医学生负性生活事件现况调查  

Negative life events in medical students

作　　者：王建平[1] 梁多宏[2] 史新竹[2] 张莹[2] 刘艳[2] 杨雪[2] 

机构地区：[1]沈阳市东陵区卫生监督所传染病科,辽宁110043 [2]沈阳医学院流行病学教研室

出　　处：《中国公共卫生》2011年第7期914-915,共2页Chinese Journal of Public Health

摘　　要：目的了解医学生负性生活事件的发生情况,为采取干预措施提供参考依据。方法采用分层整群抽样方法抽取辽宁省沈阳市某医学院大一至大三年级在校大学生进行问卷调查。结果在1 026名有效应答的医学生中,各种负性生活事件发生率为2.9%～70.5%,发生率居于前5位的负性生活事件依次为考试失败或不理想、学习负担重、被人误会或错怪、长期远离家人不能团聚和生活习惯明显变化,发生率分别为70.5%、65.3%、64.9%、49.5%和43.8%;医学生负性生活事件中人际关系、学习压力、受惩罚、丧失和健康适应5个维度得分分别为(7.78±2.10)、(8.76±2.91)、(8.48±2.42)、(4.29±1.99)和(5.60±1.74)分;不同特征医学生负性生活事件5个维度比较,男生受惩罚得分高于女生(t=2.189,P=0.029);不同年级学生人际关系和丧失得分差异均有统计学意义(P<0.01);不同生源学生学习压力、丧失和健康适应得分差异均有统计学意义(P<0.05)。结论医学生负性生活事件普遍存在;不同特征医学生负性生活事件存在差异。Objective To understand the occurrence of negative life events in medical students for implementing effective intervention.Methods Students at their 1st-3rd year of study in Shenyang Medical College were selected with stratified cluster sampling and surveyed using Adolescent Self-Rating Life Events Check List.Results The prevalences of various negative life events were 2.9%-70.5% among 1 026 respondents.The top five events for the respondents were the failure or unsatisfactory result of examination,the burden of study,to be misunderstood by others,significant change in living habit,and seperation with the family for a long time.The score for interpersonal relationship,study pressure,having been punished,loss,and health adaption was 7.78±2.10,8.76±2.91,8.48±2.42,4.29±1.99,and 5.60±1.74,respectively.The scores of study pressure,loss,and health adaption were different significantly between the respondents from different towns(P<0.05).The scores of loss and interpersonal relationship were different significantly between the respondents in different grades(P<0.05).Conclusion The negative life event is prevalent among medical students and there are differences in the prevalence of negative life events among different groups of medical students.

关 键 词：负性生活事件 医学生 现况调查 

分 类 号：R181.37[医药卫生—流行病学]