目的：调查护理本科生精神科实习前后对精神疾病患者态度的改变。方法选择护理本科生115名，在精神专科医院实习前后采用歧视精神病患者评估量表比较护生对精神病患者歧视态度的变化。结果实习后护生对精神病患者歧视态度的总得分为（40．90±14．84）分，危险维度（13．56±5．44）分，社会隔离维度（22．09±9．55）分，均低于实习前得分，差异有统计学意义（t值分别为3．86，4．02，3．02；P＜0．01）；接触程度得分为（3．64±1．29）分，高于实习前（2．96±0．67）分，差异有统计学意义（t＝-3．68，P＜0．01）；实习后护生在精神疾病医院的工作意愿从49．6％提高至71．3％，差异有统计学意义（χ2＝230．00，P＜0．01）。结论精神科临床实习能够降低护理本科生对精神病患者的歧视。%Objective To investigate the change of nursing undergraduates ’ attitude towards patients with mental disorder between before and after their nursing practice in the psychiatric department .Methods One hundred and fifteen students were selected and provided an internship program delivered by the Nursing Department to practice in the Psychiatric Hospital .All of nursing undergraduates were investigate with stigma scale towards people with mental disorder and the change of their attitude towards patients with mental disorder were compared between before and after their nursing practice .Results After nursing practice, the total score of the stigma scale among nursing undergraduates was (40.90 ±14.84), the score of dangerous dimension was (13.56 ±5.44), and the score of social isolation dimension was (22.09 ±9.55), which were all lower than those before nursing practice , these differences were statistically significant (t =3.86, 4.02, 3.02, respectively;P<0.01).The score of contact scale among nursing undergraduates after nursing practice was (3.64 ±1.29) and higher than that before practice with (2.96 ±0.67), the difference was statistically significant (t=-3.68;P<0.01).The nursing undergraduates ’ willingness to work in the psychiatric hospital increased to 71.3%after nursing practice from 49.6%before nursing practice , the difference was statistically significant (χ2 =230.00, P<0.01).Conclusions The clinical nursing practice for nursing undergraduates in the psychiatric department can reduce their discrimination against patients with mental disorder .
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