Academic stress,COVID-19 anxiety,and quality of life among nursing students: The mediating role of resilience

Aim

This study investigated the mediating role of resilience in the relationship between academic stress, COVID-19 anxiety, and quality of life (QoL) among Filipino nursing students during the COVID-19 pandemic.

Background

The COVID-19 pandemic has impacted the QoL of nursing students who are experiencing mental health issues. The mediating role of resilience in mitigating the effects of academic stress and COVID-19 anxiety on nursing students’ QoL remains understudied.

Methods

This study employed a correlational cross-sectional design, with a convenience sample of 611 Filipino nursing students. Data were collected using the scales Connor and Davidson Resilience, Brunnsviken Brief Quality of Life, COVID-19 Anxiety, and Perception of Academic Stress and analyzed using Pearson's r, bivariate analysis, and multistage regression analyses.

Results

Academic stress and COVID-19 anxiety negatively correlated with QoL and resilience. Resilience was positively associated with QoL and reduced the effect of academic stress on QoL, indicating that resilience is a crucial mediating variable between academic stress and QoL. Finally, resilience had a significant mediating influence on QoL, as evidenced by a reduction in the effect of COVID-19 anxiety on QoL among nursing students.

Conclusions

Filipino nursing students' QoL was affected by academic stress and COVID-19–related anxiety. However, resilience mediated this impact, preserving QoL.

Implications for nursing and health policy

Nursing colleges and affiliated hospitals must collaborate to monitor academic stress and pandemic-related anxiety. Nursing students should be provided with programs such as seminars and team-building activities to enhance their resilience.     

Religious and spiritual beliefs,self‐esteem,anxiety, and depression among nursing students

Research of the role of religious belief and/or spirituality has been conducted on a wide range of health‐related topics, across many disciplines, and in many countries. The purpose of this study was to determine the relationship between religious beliefs, self‐esteem, anxiety, and depression in nursing students in Cyprus. One hundred and twenty‐three nursing students were asked to complete a survey consisting of four self‐report questionnaires (Beck Depression Inventory, State–Trait Anxiety Inventory, The Royal Free Interview for Religious and Spiritual Beliefs, and Rosenberg Self‐esteem Scale). The lowest levels of depression were observed in the third and fourth study year. Normal self‐esteem levels were found in the majority of the students (71.3%) and most of them perceived current stress at mild levels. No significant differences on the basis of sex were observed. The vast majority (98.2%) of the students stated a strong religious and/or a spiritual belief that was strongly positively correlated with increased self‐esteem and negatively correlated with depression, current stress, and stress as personality trait.     

癌症患者医学应对方式在心理弹性与死亡焦虑间的中介效应

目的:探讨癌症患者医学应对方式在心理弹性与死亡焦虑间的中介效应。方法:采用便利抽样法,于2020年6—8月选取北京市2所肿瘤专科医院的330例住院患者为研究对象,采用一般资料调查表、中文版死亡焦虑量表、医学应对方式问卷和心理弹性量表对其进行调查。采用Pearson相关分析法和多重线性回归分析癌症患者死亡焦虑、医学应对方...     

心理干预对中学生厌学者焦虑、抑郁情绪的影响研究

目的：了解心理干预对中学生厌学、焦虑、抑郁影响。方法：回顾分析我院心理科学生80名,对照组与观察组各40名,对照组常规心理疏导,观察组实施全面心理干预,对比两组厌学纠正率、焦虑、抑郁情况。结果：观察组厌学不良情况纠正率高于对照组;观察组SAS分、SDS分低于对照组;观察组满意度、心理素质问卷评分高于对照组(P＜0.05)。结论：心理干预能够改善厌学情况,降低焦虑、抑郁影响。     

