| ObjectiveTo investigate the mental health distribution characteristics of Nursing postgraduates and analyze its influencing factors, especially the influence of coping style and social support, in order to provide a scientific basis for the mental health education of Nursing postgraduates.MethodsWith the convenience sampling method,273nursing postgraduates from12universities of China were surveyed. And the mental health status of those Nursing postgraduates was compared to that of207Medical postgraduate students from9universities, that of204non-medical postgraduate students from6universities and that of449undergraduate nursing students of He Nan Province.The survey tools including symptom checklist90(SCL-90), the Social Support Rating Scale(SSRS), Coping Style Questionnaire and the general questionnaire. Data were analyzed by SPSS17.0,statistical methods including descriptive analysis,single-sample t test, two independent samples t-test,rank sum test, ANOVA analysis, Spearman correlation analysis, binary logistic regression,Multiple linear stepwise regression analysis. Results1. Mental health status of Nursing postgraduates1.1288questionnaires were distributed273were valid questionnaires, and the effective rate was94.79%.The total score of SCL-90of nursing postgraduates was93-275with an average of(122.85±35.86), median of112while the average total score of it was(1.00～3.06)with an average of(1.37±0.40)and a median of1.24. A total of more than160for mental health were positive, the positive rate being12.45%; any factor score≥3detection rate was6.23%; any factor≥2was positive, the positive rate of each factor from high to low were as following:Obsessive-compulsive18.68%, Depression14.65%, Interpersonal sensitivity12.45%, Anxiety12.45%, Hostility11.36%, Other9.16%, Paranoia6.96%, Terror6.59%, Psychotic6.59%, Somatization5.86%.1.2The SCL-90score of nursing postgraduate students show that each factor of those Nursing postgraduate students was lower than that of the national youth norm and that of undergraduate nursing students; Anxiety factor score was of no significant difference;the remaining factor scores were lower than those of the Youth norm; Paranoid factor score was higher than that of Medical postgraduates; the SCL-90total score and the other nine factor scores were lower than those of Medical postgraduates; Somatization symptoms factor score was lower than that of non-medical postgraduates,Depression, Anxiety, Hostility, Psychosis factor scors were higher than those of the master of the non-medical postgraduates, and other factors scores were not statistically significant.1.3Different age groups, work experience, marital status, sources of tuition, educational level of parents of Nursing postgraduate students, statistically significant to the mental health status of Nursing postgraduates; Among Master of nursing, the only child, origin and grade,were not statistically significant.2. Influencing factor analysis of mental health of nursing postgraduates2.1Between social support and the SCL-90total score, Somatization, Interpersonal sensitivity, Depression were negative correlation (P<0.05); between the objective support and Somatization, Subjective support and Depression, the Utilization support and Interpersonal ensitivity, Depression were also negative correlation (P<0.05); the remaining correlations were not statistically significant (P>0.05); Nursing postgraduate students’ mental health was negatively correlated with Problem-solving, positively correlated with Self-blame, Fantasy, Retreat, Rationalization (P<0.05), the remaining correlations were not statistically significant (P>0.05).2.2Nursing postgraduates’ mental health factors, logistic regression analysis: age group, tuition sources, Problem-solving, Self-blame those four factors enter the regression equation of SCL-90total score;Problem-solving, Self-blame enter the Somatization factor regression equation; Problem-solving, Self-blame enter the forcing factors regression equation; educational level of parents, Problem-solving, Self-blame enter the Interpersonal sensitivity regression equation; Problem-solving, Self-blame enter the Depression factor regression equation; Tuition source, Self-blame enter the Anxiety factor regression equation; Self-blame, Retreat enter the Hostile factors regression equation; Self-blame enter the Terror factor regression equation; Self-blame enter the Paranoia factor regression equation; Problem-solving, Self-blame, Fantasy enter the psychotic regression equation; Problem-solving,Self-blame enter the Other factor regression equation.3. Influencing factor analysis of social support status of Nursing postgraduates.3.1Social support score from24to56, average (40.18±6.08); Objective support3～17, average (9.44±2.94); Subjective support13～32, average (22.32±3.66); Utilization support5～12, average(8.43±1.62). Compared with those of Medical postgraduate and undergraduate nursing students, three dimensions of Nursing postgraduates’social support score score were higher;compare with those of non-medical postgraduate,Nursing postgraduate students’ Objective support score was higher, and the difference was statistically significant (P<0.05); The differences in age groups,work experience, grade, origin, source, only children, marital status, tuition source, parental education level were statistically significant.3.2Nursing postgraduate students social support multiple linear stepwise regression revealed:origin, marital status, educational level of parents, tuition source enter the total score of social support regression equations, can predict12.90%of the variance; tuition source, parents’ educational level, work experience enter the Objective support regression equations,can predict7.70%of the variance; only children, marital status, tuition source enter the Subjective support regression equation, can predict13.20%of the variance; tuition source enter the Utilization support regression equations,can predict2.20%of the variance.4. Coping styles of nursing postgradudtes Status and influencing factors4.1Nursing postgradudtes’coping styles each dimension scores were Problem solving (0.87±0.12); Self-blame (0.42±0.35); Help (0.72±0.20); Fantasy (0.56±0.28); Retreat (0.50±0.29); Rationalization (0.52±0.26). Problem solving, Help significantly higher than those of medical postgraduate;other four dimension scores of Nursing postgraduates were significantly lower than those of Medical postgraduates, Self-blame and Help scores were lower than those of non-medical postgraduates; Fantasy dimension score was higher than those of non-medical postgraduate; Problem-solving, Help, Rationalization scores were significantly higher than those of undergraduate nursing students; coping styles in work experience, educational level of parents were of significant differences, other differences were not statistically significant.4.2Working experience entered Self-blame’s and Fantasy’s regression equation, respectivelypredict3.60%and2.20%of the variance; parent’s education level entered the Help regression equation, can predict4.20%of the variance.5. Social support factors, coping style factor analysis of the path of mental healthCoping style has direct effect on mental health; social support through self-blame and problem-solving has indirect influence on mental health.Conclusions1.Overall mental health status of the Nursing postgraduate students better than those of Medical postgraduate, undergraduate nursing students, the National Youth norm and the National college students norm, but compared with the non-medical postgraduate there are some certain psychological problems.Compared to other factors, the Nursing postgraduate students’mental health the Obsessive-symptoms, Depressive symptoms, Interpersonal sensitivity and the Anxiety detection rate were higher. There are still6.23%of the Nursing postgraduates survival in moderate psychological problems. 2. Tuition sources, Self-blame are the risk factors; Age,Problem-solving is the protective factor.3. Overall social support system of Nursing postgraduate students are better than those of the Medical postgraduates, non-medical postgraduates and undergraduate nursing students. Coping styles of Nursing postgraduate students more mature than those of Medical postgraduates, non-medical postgraduates and undergraduate nursing students.4. Coping style has direct effect on mental health; social support has indirect influence on mental health. |
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