眼科临床见习生心理压力应对方式的研究  

Study on coping styles of clinical ophthalmic interns under psychological stress

作　　者：魏誉民[1] 钟志勇[1] 邹玉仙[1] 高雅 Wei Yumin;Zhong Zhiyong;Zou Yuxian;Gao Ya(Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510623,China)

机构地区：[1]中山大学中山眼科中心医务处,广州510623

出　　处：《中华医学教育探索杂志》2023年第3期453-457,共5页Chinese Journal of Medical Education Research

基　　金：中山大学国家高等教育质量常态监测数据中心(高等教育研究院)开放基金资助(M2102)。

摘　　要：目的研究眼科临床见习生心理压力应对方式的特点、影响因素,为促进医学生心理健康发展提供科学依据。方法2019年采用一般情况调查表、简易应对方式问卷,对中山大学103名参加眼科临床见习的学生进行整群抽样调查。通过Epidata建立数据库,采用SPSS 25.0软件对数据进行统计学分析。结果眼科临床见习生面临压力时积极应对和消极应对得分分别为(1.70±0.10)和(1.30±0.05),都低于常模,差异有统计学意义(P<0.001)。非首次实践学生比首次实践的学生积极应对得分高0.087分;八年制学生比五年制的积极应对得分高0.124分;家庭收入每升高一个等级,学生的积极应对得分增加0.015分。男性比女性消极应对得分增加0.027分;八年制学生比五年制的消极应对得分下降0.053分;家庭收入每升高一个等级,消极应对得分下降0.017分;农村户籍的学生比城镇户籍的消极应对得分增加0.035分;非首次实践学生比首次实践的学生消极应对得分增加0.074分。结论教育工作者应当高度关注眼科临床见习生心理压力应对方式情况,结合不同群体特点有针对性地开展心理健康教育和应对方法指导,采取有效措施提升学生压力应对能力,促进眼科临床见习工作顺利开展。Objective To study the characteristics and influencing factors of coping styles of clinical ophthalmic interns under psychological stress,so as to provide scientific basis for promoting the mental health development of medical students.Methods In 2019,103 students of Sun Yat-sen University who participated in clinical practice of ophthalmology were investigated by cluster sampling with general situation questionnaire and simple coping style questionnaire.The database was established by Epidata,and the data was statistically analyzed by SPSS 25.0 software.Results The scores of positive coping and negative coping were(1.70±0.10)and(1.30±0.05)respectively,which were all lower than the norm(P<0.001).The scores of non first time practice students were 0.087 points higher than those of first time practice students;the scores of eight-year students were 0.124 points higher than those of five-year students;the scores of positive coping increased by 0.015 points for each level of family income increase.Men scored 0.027 points higher than women in negative coping scores;eight-year students scored 0.053 points lower than five-year students in negative coping scores;family income increased by one grade,negative coping scores decreased by 0.017 points;rural registered residence students scored 0.035 points higher than urban registered residence students in negative coping scores;non first practice students scored 0.074 points higher than the first practice students in negative coping scores.Conclusion Educators should pay close attention to the coping styles of clinical ophthalmic interns,carry out mental health education and guidance of coping methods according to the characteristics of different groups,take effective measures to improve students'stress coping ability and promote the smooth development of clinical practice in ophthalmology.

关 键 词：眼科 见习教学 心理压力 应对方式 

分 类 号：R77[医药卫生—眼科]