护理本科生创伤后应激障碍与压力及心理弹性的相关性研究

目的探讨本科护理专业学生创伤后应激障碍(post-traumatic stress disorder,PTSD)的发生情况及其与压力、心理弹性的相关性,从而为早期预防、干预提供科学依据。方法采用创伤后应激障碍筛查量表平民版(PTSD Checklist-Civilian Version,PCL-C)、大学生压力问卷、心理弹性量表对754名某高校本科护理专业学生进行问卷调查。结果 PCL-C量表总分为(30.7±9.14)分,维度条目均分:重新体验为(1.85±0.62)分,回避/麻木为(1.77±0.57)分,高警觉为(1.82±0.66)分。PTSD症状阳性率为9.15%,其中男生症状阳性率高于女生(χ~2=9.610,P=0.002)。大学生压力问卷总分与创伤后应激障碍量表总分呈正相关(r=0.592);心理弹性总分与创伤后应激障碍量表总分呈负相关(r=-0.263)。结论本科护理专业学生中存在PTSD症状,重新体验症状发生率最高。学生压力越大,PTSD发生的可能性越大;而心理弹性越好,PTSD发生的可能性越小。     

本科护生心理韧性在生活事件与手机成瘾间的中介作用

目的:探讨本科护生手机成瘾现状及其影响因素,分析心理韧性在生活事件与手机成瘾间的中介作用.方法:采用大学生智能手机成瘾量表(MPATS)、青少年心理韧性量表(RSCA)及青少年生活事件量表(ASLEC)对2所高校417名护理本科生进行问卷调查.结果:本科护生手机成瘾得分为(39.05±11.30)分,阳性率为23.0％;心理韧性总分为(91.20±12.79)分;生活事件总分为(28.92±25.09)分.喜欢本专业者手机成瘾得分低于不喜欢本专业者,家庭氛围民主者手机成瘾得分最低,经比较差异有统计学意义(P<0.05).手机成瘾的本科护生在生活事件总分及各维度得分均高于无手机成瘾者,经比较差异有统计学意义(P<0.05).手机成瘾总分及各维度得分与心理韧性总分呈明显负相关(P<0.01),与生活事件总分呈明显正相关(P<0.01).本科护生手机成瘾的影响因素是情绪控制、积极认知、生活事件总分、人际关系、学习压力、受惩罚、丧失及健康适应.生活事件正向预测手机成瘾(β=0.173,P<0.01),负向预测心理韧性(β=-0.170,P<0.01),心理韧性在生活事件与手机成瘾的关系中存在部分中介效应.结论:本科护生智能手机成瘾性处于低水平,本科护生生活事件可通过心理韧性间接影响手机成瘾,可通过提高护生的心理韧性预防或降低手机成瘾.     

Computer anxiety among nursing students, educators, staff, and administrators

This article reports the results of a study of computer anxiety among a large (n = 638), diverse sample of nurses (undergraduate and graduate students, educators, staff nurses, and nurse managers). Data were collected using the Oetting Computer Anxiety Scale (COMPAS). Although there was significant variability within and between groups, most nurses exhibited only "mild" computer anxiety and expected to be using computers within three years. Correlates of computer anxiety are also discussed.     

本科护生心理压力与心理弹性的现况调查

目的：调查分析本科护生心理压力水平及心理弹性的状况及二者之间的相关性。方法采用大学生压力问卷、Connor-Davidson心理弹性问卷（ CD-RISC）对754名本科护生进行调查。结果大学生压力平均值为（66.8±39）分,条目均分为（0.98±0.57）分,主要压力源得分从高到低排列前三位依次是：学习压力、前程压力、自主与独立压力,男生压力得分大于女生（P〈0.05）;心理弹性平均值为（34.35±15.6）分,明显低于国内常模（P〈0.05）,女生平均得分大于男生,一年级学生得分较高（P〈0.05）;压力得分与心理弹性得分呈负相关（P〈0.05）。结论学习压力是本科护生的主要压力源,护生的心理弹性力较弱,教育者应有针对性采取措施提高其心理弹性能力,有助于减轻其心理压力。     

Mediating role of resilience in relationship between negative life events and depression among Chinese adolescents

PurposeTo explore whether resilience acted as a protective factor between negative life events and depression among Chinese adolescents.MethodUsing convenient sampling, students (N = 278) in two junior and senior high schools in Wuhan, China were investigated, and structural equation model was used to examine the mediating effect of resilience in the relationship between negative life events and depression.ResultsResilience was negatively correlated with negative life events and depression, and negative life events were positively correlated with depression. Resilience partially mediated the effects of negative life events on depression in Chinese adolescents.ConclusionsIt is important for educators to improve adolescents' resilience to mitigate the effects of negative life events on depression.     

