实习护生身体意象现状及影响因素分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (10): 1381-1385.

实习护生身体意象现状及影响因素分析

陈奇^a, 唐世明^b, 张林^a, 丁圣楠^a, 王岩^a

杭州师范大学 a护理学院,b教育学院,浙江杭州 311121

收稿日期:2023-08-19 修回日期:2023-09-12 出版日期:2024-05-15 发布日期:2026-03-13
通信作者: 唐世明,教授,E-mail：2930732873@qq.com
作者简介:陈奇,女,在读硕士研究生,研究方向为护理心理。

Analysis on current situation and influencing factors of body image among nursing interns

CHEN Qi^a, TANG Shiming^b, ZHANG Lin^a, DING Shengnan^a, WANG Yan^a

a College of Nursing, b College of Education, Hangzhou Normal University, Zhejiang Hangzhou, 311121, China

Received:2023-08-19 Revised:2023-09-12 Online:2024-05-15 Published:2026-03-13
Contact: TANG Shiming,Professor,E-mail：2930732873@qq.com

摘要/Abstract

摘要： 目的调查实习护生身体意象现状并分析其影响因素,为学校及临床教育者采取干预措施,改善实习护生身体意象提供参考依据。方法 2022年12月—2023年3月,采用便利抽样法,选取浙江省、湖北省、河南省、北京市4所高等院校中处于临床实践期的563名护理实习生进行问卷调查。结果 563名实习护生身体意象总分为（29.53±7.31）分,睡眠质量总分为（6.70±3.12）分。不同体质量指数、是否喜欢护理专业、选择护理专业原因、夜班频率、有无脱发困扰、按时就餐、快餐外卖、运动状态及睡眠质量的实习护生身体意象得分比较,差异均有统计学意义（均P<0.05）。多元线性回归结果显示,体质量指数、是否喜欢护理专业、夜班频率、有无脱发困扰、运动状态及睡眠质量进入回归方程（均P<0.01）,共解释总变异的24.0%。结论实习护生身体意象处于中等水平,学校及临床教育者应积极开展评估及针对性干预工作,引导护生形成积极的身体意象。

关键词: 实习护生, 身体意象, 身体不满, 睡眠质量

Abstract: Objective To investigate the status of body image of nursing interns and analyze its influencing factors,in order to provide reference for school and clinical educators to take intervention measures to improve the body image of nursing interns. Methods December 2022 to March 2023,convenience sampling was used to select 563 nursing interns in the clinical practice stage of four higher education institutions in Zhejiang Province,Hubei Province,Henan Province,and Beijing City for a questionnaire survey. Results The total score of body image and sleep quality among 563 nursing interns was （29.53±7.31） and （6.70±3.12）points. There were statistically significant differences in the body image scores of nursing interns with different body mass index,whether they liked nursing major,reasons for choosing nursing majors,frequency of night shifts,whether they had alopecia disorder,timely dining,fast food and take-out,exercise status,and sleep quality（all P<0.05）. The results of multiple linear regression showed that body mass index,whether they liked nursing major,night shift frequency,whether they had alopecia disorder,exercise status and sleep quality entered the regression equation（all P<0.01）,explaining 24.0% of the total variation. Conclusion The body image of nursing interns is at moderate level,and school and clinical educators should actively carry out evaluation and targeted interventions to guide nursing interns to form positive body image.

Key words: Nursing intern, Body image, Body dissatisfaction, Sleep quality

中图分类号:

R395.6

陈奇, 唐世明, 张林, 丁圣楠, 王岩. 实习护生身体意象现状及影响因素分析. [J]职业与健康, 2024, 40(10): 1381-1385.

CHEN Qi, TANG Shiming, ZHANG Lin, DING Shengnan, WANG Yan. Analysis on current situation and influencing factors of body image among nursing interns. [J]OCCUPATION AND HEALTH, 2024, 40(10): 1381-1385.

