新型冠状病毒肺炎疫情防控期间医学生心理状况及其影响因素分析  

The psychological state of the medical students during COVID-19 pandemic and risk factors concerned

作　　者：翟晓艳[1] 臧玉芹[2] 井朋 张石盼 刘敬 倪爱华[1] Zhai Xiaoyan;Zang Yuqin;Jing Peng;Zhang Shipan;Liu Jing;Ni Aihua(Department of Clinical Psychology,Hebei General Hospital,Shijiazhuang 050051,China;Department of Scientific Research and Education,Hebei General Hospital,Shijiazhuang 050051,China)

机构地区：[1]河北省人民医院临床心理科,石家庄050051 [2]河北省人民医院科教处,石家庄050051

出　　处：《中华医学教育杂志》2022年第9期787-791,共5页Chinese Journal of Medical Education

摘　　要：目的了解新型冠状病毒肺炎疫情防控期间医学生的心理状况及影响因素,为制定有效的干预措施提供依据。方法选取2020年2月14日至2020年2月16日期间河北省人民医院学习的826名医学生为研究对象,采取一般资料问卷、广泛性焦虑障碍量表、患者健康问卷抑郁自评量表、健康问卷躯体症状量表进行自评问卷调查,单因素分析各变量间评分的差异,二分类logistic回归分析医学生焦虑、抑郁、躯体化症状的影响因素。结果8.4%(69/826)的医学生有焦虑症状,17.7%(146/826)的医学生有抑郁症状,13.8%(114/826)的医学生有躯体化症状,既往慢性胃肠炎病史、焦虑抑郁病史、关注疫情1~3小时、几乎整日关注疫情是医学生出现焦虑、抑郁症状的独立危险因素(焦虑:OR=6.560、4.223、2.425、4.970,95%CI:1.953~22.035、1.969~9.057、1.294~4.545、2.492~9.910;抑郁:OR=5.011、1.953、1.770、1.995,95%CI:1.827~13.415、1.011~3.772、1.176~2.664、1.166~3.415)。结论疫情期间医学生焦虑、抑郁、躯体化症状明显,重点关注既往有焦虑抑郁病史、慢性胃肠炎的医学生心理状态,建议每天关注疫情少于1小时。Objective To investigate the mental status of the medical students during COVID-19 pandemic and to discuss associated risk factors in order to provide effective intervention.Methods Totally 826 undergraduates at internship in Hebei General Hospital were selected as research object.The mental status was evaluated by investigation through questionnaires designed for generalized anxiety disorder and Patient Health Questionnaire Binary logistic regression analysis was used to identify the potential risk factors.Results It is found that anxiety,depression and somatized symptoms are found in 8.4%(69/826),17.7(146/826)and 13.8%(114/826)students respectively.The history of chronic gastroenteritis,anxiety and depression and keep attention to the pandemic situation for one to three hours each day or even whole day are independent risk factors related to anxiety and depression(anxiety:OR=6.560,4.223,2.425,4.970,95%CI:1.953~22.035,1.969~9.057,1.294~4.545,2.492~9.910.depression:OR=5.011,1.953,1.770,1.995,95%CI:1.827~13.415,1.011~3.772,1.176~2.664,1.166~3.415).Conclusions During COVID-19 pandemic,medical students suffer from anxiety,depression and somatized symptoms.The history of anxiety,depression,and chronic gastroenteritis are associated with anxiety and depression.It is recommended to pay attention to the epidemic information not more than one hour each day.

关 键 词：医学生 新型冠状病毒肺炎疫情 心理状况 影响因素 

分 类 号：R-4[医药卫生]