【摘要】 目的 了解实习护士的心理状况，为制定临床带教对策提供依据。方法 对160名实习护士进行问卷调查，并对调查结果进行分析。结果 对专业有自卑感与失落感的实习生占63.23%，45.81%的护生对职业前景持怀疑态度，69.68%的学生对即将实习感到兴奋，而21.94%的学生在实习中感到无所适从，63.87%的学生认为前期理论学习对实习部分有用，40.00%的学生不能适应临床工作节奏，23.23%的学生自行调整无效，89.68%的学生认为与病人有交流的必要，但只有40.65%的学生与病人交流成功；10.97%的学生对现实生活的自我感到满意，而62.58%的学生感到不满意。结论 实习生在实习中存在着工作热情与工作能力的矛盾、生活习惯与新生活的矛盾、专业理想与现实的矛盾、交流需求与交流障碍的矛盾、主体我与客体我的矛盾。建议临床带教教师在临床带教中多与学生交流，针对个体采取相应的心理疏导，减轻其心理压力，使她们保质保量地完成实习任务，为走上工作岗位打下坚实的基础。

    【关键词】 实习护士；矛盾心理；临床带教；心理疏导

    The analysis of ambivalence in practicing nurses and its countermeasure in clinical teaching

    HU Chang-zhen,FAN De-lan,YANG Shuang-yu.Hubei Hospital of Traditional Chinese Medicine,Wuhan 430060,China

    【Abstract】 Objective To study the practicing nurses′ mental state,for teachers′ establishing countermeasure in clinical teaching.Methods 160 practicing nurses were investigated in March 2005 through questionnaire.Results 63.23% practicing nurses feel inferiority and lose to their profession,45.81% students hold the doubtful attitude to their occupation foreground.69.68% students are excited with the soon practicing,but 21.94% students feel indecisive in practice.63.87% students think the prophase theories study is part useful to the practice.40.00% students can′t adapt to the clinical work rhythm and 23.23% students are defeated in adjusting by themselves.89.68% students think it is necessary to intercommunication with the patients,but only 40.65% student and patient′s intercommunication succeed.10.97% students feel satisfaction to actuality ego,but 62.58% students feel dissatisfied.Conclusion The trainee exists ambivalence in the work enthusiasm and the work ability;life habit and new life;profession ideal and actuality;exchanges need and exchanges obstacle;subject (I) and object (Me).The teachers should do their best to exchange with student in the clinical teaching,adopt the corresponding psychotherapy aiming at the individual,alleviate their psychological stress,make them complete the practice mission guaranteeing both quality and quantity,and the students can make solid base for their future work. ......