规范化培训住院医师心理健康现状及影响因素分析  

The current situation of mental health in standardized training residents and impact factors analysis

作　　者：张磊[1] 吴皓 堵明辉 王筝扬[1] Zhang Lei;Wu Hao;Du Minghui;Wang Zhengyang(Psychiatry Department,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310000,China)

机构地区：[1]浙江大学医学院附属邵选夫医院精神卫生科,杭州310000

出　　处：《中华医学教育杂志》2018年第5期694-698,共5页Chinese Journal of Medical Education

基　　金：浙江省自然科学基金青年基金项目（LQ16H090001）

摘　　要：目的通过了解规范化培训住院医师存在的心理问题、影响因素，探讨改善其心理健康的措施。方法选择在浙江大学医学院附属邵逸夫医院参加规范化培训的244名住院医师（以下简称规培医师）为研究对象，采用问卷调查的形式了解规培医师存在的心理问题，按照每个选项的百分比进行数据的分析。结果56．6％（138／244）的规培医师经常或一直感到压力，31．6％（77／244）的规培医师心理健康状况不佳。规培医师心理健康主要影响因素包括学习工作压力、经济收入低、对积极心理调节和异常心理识别等心理健康知识的了解不够等。结论通过缓解规培医师学习工作压力、提高他们的收入、培养基于实践学习的能力、增加其对心理健康知识的了解、支持性心理干预活动等措施，可以改善规培医师心理健康不件的状况．Objective To explore measures to improve mental health in standardized training residents, analyzing the problems and impact factors of them. Methods The residents in Sir Run Run Shaw Hospital were selected as the research object. Through questionnaire, the paper explored the problems of mental health, and the data from the investigation were analyzed. Results 56. 6% （138/244） of the residents felt great pressure, 31.6% （77/244） of the residents＇ mental health was not optimal. Work load, income and mental health knowledge understanding level were the main factors influencing the residents＇ mental health. Conclusions Lessening the working pressure, increasing the income, cultivating the practice-based learning ability, mental health education and supportive psychological intervention were the main measures to improve the mental health in standardized training residents.

关 键 词：规范化培训 住院医师 心理健康 影响因素 分析 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]