Translated Abstract
ABSTRACT
Background:
As the life pace of modern society accelerating,resulted in increasingly fierce social competition, interpersonal relationships become more complicated, all of these factors will affect people＇s mental health, especially contemporary college students. Vocational college students are a special group of college students, especially medical college nursing students. They are the future nurses, their level of self-esteem, self-efficacy and death attitude for their future clinical Nursing work also play an important role. Therefore, this study takes the students of medical college nursing as the research object, discuss and research the self-esteem level of the nursing students, the influencing factors of general self-efficacy and death attitude and the correlation between of them,which can provide the basic information for life education courses . In the future of clinical care work,they will be positive and progressive, life-saving attitude to take care of the lives of patients ,and help them calmly facing the fear and threat of death.In the future Clinical nursing work ,they can better regulate the conflict between personal and professional roles, so as to improve the quality and efficiency of clinical nursing work, and provide better service for the majority of patients.
Meterials and Methods:
Using the method of field research, pick out Wei nan Career Technical College 2015 grade and 2016 grade 965 students in vocational nursing students,according to the self esteem scale, general self-efficacy scale and death attitude scale on the questionnaire survey. By use of SPSS 20.0 statistical software, the general situation of higher vocational nursing students are statistical described by descriptive analysis.The T test and single factor variance analysis (Scheffe method) compare the self-esteem level, general self-efficacy and death attitude differences among different social demographic characteristics of higher vocational nursing students,.The relationship of the self-esteem level,the general self-efficacy and attitudes toward death is analyzed by Pearson correlation,and the influencing factors are analyzed by multiple linear regression.
Result:
1. The results show that the score of self-esteem level is (29.69±3.65) and self-efficacy score is (24.25± 4.63) ,both of them are lower in the higher vocational nursing students. natural accept（3.78±0.68）dimension has the highest score in the vocational nursing students death attitude.
2. The difference analysis of self-esteem level ,self-efficacy and death attitude in the higher nursing students: have or not have suicidal thoughts, have or not have confide object , with or without the experience of contact with reaper, parenting style,family atmosphere ,which have significant difference in the level of self- esteem(P ＜0.05); gender, whether the only child, whether to know suicide, whether the idea of suicide, whether the class leader, the attitude of discussing death, education level of father and mother , the family atmosphere and other factors have significant difference between the groups in the level of self-efficacy (P ＜ 0.05); have or not have confide object in the fear of death level between the two groups have significant difference (P＜0.05); household registration, with or without participating in the funeral in the level of natural acceptance between the two groups have significant difference (P＜ 0.05); have or not have internship experience, subject in level of approach acceptance between the two groups have significant difference (P ＜ 0.05); have or not have suicidal thoughts, have or not have confide object to escape acceptance between the two groups have significant difference (P ＜ 0.05); discuss the death attitude in the fear of death level between the groups have significant difference (P ＜ 0.05); the attitude of discussing death ,father＇s education level in the level of death avoidance between the groups have significant difference(P ＜ 0.05); parental marital status in approach acceptable level between the groups have significant difference (P ＜ 0.05).
3. The level of self-esteem is positively correlated with self-efficacy; the level of self-esteem is negatively correlated with death fear and approaching acceptance and escape acceptance, but is positively correlated with natural acceptance; self-efficacy is negatively correlated with death fear and escape acceptance, and is positively correlated with natural acceptance.
4. The results show that the family atmosphere, have or have not confide object, with or without the suicidal thought are the main influencing factors of self-esteem level; gender, mother＇s education level, suicidal thoughts are the main influencing factors of general self-efficacy. Multivariate linear regression analysis of the dimensions of death attitude of nursing students show that the attitude of discussing death is the main influencing factor of death fear, death escape and natural acceptance level, and the household registration, whether to participate in the funeral are the main influencing factors of natural acceptance level; the subject is the main influencing factor of approaching acceptance level; have or have not confide object, with or without the suicidal thought are the main influencing factors of escape acceptance level.
Conclusion:
1. Self-esteem and self-efficacy level of higher nursing students are generally in the moderate below level, the natural acceptance dimension has the highest score in the death attitude.
2. Higher vocational nursing students self-esteem level is not high than talk, no idea than the idea of high Dutch act , family atmosphere peace above the occasional quarrel; self-efficacy of boys are higher than girls, no idea than the idea of high Dutch act , the higher education level of mother, their self-efficacy is higher; the dimension of death avoidance no, never natural group was higher than that of group discussion, avoidance group is higher than the calm group, group discussion group has never been less than calm; fear of death avoidance, not natural group is higher than the dimension of calm; accept the natural dimensions of urban higher than rural, high in the absence of participants attended a funeral. In reaching acceptance dimension, liberal arts were higher than science; escape from acceptance dimension was higher than suicide, and suicidal ideation was higher than suicide ideation.
3. The higher the level of self-esteem, self-efficacy, natural acceptance degree is higher, the fear of death, approach acceptance and escape acceptance degree is low; the higher self-efficacy is, the higher the degree of acceptance of nature, the fear of death and escape acceptance degree is low.
4. The family atmosphere, haveor not havetalk object,whether the suicide thought are the main influencing factors of the level ofself-esteem; gender, mother＇s education level, whether the suicidal thoughts are the main influencing factors of general self-efficacy. Household registration, whether to participate in the funeral, the attitude of discussing death, discipline, whether talk object, whether the idea of suicide are the main influencing factors of dimensions attitude of the death.
KEY WORDS：vocational nursing students; self - esteem; self - efficacy death attitude;
correlation analysis
TYPE OF THESIS：Research Report
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