医学生心身症状影响因素的逐步回归分析  

Main effect factors of psychosomatic symptoms of medical students

作　　者：王斐然[1] 陈雪铮[1] 周紫哲[2] 贾思跃 谷新忠[1] 高艳华[1] 

机构地区：[1]河北大学,河北保定071002 [2]石家庄信息工程职业学院,河北石家庄050000

出　　处：《医学研究与教育》2014年第2期70-75,共6页Medical Research and Education

基　　金：河北省科学研究与发展计划项目(10457205D-23);中华医学会医学教育分会和中国高等教育学会医学教育专业委员会"2012年度医学教育立项课题"(2012-XL-3);河北省高等教育学会2013年度高等教育科学研究立项课题(GJXH2013-351);保定市哲学社会科学规划研究项目(201301286)

摘　　要：目的了解医学生心身症状及其影响因素。方法以946名医学生为研究对象,使用症状自评量表和自编问卷进行调查。结果医学生中有轻微及以上心身症状的占41.65%,有中等及以上症状的占7.40%,只有4名学生有比较严重症状,占0.42%。较为常见的心身症状为:强迫症状、人际关系敏感、抑郁。多元逐步回归分析显示,与同学关系融洽、身体健康良好、个人爱好广泛、高文化程度的父亲、与母亲关系融洽、父亲身体健康良好、高年级是医学生身心症状的保护因素;饮酒、吸烟、不良班里气氛、本科生是危险因素。结论部分学生存在不同程度的心身症状,人际关系、身体健康状况、饮酒和吸烟等不良生活习惯、个人爱好是否广泛、班里气氛是否良好是其重要的影响因素。Objective To know the psychosomatic symptoms and the main effect factors of the mental health of medical students. Methods 947 medical students were investigated, Symptom Check List 90（SCL-90）, Coping Styles Questionnaire（CSQ） and Self-made General Data Questionnaire（SMGDQ） were used. Results 41.65% of them had mild or worse psychosomatic symptoms. 7.40% of them had moderate or worse psychosomatic symptoms. Only 4 students had severe psychosomatic symptoms, making up 0.42% of all students. Compulsion, interpersonal sensitivity, depression were the most common psychosomatic symptoms. Multiple stepwise regression analysis showed that, good relationship with classmates, good health condition, broad interests, father with high education degree, good relationship with mother, good health condition of father and high grade were protective factors of mental health, while drinking history, smoking history, bad class atmosphere were risk factors of mental health. Conclusion Some of the medical students have psychosomatic symptoms in different degree, and interpersonal relationship, health condition, drinking history, smoking history, broad interests or not, class atmosphere are the most influential factors.

关 键 词：医学生 心身症状 影响因素 

分 类 号：R195[医药卫生—卫生统计学]