自我效能在肝癌术后患者恐惧疾病进展与焦虑抑郁间的中介效应

目的 探讨肝癌术后患者自我效能感与恐惧疾病进展及焦虑抑郁的关系,并分析自我效能在恐惧疾病进展与焦虑抑郁间的中介效应.方法 采用一般资料调查表、恐惧疾病进展量表、一般自我效能感量表、医院焦虑抑郁量表对广州市某三级甲等肿瘤医院175例原发性肝癌术后患者进行调查分析.结果 肝癌术后患者自我效能总分为(2.54±0.65)分,...     

工作满意度在护士心理弹性与职业倦怠间的中介效应

目的 探讨工作满意度在护士心理弹性与职业倦怠间的中介效应。方法 采用便利抽样法,2022年11—12月选取广州市6家公立医疗机构的护士作为研究对象。采用心理弹性调查量表、护士工作满意度量表、中国职业倦怠量表对其进行调查,采用AMOS 25.0构建心理弹性-工作满意度-职业倦怠关系模型,并进行中介效应检验。结果 本组护士职业倦怠总分为（45.65±12.36）分、心理弹性总分为（86.76±16.48）分、工作满意度总分为（51.59±11.05）分。本组护士职业倦怠与心理弹性呈负相关（r=-0.523,P<0.001）,职业倦怠与工作满意度呈负相关（r=-0.541,P<0.001）,心理弹性与工作满意度呈正相关（r=0.640,P<0.001）,护士工作满意度在心理弹性与职业倦怠中起部分中介效应。中介效应值为-0.273,效应占比为50.8%。结论 本组护士职业倦怠总体呈中等偏下水平,心理弹性、工作满意度总体呈中等偏上水平。护士心理弹性可以通过工作满意度间接影响其职业倦怠。建议护理管理者采取积极措施来提升护士心理弹性,提高其工作满意度,进而降低职业倦怠水平。     

Women's mental health nursing: depression, anxiety and stress during pregnancy

Depression affects more women than men, with a preponderance of cases occurring during prime childbearing years (15-44 years of age). Research shows newborns and infants exposed to maternal antepartum depression, anxiety and stress exhibit pronounced neurobiobehavioral dysregularities. The present study investigated the relationship between maternal psychosocial and biochemical profiles during the antepartum period. Participants were recruited from prenatal registration at a large metropolitan hospital in the southeastern USA--the sample consisted of 59 pregnant women (mean age = 22 years). Structured clinical interviews and maternal self-report were utilized to assess maternal psychosocial distress at mid- (26-28 weeks) and late- (32-34 weeks) gestation. Salivary cortisol levels served as an objective stress measure. The resultant high incidences of maternal depression, anxiety and stress provide evidence of the need for nurses to closely monitor psychosocial and biochemical profiles of all women to thwart the negative effects on the developing human foetus. Clinical nursing implications of the requisite consideration of antepartum maternal psychosocial conditions are discussed.     

Testing general self‐efficacy,perceived competence,resilience, and stress among nursing students: An integrator evaluation

The purpose of this study was to develop a predictive model for perceived competence and to obtain an integrator evaluation of the nursing curriculum with measures of nursing self‐efficacy, general self‐efficacy, resilience, and stress among nursing students. A correlational study with nursing students (N = 265) from the degree in nursing was conducted. A factor analysis was used to test the construct validity of nursing self‐efficacy and perceived competence. The correlational and discriminant analyses evaluated the factors in the four academic levels of the degree (2016–2017) to identify the variables involved in the classification of the students in each level. The results of exploratory and confirmatory factor analyses of nursing self‐efficacy and perceived competence revealed a statistically significant good fit and consistency. Nursing self‐efficacy, general self‐efficacy, resilience, and year of the degree course predicted 34% of perceived competence scores. The discriminant function of nursing self‐efficacy, perceived competence, and resilience classified 76% of participants in the first and last years of the degree. Nursing self‐efficacy, perceived competence, and resilience increased with academic level. They help chart nursing students' progress through the curriculum.     

