Iranian Journal of Nursing Research

fa رشد و استرس پس از سانحه در دانشجویان پرستاری: یک مطالعه مقطعی همبستگی در دوران کووید 19 Post-Traumatic Growth and Stress in Nursing Students: A Correlational Cross-Sectional Study During the COVID-19 Pandemic پرستاری nursing آموزش پرستاری Nursing Education مقدمه: یکی از عوارض روانی که در بحرانهای سلامتی بروز میکند اختلال استرس پس از سانحه است. اما این بحرانها همیشه با تجربیات آسیب زا همراه نیستند بلکه میتوانند پیامدهای مثبت روانی مانند رشد پس از سانحه را در افراد بروز دهند. باتوجه به اینکه پاندمی کرونا بحران سلامتی بزرگی در سالهای اخیر ایجاد کرد هدف این مطالعه بررسی دو پیامد روانشناختی استرس و رشد پس از سانحه در دانشجویان پرستاری، بعنوان یکی از گروه‌های درگیر در شرایط پاندمی کرونا است. روش کار: پژوهش حاضر مطالعه‌ای توصیفی مقطعی در سال  1402 انجام شد. محیط پژوهش دانشگاه علوم پزشکی جندی شاپور اهواز و جامعه هدف دانشجویان پرستاری و نمونه پژوهش افراد واجد شرایط ورود به مطالعه بودند. تعداد 196 نفر مورد بررسی قرار گرفتند و نمونه‌گیری به روش دردسترس انجام شد. ابزار جمع آوری داده پرسشنامه رشد پس از سانحه و استرس پس از سانحه بود که به طریق الکترونیک (یا حضوری) در اختیار دانشجویان واجد شرایط قرار گرفتند. پس از فاز جمع آوری داده، تجزیه تحلیل داده ها با استفاده از شاخصهای آماری توصیفی و استنباطی انجام گرفت. یافته‌ها: یافتهها نشان داد که میانگین استرس پس از سانحه در بین دانشجویان 9.45 ± 50.01 و میانگین رشد پس از سانحه در آنان 9.94 ± 60.28  بود که بنا بر نتایج آزمون پیرسون بین این دو متغیر همبستگی معنادار و مستقیم وجود داشت (0.007=P، 0.193=r) همچنین نتایج آزمون‌های تی مستقل و آنالیز واریانس یکطرفه نشان داد بین سن، متغیرهای کار بالین در زمان کرونا (0.03=P) و ابتلای عضو خانواده فرد به کرونا (0.015=P) با استرس پس از سانحه ارتباط مستقیم معنادار وجود دارد. بحث و نتیجه‌گیری: ارتباط مستقیم بین استرس و رشد پس از سانحه در دانشجویان پرستاری نشان دهنده این است که این گروه در بحرانهای سلامتی هر دو این پیامدهای روانی را تجربه میکنند و بنظر میرسد وقتی استرس پس از سانحه در آنان افزایش مییابد، خود ایشان درتلاش برای سازگاری با شرایط موجود هستند که میتواند افزایش رشد پس از سانحه را در آنان رقم بزند.   Introduction:One of the psychological sequelae that manifests in health crises is Post-Traumatic Stress Disorder (PTSD). However, these crises are not always accompanied by traumatic experiences; rather, they can also bring forth positive psychological outcomes, such as Post-Traumatic Growth (PTG) in individuals. Considering that the COVID-19 pandemic created a major health crisis in recent years, this study aimed to examine the two psychological outcomes of stress and post-traumatic growth in nursing students, as one of the groups involved in the context of the COVID-19 pandemic. Methods:The present research was a descriptive, cross-sectional study conducted in the year 2024. The research environment was Ahvaz Jundishapur University of Medical Sciences, and the target population consisted of nursing students. The research sample included individuals meeting the criteria for inclusion in the study. A total of 196 subjects were investigated, and sampling was performed using the convenience method. The data collection instruments were the PTSD questionnaire and the PTG questionnaire, which were provided to eligible students electronically or in person. Following the data collection phase, data analysis was performed using descriptive and inferential statistical indices. Finding:The findings indicated that the mean score for PTSD among students was <m:omath><m:r>50.01±9.45</m:r></m:omath><img alt="" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAFgAAAAUCAIAAACGbW10AAAAAXNSR0IArs4c6QAAAAlwSFlzAAAOxAAADsQBlSsOGwAAAl1JREFUWEftV71ugzAQNn0WkqHKE5gnIF0yZe0GIyzZOmbLAiNsXTtlgieAJ0AZAu9Cz8YE29iGSFFSVZwUCeTjfj7f3Xex2rZFiyD0toDQIbAAwSphAcIARO77+Ws6pokdJ26e6rtPllZE7lu8bFM+lCb3HXbq+Lk6yimdJvbh20clyHmztCExZwCtZQmudckCa7SZh5CXkaeR1BEmZzUc0EcckUdRjDp15sFnIBoHgimwpHIg6JBgeyUwrg6JfUEjk1xrkkVmIERH5G2ckEGnjjwvAhQNSN8JBEmNx0p+583BFeAoki9ZE4t5WDbXCuH9h83qzN2B1eoqtodJxw6SJHD7zx/VGrwde71B5aVWmM79I/oqgvVMrx0Q7xilRzYJHH8YV/WlnLQzR8dghDZxL6uwLMPV8D6enDTx8NTPqiY/VyrjYBVgSFzVmTpZCoQbFG1bwA8GQbZJw9XjBtskjjbx3Ys8I4pgVE1uAv1WbSlajnO6vis8NPHnz/5bgAGQYUlpkpVbw3YP0IXpeRjx6sIT3c/RmYRkrgL0G8OuKJI11Ky3E28+P3GFRSgw3VpQa2P7fLLmGSENBWkcdJbn6MzN8V69Jj6mODpIHeAm3MgcZqO6UW4uO1q8DWJKSBwzsFdKnwJxcVyq0xnCeRxrcG2USXSupnfJtTZZoM8aLOKO60GAcejWwPUtWwQQ9oYlQvQKbcsM8Dp09wAKG+4ZS8eKjWRyj7htNGBLiFQBBL0iKv0Wo03WArv3FuS/1H/5ny6BPoVNn9DC8/54LBXB6vvlFfFX+mwBgt3EL2IHCHXBAet+AAAAAElFTkSuQmCC" style="width:88px; height:20px" >, and the mean score for PTG among them was <m:omath><m:r>60.28±9.94</m:r></m:omath><img alt="" src="data:image/png;base64,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" style="width:88px; height:20px" >. According to the results of the Pearson test, a significant and direct correlation existed between these two variables (<m:omath><m:r>P</m:r><m:r>=0.007, </m:r><m:r>r</m:r><m:r>=0.193</m:r></m:omath><img