临床实习护生述情障碍现状及影响因素研究
Research on the Current Situation and Influencing Factors of Alexithymia among Clinical Practice Nursing Students

目的：探讨临床实习护生述情障碍现状并分析影响因素，为正确建立职业价值观，维护身心健康提供有效依据。方法：采用便利抽样法，于2024年7~10月选择宁波市多家三甲综合性医院符合条件的210名临床实习护生作为研究对象。采用一般资料调查表和多伦多述情障碍量表(TAS-20)对其进行调查。结果：本研究回收有效问卷203份，有效回收率96.67%。临床实习护生述情障碍总分(53.89 ± 21.73)。其中外向性思维维度得分(21.61 ± 8.50)、识别情感障碍维度得分(18.50 ± 7.85)、描述情感障碍维度得分(13.78 ± 5.38)；Logistic回归分析显示，性别、使用社交媒体时长/日、选择护理专业原因、家人支持程度是述情障碍的影响因素(P < 0.05)。结论：临床实习护生普遍存在述情障碍倾向，学校及医院管理部门应制定针对性干预措施以维护其身心健康，为提高整体素质和促进职业发展提供支持。
Objective: To explore the current situation of alexithymia among clinical practice nursing students and analyze the influencing factors, so as to provide effective basis for establishing correct work values and maintaining their physical and mental health. Methods: Using the convenience sampling method, 210 clinical nursing interns who met the criteria from several tertiary general hospitals in Ningbo City were selected as research subjects from July to October 2024. They were investigated using a general information questionnaire and the Toronto Alexithymia Scale (TAS-20). Results: A total of 203 valid questionnaires were retrieved, with an effective recovery rate of 96.67%. The total score of emotional dysregulation among clinical practice nursing students was (53.89 ± 21.73). Among them, the score of the extroversion thinking dimension was (21.61 ± 8.50), the score of the identification of emotional disorders dimension was (18.50 ± 7.85), and the score of the description of emotional disorders dimension was (13.78 ± 5.38). Logistic regression analysis showed that gender, the frequency of using social media every day, the reason for choosing the nursing profession, and the degree of support from family were the influencing factors of emotional dysregulation (P < 0.05). Conclusion: Clinical practice nursing students generally have a tendency towards emotional communication disorders. School and hospital management departments should formulate targeted intervention measures to safeguard their physical and mental health, and provide support to enhance their overall quality and promote their career development.