COVID-2019疫情常态化防控期间蚌埠市规范化培训住院医师心理健康状况调查分析  

Investigation and analysis of mental health status of residents in standardized training in Bengbu during the COVID-19 normalization of prevention and control

作　　者：李娟[1] 韦道祥[1] 谢静[1] LI juan;WEI Dao-xiang;XIE jing(Department of Neurology,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui 233004,China)

机构地区：[1]蚌埠医学院第一附属医院神经内科,安徽蚌埠233004

出　　处：《中华全科医学》2022年第2期278-281,共4页Chinese Journal of General Practice

基　　金：安徽省高等学校省级质量工程项目(2020jyxm1204)。

摘　　要：目的了解新型冠状病毒肺炎疫情常态化防控期间规范化培训住院医师(以下简称规培生)的心理健康状况,及早发现规培生存在的心理问题,分析可能原因,为促进规培生的心理健康提供科学依据,也有助于规培生的临床教学。方法采用网络问卷形式对2020年8月1日-2020年10月31日疫情常态化防控期间的蚌埠市三所三级甲等综合医院的220名规培生进行心理健康状况调查,问卷包括:症状自评量表(SCL-90)、成人心理压力量表、明尼苏达满意度量表、社会适应能力量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)。结果220名规培生SAS得分[(44.74±8.09)分]、SDS得分[(46.24±12.27)分]均高于全国常模[SAS:(37.23±12.49)分,SDS:(41.88±10.57)分,均P<0.05],男生和女生SAS、SDS得分差异无统计学意义。规培生在SCL-90的强迫症状[(1.80±0.77)分]、人际关系敏感[(1.64±0.75)分]、抑郁[(1.65±0.76)分]、焦虑[(1.50±0.67)分]、恐惧[(1.39±0.62)分]、精神病性因子[(1.43±0.64)分]方面的评分高于全国常模(均P<0.05),男生和女生SCL-90各项因子得分差异均无统计学意义。规培生社会适应能力总体水平较强,且男生社会适应能力评分[(35.69±5.67)分]低于女生[(37.10±6.21)分],差异无统计学意义(t=1.763,P=0.079)。结论新型冠状病毒肺炎疫情常态化防控期间规培生心理健康状况较差,需对规培生进行心理干预。Objective To understand the mental health status of standardized training residents under the COVID-19 normalization of prevention and control,find out the psychological problems of standardized training residents as soon as possible,and to analyze the possible causes,so as to provide scientific basis for promoting mental health and also contribute to the clinical teaching.Methods A network questionnaire was used to investigate the mental health status of 220 standardized at three grade 3A general hospitals in Bengbu from August 1,2020 to October 31,2020.The questionnaire included symptom checklist-90(SCL-90),Adult Psychological Stress Scale,Minnesota satisfaction scale,Social adaptability scale,Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS).Results The scores of SAS[(44.74±8.09)points]and SDS[(46.24±12.27)points]of the 220 standardized training residents were higher than those of the national norm[SAS:(37.23±12.49)points,SDS:(41.88±10.57)points,all P<0.05],and there was no significant difference in the scores of SAS and SDS between male and female.The scores of obsessive-compulsive symptoms[(1.80±0.77)points],interpersonal sensitivity[(1.64±0.75)points],depression[(1.65±0.76)points],anxiety[(1.50±0.67)points],fear[(1.39±0.62)points]and psychoticism[(1.43±0.64)points]of SCL-90 were higher than those of the national norm(all P<0.05).There was no significant difference in the scores of SCL-90 between male and female.The overall level of social adaptive ability of regular students was strong,the score of social adaptive ability of male students[(35.69±5.67)points]was lower than that of female students[(37.10±6.21)points],and the difference was not statistically significant.Conclusion During the COVID-19 normalization of prevention and control,the mental health status of standardized training residents is poor,so it is necessary to carry out psychological intervention to standardized training residents.

关 键 词：症状自评量表 心理健康 新型冠状病毒肺炎 

分 类 号：R192.3[医药卫生—卫生事业管理] R193[医药卫生—公共卫生与预防医学]