Effects Of Stress Reduction Using Directed Imagery And Music On Bacholorate Nursing Students In Early Clinical Practice

Background: Because stressors from variety of work setting bacholorate nursing students faced in clinical practice and unstablity of their psychological defendence system, bacholorate nursing students intend to produce psychological stress according to the research results from abroad. Moreover, healthy problems psychologically commonly exists when students'facing many varietes of stressors in a long run. Overstress not only bring negative effect on their psychology, but affect study and development, quality of nursing care and finally the patients. Directed imagery and music is widespreading in USA as a technic of stress reduction psychologicall,and featured by simple-used,low-cost, but is less reported in China.Objectives: This study is to discuss the effect of stress reduction using directed imagery and music on bacholorate nursing students in early clinical practice, and evaluate the process of intervention, to explore the mode of music intervention of stress reduction on nursing students in China.Methods: A quasi-experimental study was used in the study. Seventy nine subjects were sampled convinently, including 40 students in intervention group and 39 in control group. The study group received the intervention of directed imagery and music during the first month of clinic practice, while the control group didn't receive any intervention. The intervention consisted of 4-week of group intervention per week and 2-3 times alone intervention per week. The lever of stress and psychological health is measured by scales before and during intervention, one week and one month. Also self-designed diary table is required.Results: Seventy seven subjects finished the whole data collection, 39 subjects in the intervention group and 38 subjects in the control group. After intervention, the intervention group had lower stress score than the baseline and the control group (P< 0.05) . And the 3 subscores of stress and mean score are lower significantly than the control group (P<0.05) after one month.Two subscores of scl-90 is lower than the baseline and the control group (P<0.05) after intervention for one week. Conclusions: Directed imagery and music is a kind of simple-used,low-cost technic on stress reduction and can be promoted in medical school and hospoital.