医科院校硕士研究生心理健康状况及影响因素分析  

Analysis of mental health status and influencing factors of postgraduates in medical schools

作　　者：陈锴 段昌柱 董国利 黄文桥 Chen Kai;Duan Changzhu;Dong Guoli;Hucaig Wenqiao(Graduate School,Chongqing Medical University,Chongqing 4000169 China;School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学研究生院,重庆400016 [2]重庆医科大学公共卫生与管理学院,重庆400016

出　　处：《中华医学教育探索杂志》2022年第3期378-384,共7页Chinese Journal of Medical Education Research

基　　金：重庆市研究生教育教学改革研究项目(yjg182018);全国医学专业学位研究生教育指导委员会研究项目(YX2019-06-02)。

摘　　要：目的调查西南某医学院校硕士研究生心理健康现状并分析其影响因素。方法采用基本情况问卷和症状自评量表对某医科大学622名临床医学硕士研究生进行调查,使用logistic回归分析影响因素。使用Excel 2010录入数据,用SPSS 22.0软件对数据进行统计分析。结果各因子得分如下,躯体化=(1.24±0.44)、强迫=(1.62±0.64)、人际关系敏感=(1.4±0.54)、抑郁=(1.45±0.64)、焦虑=(1.37±0.56)、敌对=(1.31±0.5)、恐惧=(1.18±0.42)、偏执=(1.27±0.51)、精神病性=(1.25±0.46)、其他=(1.36±0.53)。共有169(27.2%)人心理健康检出阳性症状,检出人数前三的症状依次是:强迫、抑郁、人际关系敏感。多因素logistic回归分析结果显示,年级、专业满意度、读研动机、家庭教养方式是医学院校硕士研究生心理健康状况的影响因素。结论医学院校硕士研究生心理健康状况较以往更差,应根据影响因素,采取有针对性的措施提高硕士研究生心理健康水平。Objective To investigate the mental health status of postgraduates in a medical university in southwest China and analyze its influencing factors.Methods A total of 622 clinical medical postgraduates from a medical university were investigated by basic information questionnaire and symptom Checklist-90(SCL-90).Logistic regression was performed for data analysis.Excel 2010 was used for data entry,and SPSS 22.0 was used for statistical analysis.Results The scores of each factor were as follows:somatization=1.24±0.44,compulsion=1.62±0.64,interpersonal sensitivity=1.4±0.54,depression=1.45±0.64,anxiety=1.37±0.56,hostility=1.31±0.50,fear=1.18±0.42,paranoia=1.27±0.51,psychosis=1.25±0.46,others=1.36±0.53.Besides,169(27.2%)people had positive mental health symptoms,and the top three symptoms were compulsion,depression and interpersonal sensitivity.The results of multivariate logistic regression analysis showed that grade,professional satisfaction,postgraduate study motivation and family education style were the influencing factors of mental health status of postgraduates in medical colleges and universities.Conclusion The mental health status of postgraduates in medical colleges is worse than before.According to the influencing factors,targeted measures should be taken to improve the mental health level of postgraduates.

关 键 词：医学院校 硕士研究生 心理健康状况 影响因素 

分 类 号：R-05[医药卫生]