Impact of stress management and resilience training-clinical program on stress adjustment in clinical graded psychological nursing nurses

Table 1 Course schedule of Stress Management and Resiliency Training-clinical program

Time-to-C	Theme	Form	Hour length
1st time	Feeling the pressure	Lecture + experience	1.5 hours
2nd time	Cognitive boost	Lectures + experiences	1.5 hours
3rd time	Relaxation training	Lectures + experiences	1.5 hours
4th time	Supervision and feedback	Practice + sharing	1.5 hours
5th time	Focus on the moment	Lecture + experience	1.5 hours
6th time	Awaken the passion	Lectures + experiences	1.5 hours
7th time	Integrate work and life	Lectures + experiences	1.5 hours
8th time	Supervision and feedback	Practice + sharing	1.5 hours

Time-to-C: Time to clinical date.

Table 2 Stress before and after implementation psychological stress from rating score comparison (score, n = 40), mean ± SD

Dimension	Scoring range	Pre-implementation	After implementation	t value	P value
Duties	9-36	24.64 ± 3.13	10.75 ± 0.48	4.623	0.001
Accountability	8-32	18.80 ± 3.15	11.43 ± 0.52	4.166	0.001
Interhuman	8-32	15.48 ± 2.95	10.21 ± 0.54	3.775	0.001
Total points	25-100	58.92 ± 9.23	32.46 ± 0.51	5.412	0.001

Table 3 Patient Health Questionnaire-15 self-rating score before and after implementation (score, n = 40), mean ± SD

Dimensionality	Before implementation			After implementation			t value	P value
	Number of people	Self-rated score	Percentage	Number of people	Self-rated score	Percentage
No body issues	4	2.75 ± 0.48	10%	10	1.32 ± 0.61	25%	2.11	< 0.05
Mild somatic problems	13	7.43 ± 0.52	32.50%	21	5.84 ± 0.44	52.50%	2.25	< 0.05
Moderate body problem	23	13.21 ± 0.54	57.50%	9	10.69 ± 0.75	22.50%	2.33	< 0.05
Severe somatic problems	0	0	0	0	0	0	0	0

Table 4 Comparison of the number of people who chose post-self-assessment for each item of Patient Health Questionnaire-15 somatic symptom scale (n = 40)

Item	0: No hassles		1: Slightly troubled		2: A lot of trouble
	Pre-implementation	After implementation	Before implementation	After implementation	Before implementation	After implementation
Stomach pain	13	39	19	1	8	0
Back pain	35	39	2	1	0	0
Pain in the arm, leg, or joint	31	38	6	0	4	2
Menstrual pain or other menstrual-related problems (only for women)	23	36	10	3	7	1
Headache	6	27	26	5	8	2
Chest pain	38	40	2	0	0	0
Stun	36	40	4	0	0	0
Faint occasionally	40	40	0	0	0	0
Feel your heart pounding or beating very fast	23	37	9	3	0	0
Breathless	35	38	3	1	2	1
Pain or problems during intercourse	39	40	1	0	0	0
Constipation, loose stools, or diarrhea	27	37	8	1	5	2
Nausea, gas, or indigestion	24	36	15	4	1	0
Feeling tired or listless	20	31	13	5	7	4
Sleep problems	11	28	20	10	9	2