新型冠状病毒肺炎疫情期间某高校见习医学生的心理健康状况调查  

Investigation on mental health status of medical students in clerkship of a university during the pandemic of Coronavirus disease 2019

作　　者：莫志硕[1] 雷姿颖[1] 张晓红[1] Mo Zhishuo;Lei Ziying;Zhang Xiaohong(Department of Infectious Diseases,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)

机构地区：[1]中山大学附属第三医院感染科,广州510630

出　　处：《中华医学教育探索杂志》2023年第3期448-452,共5页Chinese Journal of Medical Education Research

基　　金：2020年中山大学本科质量工程和教学改革项目(82000-31911131)。

摘　　要：目的了解新型冠状病毒肺炎(Coronavirus disease 2019,COVID-19)疫情期间见习医学生的心理状况,分析其心理状况特点及影响因素,为开展应对措施提供有效的依据。方法向见习医学生进行问卷调查,包括自制的一般情况调查表、症状自评量表(symptom checklist 90,SCL-90)及社会支持评定量表(social support rate scale,SSRS)。对上述数据进行统计分析,率的比较使用卡方检验、组间对比使用t检验、相关性分析使用Spearman相关分析。结果18.38%(66/359)的见习医学生有不同方面的心理问题,男女之间差异无统计学意义。知悉针对于COVID-19的免费心理咨询途径的学生,强迫症状、焦虑、敌对等3个因子的水平低于不知悉的学生[(1.30±0.44)vs.(1.41±0.55),(1.19±0.30)vs.(1.26±0.42),(1.17±0.35)vs.(1.26±0.44),P<0.05]。男学生在社会支持利用度方面低于女学生[(7.46±2.03)vs.(8.10±2.06),P=0.004]。除躯体化外的其他SCL-90因子均与SSRS呈负相关。结论疫情期间,见习医学生有一定程度的心理问题,与社会支持呈负相关,提示可通过提高社会支持来改善心理健康状况。Objective To investigate the psychological status of medical students in clerkship during the outbreak of Coronavirus Disease 2019(COVID-19),analyze the psychological status characteristics and influencing factors of them,and provide an effective basis for carrying out corresponding mental health education and countermeasures.Methods The survey was conducted on clerkship medical students in the form of questionnaires,including self-made general status questionnaires,symptom checklist 90(SCL-90)and social support rate scale(SSRS).Statistical analysis was made on above data,chi-square test was used for rates comparison,t test was for comparison between groups,and Spearman correlation analysis was conducted.Results The survey obtained 359 valid questionnaires,18.38%of medical students had different aspects of psychological problems.There was no statistical difference between male and female.For those who knew that there was free psychological counseling for the COVID-19,the levels of three factors,such as compulsive symptoms,anxiety,and hostility,were lower than those of the others who didn't know that[(1.30±0.44)vs.(1.41±0.55),(1.19±0.30)vs.(1.26±0.42),(1.17±0.35)vs.(1.26±0.44),P<0.05].SSRS results showed that male students had lower social support availability than female students[(7.46±2.03)vs.(8.10±2.06),P=0.004],and except for somatization,other SCL-90 factors scores of the students were negatively correlated with SSRS scores.Conclusion During the pandemic,medical students in clerkship have a certain degree of psychological problems,which are negatively related to social support,suggesting that these medical students'mental health can be improved by improving social support.

关 键 词：新型冠状病毒肺炎 见习医学生 心理 社会支持 

分 类 号：R395.6[哲学宗教—心理学]