团体认知行为干预对医学实习生心理健康的影响  

Effect of group cognitive behavior therapy on mental health of medical interns

作　　者：张岩 姜明刚 曹江 闵国庆 孙权 李欢欢 ZHANG Yan;JIANG Minggang;CAO Jiang;MIN Guoqing;SUN Quan;LI Huanhuan(The Second People's Hospital of Lishui,Lishui 323000,China;The Fourth People's Hospital of Jiande,Jiande 311600,China)

机构地区：[1]丽水市第二人民医院,丽水323000 [2]建德市第四人民医院,建德311600

出　　处：《济宁医学院学报》2021年第3期225-228,共4页Journal of Jining Medical University

基　　金：济宁医学院2017年度实践教学教育科研研究项目(JYSJ2017A11)。

摘　　要：目的探讨团体认知行为干预对医学实习生心理健康的影响,为今后开展心理健康辅导提供依据。方法选取2018至2019学年在丽水市第二人民医院进行医学实习,存在抑郁、焦虑等心理问题的81名实习生作为研究对象,随机分为观察组(41名)和对照组(40名)。对照组进行常规心理健康宣教,观察组在常规心理健康宣教基础上进行团体认知行为干预。比较两组被试干预前后在人际交往焦虑量表(IAS)、大学生健康调查表(UPI)的评分。结果干预前,两组在UPI、IAS评分差异无统计学意义(P>0.05);干预2周后,观察组的IAS评分显著低于对照组(P<0.05);干预8周及16周后,观察组UPI总分、IAS评分均显著低于对照组(P<0.05);治疗结束后3个月及6个月随访,观察组干预效果显著优于对照组(P<0.05),且观察组UPI三类人群变化存在显著差异(P<0.05),UPI第一类显著下降(P<0.05)。结论团体认知行为干预能够有效解决医学实习生存在的社交恐惧、人际沟通、适应性等心理问题,提高临床医学的教学效果和学习积极性,为实习生的心理辅导提供科学参考。Objective To explore the effect of group cognitive behavior therapy on mental health of medical interns,and to provide basis for carrying out mental health counseling in the future.Methods 81 interns who participated in medical practice teaching activities in hospital during the academic year 2018-2019,with depression,anxiety and other psychological problems were selected as the research objects.They were randomly divided into the experimental group and the control group.Forty-one interns in the experimental group were given group cognitive behavior by experienced psychologists.40 patients in the control group received psychological intervention only in the traditional way.The scores of IAS and UPI before and after intervention were compared between the two groups.Results Before the intervention,there was no significant difference in UPI and IAS between the study group and the control group.After 2 weeks of intervention,the IAS score of the study group was significantly lower than that of the control group(P<0.05).After 8 and 16 weeks of intervention,the UPI total score and IAS score of the study group were significantly lower than those of the control group(P<0.05).After 3 months and 6 months of follow-up,the total score of UPI in the study group before and after the intervention was significantly better than that in the control group(P<0.01),and there was a significant difference in the changes of three groups of UPI in the study group(P<0.001),and the first group of UPI decreased significantly(P<0.05).Conclusion Group cognitive behavioral therapy can effectively solve the psychological problems of medical interns,such as social anxiety and adaptation difficulties,and improve their mental health.

关 键 词：团体认知行为干预 医学实习生 健康调查表 

分 类 号：R395[哲学宗教—心理学]