住院医师抑郁症状现况评价及影响因素分析:基于辽宁省8家培训基地的横断面研究  

The prevalence evaluation and influencing factors analysis of depressive symptom in residents:a cross-sectional study based on eight residency training centers in Liaoning Province

作　　者：常青[1,5] 白松[2] 张希 姚达 张旖骁[2] 刘彩刚[4] 赵玉虹[5] Chang Qing;Bai Song;Zhang Xi;Yao Da;Zhang Yixiao;Liu Caigang;Zhao Yuhong(Post Graduation Training Department,Shengjing Hospital of China Medical University,Shenyang 110004,China;Department of Urology,Shengjing Hospital of China Medical University,Shenyang 110004,China;Post Graduation Medical Education Office,Liaoning Health Service Center,Shenyang 110005,China;Cancer Center,Shengjing Hospital of China Medical University,Shenyang 110004,China;Clinical Research Center,Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院毕业后培训部,沈阳110004 [2]中国医科大学附属盛京医院泌尿外科,沈阳110004 [3]辽宁省卫生健康服务中心毕业后医学教育办公室,沈阳110005 [4]中国医科大学附属盛京医院肿瘤中心,沈阳110004 [5]中国医科大学附属盛京医院临床研究中心,沈阳110004

出　　处：《中华医学教育探索杂志》2023年第2期241-246,共6页Chinese Journal of Medical Education Research

摘　　要：目的调查住院医师抑郁症状的患病情况,分析其相关的人口学信息、培训情况及心理学影响因素,为现阶段我国住院医师心理健康管理及干预提供依据。方法本研究调查对象为辽宁省沈阳、大连、锦州、抚顺的8家培训基地共1050名住院医师。采用匹兹堡睡眠量表、国际体力活动量表、组织支持感简化量表、心理资本量表、明尼苏达满意度短式量表等,调查住院医师社会人口学信息、培训信息、睡眠情况、运动情况、组织支持感、心理资本、工作满意度、抑郁症状等。采用SPSS 22.0软件进行logistic回归等统计分析。结果共回收有效问卷962份,结果显示44.59%(429/962)住院医师有抑郁症状。培训年级高(OR_(PGY)-3=1.775,P=0.006)、睡眠质量差(OR=1.662,P<0.001)是住院医师抑郁症状的危险因素,心理资本(OR=0.962,P<0.001)、工作满意度(OR=0.972,P=0.001)是住院医师抑郁症状的保护因素。结论住院医师抑郁症状患病率较高,培训年级、睡眠质量、心理资本、工作满意度等因素与住院医师抑郁症状高患病率有关联,应予以重点关注。Objective To investigate the prevalence of depression symptoms in residents,and to analyze the demographic characteristics,training status and psychological influencing factors in order to provide the evidence for the mental health management and intervention of residents in China at current stage.Methods A total of 1050 participants from eight different training centers in Shenyang,Dalian,Jinzhou and Fushun of Liaoning Province were investigated by Pittsburgh sleep quality index,International physical activity questionnaire,Survey of perceived organizational support,Psychological capital questionnaire and Minnesota satisfaction questionnaire,which covered questions including social demographic information,training information,sleep status,physical activity,organization support,psychological capital,job satisfaction and depressive symptoms of residents.SPSS 22.0 were used to carry out statistical analysis such as logistic regression.Results A total of 962 valid questionnaires were collected and the results showed that 44.59%(429/962)of residents had depressive symptoms.High training grade(OR_(PGY-3)=1.775,P=0.006)and poor quality of sleep(OR=1.662,P<0.001)were risk factors of depressive symptoms,whereas psychological capital(OR=0.962,P<0.001)and job satisfaction(OR=0.972,P=0.001)were protective factors of depressive symptoms.Conclusion The prevalence of depressive symptoms is high in residents.Training grade,sleep quality,psychological capital and job satisfaction are closely associated with the high prevalence of depressive symptoms,which should be paid more attention to.

关 键 词：住院医师 规范化培训 抑郁症状 

分 类 号：R-4[医药卫生]