| ObjectiveTo investigate the self-rated physiological, psychological, and social health and the overall health status of the baccalaureate nursing students, and to explore self-rated health related social and psychological factors, which will provide the reference for promoting the health status of baccalaureate nursing students.MethodsDescriptive relevant research design was used. The state of health and the influence factors of baccalaureate nursing students was got by questionnaire survey. The sample extracts 05～08 grades baccalaureate nursing students in three nursing departments or schools in Guangzhou. the lamination stochastic sampling method was employed in each school, the grade was used as the level,375 persons were taken as the subjects of study by a extraction ratio of 20%. Among 375 questionnaires,366 questionnaires were reclamated with a returns-ratio of 97.6%.357 questionnaires were effective, and the effective rate was 97.5%. The investigation included 48 male and 309 female, the average age was (21.48±1.42) years old. The questionnaire included:The demographic questionnaire, the self-rated health status questionnaire, the young people live events questionnaire, and the simple coping scale.The database was established by FoxPro6.0,; SPSS 13.0 software was employed for the data processing. the statistical method included:descriptive analysis, T-test, variance homogeneity examination, analysis of variance, correlation analysis, multi-regression analysis and so on.Results1. The mean scores of self-rated physiological, psychological, social health and overall health status are all higher than the average level (6.46～8.17), in which the score of psychologically health was the lowest as 6.46. the mean scores of self-rated health various dimension were between 5.79-9.66, except for the psychological symptom and the negative mood dimension, all others dimensions scores were higher than 6.2. The statistical analysis of the self-rated health status scale disclosed that 4 items in the physiological health sub-meter, which reflected the baccalaureate nursing students vision, the gastro-intestinal tract, fatigue and pain situations,were lower than the score of 6. In the psychologically healthy sub-meter,7 items which reflected anxious, despondent, the force and the void condition, were lower than 6 as well.3. Individual self-rated physiological health, psychological health and social health were significantly positively correlated (P<0.01).4. Compared with mainland general population, the baccalaureate nursing students psychological health was lower; however, the social health and the overall health status were higher. No remarkable differences in physiological health aspect were found.5. No statistics significance were found in self-test health each sub-meter and in the self-rated health total score, when the baccalaureate nursing students were compared according to different sex, different family inhabited areas, whether only children, and whether from the single-parent family. When subjects were divided according to the different grades, data indicated the scores in the self-rated psychological health and the self-rated health total score of sophomore were lower than other grades (P<0.01 or P<0.05). Data also indicated that the group of each month of living expenses was lower than,400 Yuan group, had a lower score in self-rated society health than the group of 600 Yuan. (P<0.05). According to the number of participation physical training per week, the score of the self-rated social health and the self-rated health total score were higher in 2 to 3 times groups than in one or less groups. (P<0.05).6. Several factors in life events scale affected the baccalaureate nursing students, including the study pressure factor (2.01±0.60), the interpersonal relationship factor (1.87±0.61), the lost factor (1.83±0.92), the health adaptation factor (1.53±0.49), other factors (1.45±0.46), and the punished factor (1.67±0.44). the first 5 tremendous influence life event clauses were the heavy study burden (2.56±1.01), the test defeat or not ideal (2.31±1.03), the misunderstood by the human or wrongly accuses (2.26±0.86), the dispute with schoolmate or the good friend (2.04±0.94), and the difficult economic status of the family (1.99±1.02). There are negatives correlations (P<0.01 or P<0.05) between the influence score of life events various factors and the self-rated health three sub-meter scores and the total score.7. The positive or negative coping modes were carried on the comparison, data demonstrated that the baccalaureate nursing students would prefer using positively coping modes (26.8%).5 modes were used frequently:"Converses with the human, pours out the innermost feelings worry (41.7%)", "saw as far as possible the matter good (31.7%), "through activities and so on work, study extricates at the same time" (29.1%)", "seeks the hobby, participates in the recreational activity positively (29.1%)", "persisted own standpoint, want to obtain for oneself diligently (28.3%)". coping modes were positively correlated with self-rated physiology, the psychology, the social health and the self-rated healthy total score, negative coping modes were negatively correlated.8. There are no significant correlation between scores of life events and positive coping modes. The influence scores of the interpersonal relationship, the study pressure, is punished, the health adapts, other factors, the total stress value were negatively correlated to negative coping modes (P<0.01 or P<0.05).9. Self-rated physiological, psychological,social health three sub-meter scores and the total score were taken as dependent variables respectively, and 6 factors of life event factors scale, positive and negative factor as the independent variables for multi regression analysis, in a=0.05 level, Factors enterring the multi regression equation are the physiology, the psychology, the social health and the self-rated health. The highest positive correlation was found between study pressure and self-rated health scale (r=-0.22, P<0.01); The study pressure factor and the life event total stress value had high correlation with the psychological health (r=-0.38, P<0.01 and r=-0.34, P<0.01); Positive coping modes and self-rated social health had the highest correlation with the self-rated overall health scale (r=0.38 P<0.01, and r=0.37, P<0.01).Conclusions1. The self-rated physiological, psychological, the social health and the overall health of the baccalaureate nursing students were in medium level, but psychological healthy level is relatively lower when compared with the mianland general public. Problems of self-rated physiological health in the vision, the gastro-intestinal tract, fatigue and pain questionnaire were prominent; The self-rated psychological health by anxiety, despondent, the force and the void symptom were obvious; When the self-rated society health encountered with the difficulty, depending upon the family member and friend, seeking other people help is the characteristic on own initiative. The physiological, the psychological and the social health obviously were being connected, which stated the physiological health, the psychological health and the social health were affected mutually.2. No statistics significance were found in self-test health each sub-meter and in the self-rated health total score, when the baccalaureate nursing students were compared according to different sex, different family inhabited areas, whether only children, and whether from the single-parent family.The score of self-rated psychological health and the self-rated overall state of health of the second-year baccalaureate nursing students were lower when compared with other grads;400 yuan living expenses group had worse scores of self-rated social state of health than the 600 yuan group. The physical training was relatively not enough, the students who took 2 to 3 time physical trainings per week would have higher scores in self-rated social health than those only taking physical training 1 or less.3. The study pressure and the interpersonal relationship were the biggest life event affecting factors.Various life event factors had different contributions to self-rated physiology and so on, especially to the self-rated psychological healthy condition.4. The baccalaureate nursing students tended to use positively coping mode. Positive coping mode would promote the state of health, negative coping mode would have the negative influence on the state of health.5. The negative life events would lead the baccalaureate nursing students to negative coping mode.6. Life event various stress factors, different coping modes have different influences on self-rated physiological, psychological and the social state of health, life events had more influences on self-test physiological, psychological health and coping modes had more influence on the social health.
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