参考文献

[1] 史攀,黄于飞,张翰之,等.消极身体意象对青少年的负面影响[J].心理科学进展,2020,28(2):294-304.
[2] 杨超,董之婕,闻浩言,等.积极身体意象的前因后果及其提升策略[J].心理科学进展,2023,31(5):815-826.
[3] 高亚威,刘爽爽,于昕洋,等.对外表的社会文化态度与不健康体重控制行为:直觉进食和身体欣赏的中介作用[J].中国临床心理学杂志,2022,30(3):554-560.
[4] DUARTE L S,CHINEN M N K,FUJIMORI E.Distorted self-perception and dissatisfaction with body image among nursing students[J].Rev Esc Enferm USP,2021,55:e03665.
[5] ZHANG T,SU D,LI S,et al.Person-centered evaluation of positive body image among Chinese nursing students:Associations with body appreciation,self-concept clarity,and negative affect[J].Front Psychol,2022,13:1088702.
[6] ATKINS H E,CAMPOLI M,HAVENS T R,et al.Self-care Habits of Nurses and the Perception of Their Body Image[J].Health Care Manag,2018,37(3):211-219.
[7] FRUH S M,TAYLOR S E,GRAVES R J,et al.Relationships among Hope,Body Satisfaction,Wellness Habits,and Stress in Nursing Students[J].J Prof Nurs,2021,37(3):640-647.
[8] 李峥,刘宇.护理学研究方法[M].2版.北京:人民卫生出版社,2018:132.
[9] CASH T F,FLEMING E C,ALINDOGAN J,et al.Beyond body image as a trait:the development and validation of the Body Image States Scale[J].Eat Disord,2002,10(2):103-113.
[10] 王霁. 身体意象状态量表的信度效度检验[D].武汉:武汉体育学院,2012.
[11] BUYSSE D J,REYNOLDS C F,MONK T H,et al.The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research[J].Psychiatry Res,1989,28(2):193-213.
[12] 刘贤臣,唐茂芹,胡蕾,等.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,29(2):103-107.
[13] 焦强. 社会性别视角下高校女生身体意象及体育教育对策研究[D].长春:东北师范大学,2015.
[14] 彭丽,王蓓,李丽,等.实习护生对自身体重的认知与体力活动的关系[J].护理研究,2012,26(16):1471-1473.
[15] 殷磊,刘明.中华护理学辞典[M].北京:人民卫生出版社,2011:1016-1017.
[16] 陈浩,吴玉芳,叶一舵.大学生体重污名量表的编制[J].中国心理卫生杂志,2023,37(2):179-184.
[17] 沈琪. 大学生外表反刍思维的量表编制及干预研究[D].杭州:浙江大学,2022.
[18] ÜNVER S,YILDIRIM M,CANSU YENI ĞÜN S.Personal protective equipment related skin changes among nurses working in pandemic intensive care unit:A qualitative study[J].J Tissue Viability,2022,31(2):221-230.
[19] LI T M,PIEN L C,CHENG W J.Direction and magnitude of social jetlag are associated with obesity:Results from a sample of hospital employees[J].Chronobiol Int,2022,39(9):1242-1248.
[20] 周明月. 青年女性面部皮肤脂质组昼夜节律的研究[D].北京:北京工商大学,2020.
[21] 马素素,陈晓燕,潘欢.化疗药物接触对临床护士健康的损害及防护现状调查[J].工业卫生与职业病,2022,48(3):192-194,198.
[22] BLAKE H,STANULEWICZ N,MCGILL F.Predictors of physical activity and barriers to exercise in nursing and medical students[J].J Adv Nurs,2017,73(4):917-929.
[23] 王玉洁,刘爽爽,于昕洋,等.不同群体中运动锻炼和体像态度的关系[J].教育生物学杂志,2022,10(2):142-147.
[24] GUPTA M A,GUPTA A K,KNAPP K.Dissatisfaction with cutaneous body image is directly correlated with insomnia severity:A prospective study in a non-clinical sample[J].J Dermatolog Treat,2015,26(2):193-197.
[25] 李宇斯,周曾理,王小丹,等.某三甲医院护理实习生实习前的睡眠质量与心理健康状况、人格的相关性[J].中国健康心理学杂志,2017,25(10):1571-1574.