大学生心理健康状态与胃肠道症状的相关性研究  

The Investigation of Correlation Between Mental Health and Gastrointestinal Symptoms in College Students

作　　者：王维国[1] 陈张森杕 张碧云 杨春梅[1] 孙骥 何洪波[1] WANG Weiguo;CHEN Zhangsendi;ZHANG Biyun;YANG Chunmei;SUN Ji;HE Hongbo(Institute of Integrated Traditional Chinese and Western Medicine,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China;Department of Outpatient,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China)

机构地区：[1]四川大学华西医院中西医结合中心,四川成都610041 [2]四川大学华西医院门诊部,四川成都610041

出　　处：《中国继续医学教育》2022年第23期103-108,共6页China Continuing Medical Education

基　　金：国家自然科学基金青年项目(81901462);四川省干部保健科研课题(川干研2019-119)。

摘　　要：目的调查大学生心理健康状态与胃肠道症状的相关性以及二者的相互作用。方法选择2020年9月—2021年6月40名在四川大学华西医院实习的临床医学专业本科生行问卷调查,每学期每人发放问卷4次,全学年共发放问卷8次。本研究共发放并回收问卷311份。问卷内容包括人口统计学因素、基本生活习惯、胃肠道症状分级评分量表(gastrointestinal symptom rating scale,GSRS)和一般健康问卷(general health questionnaire-20,GHQ-20)。使用Pearson相关性分析、t检验和χ^(2)检验分析相关因素。结果被调查者的GHQ-20问卷得分中位数为0.38(0.13,0.63)分,GSRS量表得分中位数为1.00(0.13,1.38)分,胃肠道症状的总体发生率为62.3%。Pearson相关性分析显示:GSRS量表和GHQ-20问卷评分的波动变化呈正相关(r=0.601,P=0.000)。单因素分析显示:GSRS量表评分与喜好夜宵(P=0.047)、辛辣饮食(P=0.031)和不喜好运动(P=0.010)相关。GHQ-20问卷评分与喜好辛辣饮食(P=0.017)和不喜好运动(P=0.009)相关。结论大学生胃肠道症状和心理健康状态的波动相关。饮食和运动因素可能会影响大学生的胃肠道症状和心理健康状态。提高大学生科学化管理手段,进行针对性的饮食管理和运动干预方案可能有助于改善大学生的健康状态。Objective To investigate the correlation between mental health state and gastrointestinal symptoms of college students and their interaction.Methods Questionnaire survey was conducted among 40 undergraduate students majoring in clinical medicine who were practicing in West China Hospital,Sichuan University from September 2020 to June 2021.Questionnaires were distributed four times per semester for each student,and eight times in the whole academic year.A total of 311 questionnaires were issued and collected.Gastrointestinal symptom rating scale(GSRS)and general health questionnaire(GHQ-20)were gastrointestinal symptom rating scale.Correlation factors were analyzed by Pearson correlation analysis,t test and Chi-square test.Results The median score of the GHQ-20 questionnaire was 0.38(0.13,0.63),the median onset of GSRS scale was 1.00(0.13,1.38),and the overall probability of occurrence of tract symptoms was 62.3%.Pearson correlation analysis showed that:the fluctuation of the GSRS scale and the GHQ-20 score was positively correlated(r=0.601,P=0.000).Univariate analysis showed that the GSRS scale score was related to the preference for supper(P=0.047),the spicy diet(P=0.031)and the dislike of exercise(P=0.010).The GHQ-20 questionnaire score was related to the spicy diet(P=0.017)and the dislike of exercise(P=0.009).Conclusion Diet and exercise factors may affect the gastrointestinal symptoms and mental health status of college students.Improving the scientific management,carrying out targeted diet management and applying physical exercise program may help improve the health status of college students.

关 键 词：大学生 心理健康 胃肠道症状 饮食 运动 胃肠道症状分级评分量表(GSRS) 一般健康问卷(GHQ-20) 

分 类 号：G642[文化科学—高等教育学]