护理专业学生压力源及压力管理的研究进展

在护理工作中压力的存在是一个全球性的现象,因为一系列的研究证明,护士是一项压力非常大的职业。Rhead指出,压力在护理中并非开始于护士去病房工作,而是学生在接受护理教育时就已经很明显了。柯永红也指出,作为护理队伍后备力量的护理专业学生,也同样承受着来自诸多方面的压力。虽然适度的压力能激发学生的潜能去应对日常生活的挑战,但过高的压力会影响学生的学习和身心健康,     

本科护生专业承诺在领悟社会支持与学习投入间的中介效应

目的探讨专业承诺在本科护生领悟社会支持与学习投入间的中介作用。方法采用方便抽样法,于2019年4月选取安徽省4所医学院校本科护生768名为研究对象。采用一般资料调查表、领悟社会支持量表、大学生专业承诺量表、大学生学习投入问卷对其进行调查。采用SPSS 23.0和AMOS 24.0软件进行数据分析,单因素分析采用t检验、方差分析及Pearson相关分析,变量间关系模型采用结构方程模型进行验证。结果本研究共发放问卷768份,回收有效问卷720份,有效回收率为93.75%。720名本科护生学习投入问卷总分(3.31±0.49)分。不同性别(t=-2.210)、年级(F=6.822)、是否为学生干部(t=3.595)、就读意愿(F=3.243)的本科护生学习投入总分比较差异有统计学意义(P<0.05)。领悟社会支持对专业承诺(β=0.40,P<0.01)和学习投入(β=0.13,P<0.01)均具有正向预测作用;专业承诺对学习投入有正向预测作用(β=0.71,P<0.01),专业承诺在领悟社会支持与学习投入间有部分中介作用。结论本科护生领悟社会支持可以通过专业承诺间接影响学习投入,护理教育工作者应采取多种方式加强护生社会支持,提高专业承诺水平,促进护生学习投入。     

Strengthening internal resources to promote resilience among prelicensure nursing students

Resilience is a complex construct that is not universally defined, but reflects the ability of a person, community, or system to positively adapt to adversity in a way that promotes growth and well-being. Developing resilient nurses is a promising strategy to reduce nurse burnout and improving retention. The purpose of this paper is to review selected literature, synthesize, and interpret the findings that point toward promising practices that educators can employ to support student resilience. Four prominent prelicensure nursing student internal protective factors associated with resilience and derived from the literature include self-efficacy, optimism, emotional intelligence, and self-stewardship/self-care. Interventions to promote nursing student resilience is not well developed, however, there are promising evidence to inform concepts and interventions to guide the development, skills, practices, and strategies for nurse educators. Educational strategies to enhance student nurse internal protective factors include reflection, positive reframing, problem-based learning, and mindfulness. Specific examples of each educational modality applied to prelicensure student nurse resilience are provided. Integrative strategies to support and cultivate internal protective factors to strengthen student resilience are paramount to nursing education and clinical nursing practice.     

护理干预对类风湿关节炎患者焦虑抑郁心理的影响

目的 :探讨护理干预对类风湿关节炎 (RA)患者焦虑抑郁心理的影响。方法 :应用Zung氏焦虑自评量表 (SAS)和抑郁自评量表 (SDS)评定患者情绪 ,并予以护理干预 ,包括建立类风湿关节炎患者个人康复档案 ,指导关节功能锻炼 ,集体进行健康教育 ,个别患者予以心理疏导、娱乐疗法等 ,比较护理干预前后的分值。结果 :类风湿关节炎患者存在明显的焦虑抑郁心理 ,与国内常模相比差异有显著性 (P <0 0 1 ) ;护理干预后症状明显改善 (P <0 0 1 )。结论 :对类风湿关节炎患者实施多层次、全方位、科学的护理干预。明显改善其焦虑抑郁心理。