心理干预对八年制医学生心理健康状况改善效果调查  

Investigation on improvement effect of psychological intervention on students mental health status of eight-year medical doctor program

作　　者：杨惊 李明夏 姜忆南 许岭翎 柳涛[2] 张晓彤[2] YANG Jing;LI Mingxia;JIANG Yinan;XU Lingling;LIU Tao;ZHANG Xiaotong(Emergency Department,State Key Laboratory of Complex Severe and Rare Diseases,Key Laboratory of Endocrinology of National Health Commission,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Department of Respiratory and Critical Care Medicine,State Key Laboratory of Complex Severe and Rare Diseases,Key Laboratory of Endocrinology of National Health Commission,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Department of Psychomedicine,State Key Laboratory of Complex Severe and Rare Diseases,Key Laboratory of Endocrinology of National Health Commission,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Department of Endocrinology,Key Laboratory of Endocrinology of National Health Commission,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院急诊科疑难重症及罕见病国家重点实验室,北京100730 [2]中国医学科学院北京协和医学院北京协和医院呼吸与危重症医学科疑难重症及罕见病国家重点实验室,北京100730 [3]中国医学科学院北京协和医学院北京协和医院心理医学科疑难重症及罕见病国家重点实验室,北京100730 [4]中国医学科学院北京协和医学院北京协和医院内分泌科国家卫生健康委员会内分泌重点实验室,北京100730

出　　处：《基础医学与临床》2023年第5期861-866,共6页Basic and Clinical Medicine

摘　　要：目的通过调查北京协和医学院临床医学八年制医学生的心理健康状况,尝试提出可行的心理支持对策。方法通过微信(WeChat)向北京协和医学院在读的3~8年级的八年制医学生发放问卷星问卷(www.wjx.cn)进行调查,并按性别、年级分组分析组间差异。见实习组较理论学习组增加了心理支持干预。结果共收到合格问卷248份。82名(33.1%)、16名(6.5%)学生自我评估心理健康情况“一般”或者“差”。6、7年级生活满意度分数(SWLS)显著低于3、4、5、8等其他年级(P<0.001);对于其他量表(抑郁、焦虑、情绪调节困难),6、7年级虽得分稍高但差异无统计学意义。结论八年制医学生仍存在一定的心理健康问题,在见实习期的6、7年级所受压力更大的情况下,通过积极心理干预可部分缓解其情绪调节。Objective To investigate the mental health status of eight-year medical doctor program students in Peking Union Medical College and try to put forward feasible psychological support countermeasures.Methods Undergraduates of eight-year program from grades 3 to 8 in Peking Union Medical College were investigated by WeChat and questionnaires(www.wjx.cn).The differences among groups were analyzed by gender and grade.The practice group received strengthened psychological support intervention and compared with the theoretical study group.Results Totally 248 qualified questionnaires were collected and 82(33.1%)and 16(6.5%)students were rated“moderate”and“poor”in psychological self-assessment.The Life Satisfaction with Life Scores(SWLS)from 6th and 7th grade students was significantly lower than that from 3rd,5th,and 8th grade.For other scales including depression,anxiety,and difficulties in emotional regulation scale,a tendency showed that these undergraduates from two grades had higher scores but the result was not statistically significant.Conclusions The undergraduates of eight-year doctor program still have some mental health problems especially during internship period when facing to greater pressure.Implementation of intervention may support their emotional regulation.

关 键 词：心理干预 心理健康 医学生 八年制 

分 类 号：R84[医药卫生—航空、航天与航海医学]