alt="" src="data:image/png;base64,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" style="width:143px; height:20px" >). Furthermore, the results of the independent samples t-test and one-way Analysis of Variance indicated a significant and direct association between age, variables of bedside clinical work during COVID-19 (<m:omath><m:r>P</m:r><m:r>=0.03</m:r></m:omath><img alt="" src="data:image/png;base64,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" style="width:61px; height:20px" >), and the infection of an immediate family member with COVID-19 (<m:omath><m:r>P</m:r><m:r>=0.015</m:r></m:omath><img alt="" src="data:image/png;base64,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" style="width:70px; height:20px" >) with PTSD. Discussion and Conclusion The direct correlation between stress and PTG in nursing students indicates that this group experiences both of these psychological outcomes during health crises. It appears that when their Post-Traumatic Stress increases, they themselves are making efforts to adapt to the existing circumstances, which may increase their PTG. Introduction One of the psychological sequelae that manifests in health crises is Post-Traumatic Stress Disorder (PTSD). However, these crises are not always accompanied by traumatic experiences; rather, they can also bring forth positive psychological outcomes, such as Post-Traumatic Growth (PTG) in individuals. Considering that the COVID-19 pandemic created a major health crisis in recent years, this study aimed to examine the two psychological outcomes of stress and post-traumatic growth in nursing students, as one of the groups involved in the context of the COVID-19 pandemic. Methods The present research was a descriptive, cross-sectional study conducted in the year 2024. The research environment was Ahvaz Jundishapur University of Medical Sciences, and the target population consisted of nursing students. The research sample included individuals meeting the criteria for inclusion in the study. A total of 196 subjects were investigated, and sampling was performed using the convenience method. The data collection instruments were the PTSD questionnaire and the PTG questionnaire, which were provided to eligible students electronically or in person. Following the data collection phase, data analysis was performed using descriptive and inferential statistical indices. Findings:The findings indicated that the mean score for PTSD among students was <m:omath><m:r>50.01±9.45</m:r></m:omath><img alt="" src="data:image/png;base64,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" style="width:88px; height:20px" >, and the mean score for PTG among them was <m:omath><m:r>60.28±9.94</m:r></m:omath><img alt="" src="data:image/png;base64,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" style="width:88px; height:20px" >. According to the results of the Pearson test, a significant and direct correlation existed between these two variables (<m:omath><m:r>P</m:r><m:r>=0.007, </m:r><m:r>r</m:r><m:r>=0.193</m:r></m:omath><img alt="" src="data:image/png;base64,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" style="width:143px; height:20px" >). Furthermore, the results of the independent samples t-test and one-way Analysis of Variance indicated a significant and direct association between age, variables of bedside clinical work during COVID-19 (<m:omath><m:r>P</m:r><m:r>=0.03</m:r></m:omath><img alt="" src="data:image/png;base64,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" style="width:61px; height:20px" >), and the infection of an immediate family member with COVID-19 (<m:omath><m:r>P</m:r><m:r>=0.015</m:r></m:omath><img alt="" src="data:image/png;base64,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" style="width:70px; height:20px" >) with PTSD. Conclusion:The direct correlation between stress and PTG in nursing students indicates that this group experiences both of these psychological outcomes during health crises. It appears that when their Post-Traumatic Stress increases, they themselves are making efforts to adapt to the existing circumstances, which may increase their PTG.   دانشجویان پرستاری, اختلال استرس پس از سانحه, رشد پس از سانحه, کووید-19 Post-Traumatic growth, Post-Traumatic stress disorder, Nursing students, COVID-19 12 21 http://ijnr.ir/browse.php?a_code=A-10-6053-1&slc_lang=fa&sid=1 Masoomeh Imanipour معصومه ایمانی پور m_imanipour@tums.ac.ir 13700319475328460027621 13700319475328460027621 No مرکز تحقیقات مراقبتهای پرستاری و مامایی، گروه مراقبتهای ویژه، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران Farshid Mirzaeipour فرشید میرزایی پور farshid.mi67@yahoo.com 13700319475328460027622 13700319475328460027622 No دانشگاه علوم پزشکی آبادان، آبادان، ایران Mahsa Hazaryan مهسا هزاریان hazaryan-m@ajums.ac.ir 13700319475328460027623 13700319475328460027623 Yes گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران