hospital, Sichuan Univesity PARTICIPANTS: In May 2003, the nurse students of 2-4 grade doing clinical practice and probation in West China Nursing College of Sichuan University were selected as observative objects, all of whom had no record of mental illness or other severe disease, and volunteered to receive the investigation. 305 questionnaires were sent out and 299 valid questionnaires were taken back. They were 171 junior college students (47.2%) and 128undergraduates (42.8%) of 18-32 years old, average 21.51,and boy students held 4.6% while girl students 93.4%.METHODS: The crisis response questionnaire was used to investigate the nurse students' response scale to SARS crisis from three aspects such as cognition, emotion and behavior. The response grade is from 1 to 10.The total score scale is 3-30. 3 means no impairment, 3-9 means is a little impairment, 9-15 means slight impairment, 15-21 means moderate, 21-27 means significant, and more than 27 means severe. The self-rating anxiety scale (SAS) compiled by Zung in 1971 was mainly used to assess the frequency of the appearance of the symptoms defined in each item in the students being investigated, including 20 items and score in 4 grades: 1 indicates never (appear) or in a little time,2 indicates in a small part of time,3indicates in a large part of time,4 indicates almost in the whole or in the whole time. Only the matter of fact in the recent week was investigated in the above two questionnaires. The students were required to fill in the questionnaires separately on the spot, and the questionnaires were handed in as soon as they were filled out.MAIN OUTCOME MEASURES: The nurse students' response scale and anxiety level to SARS crisis on cognition, emotion and behavior.RESULTS: 305 questionnaires were sent out and 299 were taken back,with a back rate of 98%. ①Crisis response scale: in the three aspects of cognition, emotion and behavior of the nurse students, 21.7% of them had no impairment,56.8% had a little impairment, 13.8% had slight impairment,5.4% had moderate impairment ,1.7% had significant impairment and only 0.7% had severe impairment. The score of the undergraduates on their cognition, emotion and behavior and the total score of crisis response were obviously higher than those of the junior college students (P ＜ 0.05).②Anxiety level: the nurse students' self-assessed result was that the total score was higher than that of the average normal Chinese [(39.89±11.98,29.78±0.46),(P＜0.05)],the number of them with score higher than normal level made up 82.3% and there was no significant difference in scores on SAS between junior college students and undergraduates. ③Relation between crisis response and anxiety level: the analytic result of the relation between the stress response scale and anxiety level indicated that they had relativity (r=0.685 ,P ＜0.01).CONCLUSION: Facing the stress response to SARS crisis, the nurse students are impaired to some extent on their cognition, emotion and behavior.Their anxiety level are higher than that of the average normal Chinese and their psychological stress response scale has positive correlation with the anxiety level.
