Investigation of Adrenaline, Nor-Adrenaline and Complete Blood Count in Nursing Students with Phobia at First  Clinical Experience

Immunology,; J. Eidan, Ali; PhD,; M. Al-Amarei, Hassam; N. Alazawy, Kalid

	Investigation of Adrenaline, Nor-Adrenaline and Complete Blood Count in Nursing Students with Phobia at First Clinical Experience
journal of kerbala university
Article 1, Volume 14, Issue 1, 2018, Pages 364-371 PDF (0 K)
Authors
; Ali J. Eidan; ; Hassam M. Al-Amarei; Kalid N. alazawy
Abstract
Background: The first clinical experience for nursing students can be tense. The students expressed feelings of irritability, an irrational , intense, persistent fear of a specific object or social situation that cause extreme distress and concern due to reasons such as not being ready for clinical experience, thinking they have inadequate clinical skills, unsupportive health professional staff and clinical learning environment, concerns over patient safety. [1] Objective (s): To determine the level phobia, CBC, epinephrine and nor-epinephrine .To investigate the association of phobia with CBC, epinephrine and nor-epinephrine and identify the relationship of phobia with CBC, epinephrine and nor-epinephrine. Materials and methods: A cross-sectional descriptive approach was designed to investigate the adrenaline, non-adrenaline level, Complete Blood Counts, and their association with phobia, in apparently healthy nursing students before and after first clinical experience by using Enzyme Linked Immuno-sorbent Assay (ELIZA) technique and utilizing self-report questionnaire. The period of the study is from January / 2017 to March / 2017. Results: The current study was determined that the majority of age group at age category ≤20 by about (84.5%). Concern to gender, female was more than male (77.5%) and (22.5%) respectively. The education was mostly secondary school (97.2%). Additionally, urban was more than rural (78.9%) and (21.1%) respectively. For martial status, single more than married (94.4%). The studied group were can mostly enough income (54.9%). Additionally, the mean and standard deviation of blood tests and hormone level were different before & after first clinical practice of the nursing student. The statistical results were significant for WBC, HB and highly significant for LYM, RBC, MCP, MCHC, PLT, Adrenaline and nor-adrenaline. The levels of all above blood tests parameters were slightly decrease except adrenaline and nor adrenaline where increase, however these results were statistically significant. The phobia was increased after first clinical practice by about (57.7%). The statistical result was significant at (P-value=0.03%). Conclusions: The present study concluded that the phobia state in nursing students with first clinical experience had elevated phobia level and increase hormonal level (Adrenaline and nor-adrenaline) and decrease blood cells production when phobia increased.

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