地方医学院校临床医学生实习期压力源与心理健康状况相关性研究:以滨州医学院为例  

Study on the correlation between stressors and mental health status of medical undergraduates of local medical colleges in internship: a case study of Binzhou Medical College

作　　者：王朋朋[1] 顾玉春[1] 魏冠英[1] 宋彦[1] 王晓冬[1] 冯锟[1] 巩雪梅[1] 慕丽伟 蔡虹 Wang Pengpeng;Gu Yuchun;Wei Guanying;Song Yan;Wang Xiaodong;Feng Kun;Gong Xuemei;Mu Liwei;Cai Hong(Department of Student Service,Binzhou Medical College,Yantai 264003,China;Department of Teaching Quality Monitoring and Evaluation,Binzhou Medical College,Yantai 264003,China)

机构地区：[1]滨州医学院学生工作部,烟台264003 [2]滨州医学院教学质量监控处,烟台264003

出　　处：《中华医学教育探索杂志》2018年第12期1251-1256,共6页Chinese Journal of Medical Education Research

基　　金：2015年山东省高等医学教育研究中心科研规划课题(YJKT201525);2017年山东省高校人文社科研究计划资助课题(J117ZC42).

摘　　要：目的了解地方医学院校实习期临床医学生压力源及心理健康现状,并提出相关对策,为实习期医学生心理健康辅导工作提供科学参考。方法使用唱丽荣等编制的临床医学生实习期间压力源量表和心理健康症状自评量表(SCL-90),对我校临床医学专业实习生390人的压力和心理健康状况进行问卷调查,回收有效问卷384份,回收有效率为98.46%。运用SPSS 18.0行样本t检验,方差分析和Pearson相关分析等。结果地方医学院校24.1%的学生存在中等以上压力(1.17±0.63),压力源最高为考试与就业(1.58±0.74),其他依次为知识与技能(1.43±0.68)、人际关系(1.11±0.54)、面对病人(1.06±0.53)、医疗条件(1.00±0.53)和工作负荷(0.95±0.52)。临床医学生实习期压力源各维度的分值与心理健康的大多数因子呈显著正相关。结论地方医学院校临床医学生实习期普遍存在压力,实习期间的压力会影响其心理健康。建议从就业、学业、心理等方面对实习期学生进行指导,以便助其减轻压力,培养其良好的心理素质。Objective To understand the status quo of stressors and mental health of undergraduates of local medical colleges in internship and provide relevant countermeasures so as to provide scientific reference for psychological health counseling for them.Methods The stress source scale and mental health symptom self-rating scale for medical students in internship(SCL-90)coded by Chang Lirong et al was adopted to investigate.The questionnaire survey was conducted on the stress and mental health status of 390 interns in Binzhou Medical College,and 384 valid questionnaires were collected,with the effective rate of recovery as 98.46%.The questionnaire results were analyzed by sample t test,variance analysis and Pearson correlation analysis.Results A total of 24.1% of students in local medical schools were under moderate pressure(1.17±0.63).The highest pressure source was examination and employment(1.58±0.74),and the other followed were knowledge and skills(1.43±0.68),interpersonal relationships(1.11±0.54),patients(1.06±0.53),medical conditions(1.00±0.53)and work load(0.95±0.52)respectively.The scores of various stressors were significantly and positively correlated with most of the mental health factors.Conclusion The undergraduates of local medical colleges and universities are generally under stress in internship,which would affect their mental health.It is suggested that the interns should be guided from the aspects of employment,study and psychology so as to help them relieve their stress and develop good psychological qualities.

关 键 词：地方医学院校 临床医学生实习期 压力源 心理健康 

分 类 号：R-05[医药卫生]