宁夏某医学院校学生应激生活事件与消化道症状相关调查  

Survey of stress life events and digestive tract symptoms among students in a medical college in Ningxia

作　　者：沙小兰 付有娟 关素珍 SHA Xiaolan;FU Youjuan;GUAN Suzhen(College of Public Health and Management,Ningxia Medical University,Yinchuan 750001,China)

机构地区：[1]宁夏医科大学公共卫生与管理学院

出　　处：《医学研究与教育》2019年第5期30-37,共8页Medical Research and Education

基　　金：宁夏哲学社会科学规划项目(18NXRCC05)

摘　　要：目的探究宁夏某医学院校学生的主要应激生活事件和消化道症状,为预防医学生健康问题提供理论依据。方法于2018年3月至4月,采用分层整群抽样的方法,利用青少年生活事件量表、消化道症状调查问卷对宁夏某医学院校各年级600名学生进行调查研究。结果医学生的主要应激生活事件为人际关系、学习压力及健康适应。不同性别医学生在应激生活事件其他因子之间的差异有统计学意义([WTBX]Z=-3.876,P<0.05)。不同年级的医学生在人际关系、学习压力、受惩罚、丧失4个因子之间的差异有统计学意义([WTBX]Z=14.702、18.693、10.565、17.017,均P<0.05)。医学生的主要消化道症状有:口腔/咽喉干燥66.52%、消化不良51.67%、味觉异常43.10%、食欲不振42.05%、嗳气41.21%、腹胀40.17%等。不同性别、生源地、年级之间的医学生在消化道症状的差异无统计学意义(χ2=0.242、1.133、2.667,均P>0.05)。Logistic回归显示,应激生活事件中的学习压力和其他因子对消化道症状的影响有统计学意义(χ2=10.885、7.868,均P<0.05)。结论生活事件中的学习压力和其他因子是消化道症状的影响因素。Objective To explore the main stress life events and digestive tract symptoms of students in a medical college in Ningxia and provide theoretical basis for the prevention of health problems of medical students.Methods A stratified cluster sampling method was used to investigate 600 students of different grades in a medical college in Ningxia by using the Adolescent Life Event Scale and the Gastrointestinal Symptoms Questionnaire from March to April,2018.Results The main stressful life events of medical students were interpersonal relationships,learning pressure and health adaptation.The differences between other factors of stress life events in medical students of different genders were statistically significant ([WTBX]Z[WTBZ]=-3.876, P <0.05).Medical students of different grades had statistically significant differences in interpersonal relationships,learning pressure,punishment, and loss of these four stressful life event factors=14.702,18.693,10.565,17.017,all P <0.05).The main gastrointestinal symptoms of the investigated medical students were: dryness of mouth or throat 66.52%,indigestion 51.67%,abnormal taste 43.10%,loss of appetite 42.05%,hernia 41.21%,bloating 40.17%,etc.There were no statistically significant differences in gastrointestinal symptoms among medical students of different genders,places,and grades(χ2=0.242,1.133,2.667,all P >0.05).Logistic regression showed that the effects of study pressure and other factors in stressful life events had statistically significant on gastrointestinal symptoms (χ2=10.885,7.868,all P <0.05).Conclusion Learning stress and other factors of life events are factors that affect gastrointestinal symptoms.

关 键 词：医学生 应激生活事件 消化道症状 

分 类 号：R195[医药卫生—卫生统计学]