医学生心理健康状况及影响因素分析  

Mental health status of medical students and analysis of influencing factors

作　　者：顾晓芬[1] 邓文娟 罗冬梅 GU Xiaofen;DENG Wenjuan;LUO Dongmei(Department of Discipline Inspection and Supervision Office,Affiliated Cancer Hospital of Xinjiang Medical University,Urumqi,Xingjiang 830011,China;Department of Clinical Medicine,Xinjiang Medical University,Urumqi,Xingjiang 830000,China;Department of Caner Prevention and Treatment Office,Affiliated Cancer Hospital of Xinjiang Medical University,Urumqi,Xingjiang 830011,China)

机构地区：[1]新疆医科大学附属肿瘤医院纪检监察室,新疆乌鲁木齐830011 [2]新疆医科大学临床医学部,新疆乌鲁木齐830000 [3]新疆医科大学附属肿瘤医院肿瘤防治办公室,新疆乌鲁木齐830011

出　　处：《现代医药卫生》2024年第19期3285-3290,共6页Journal of Modern Medicine & Health

基　　金：新疆医科大学附属肿瘤医院人文社会科学基金项目(2019SK02009)。

摘　　要：目的了解某高校医学生的心理健康现状,深入探索医学生心理健康的影响因素,为医学生心理健康辅导教育提供线索和参考依据。方法采用一般情况调查表和情绪自评量表,对新疆某高校的1767名在校医学生进行网络问卷调查,结合单因素及logistic回归分析探究医学生心理健康状况及其影响因素。结果压力、焦虑和抑郁检出率分别为17.0%(300/1767)、37.6%(665/1767)、29.4%(520/1767)。单因素分析发现,不同年级、民族、家庭经济状况、体育锻炼、食欲状况、睡眠状况、与同学或朋友相处间比较,差异均有统计学意义(P<0.05)。Logistic回归分析结果发现,家庭经济状况、体育锻炼、睡眠状况和与同学或朋友相处是新疆某高校学生发生心理问题的主要影响因素(P<0.05)。偏相关结果发现,压力、焦虑与抑郁两两之间呈正相关(P<0.05),其中压力和焦虑得分的相关系数最大(0.57)。结论新疆某高校医学生出现不同程度的压力、焦虑及抑郁的心理问题,要加强对贫困医学生心理监测,密切关注睡眠质量较差的学生,引导学生作息规律、保持适度运动。Objective To understand the current situation of the mental health of medical students in a university,to explore in depth the influencing factors of the mental health of medical students,and to provide clues and reference bases for the mental health counseling and education of medical students.Methods A web-based questionnaire survey was conducted on 1767 medical students enrolled in a university school in Xinjiang using a general condition questionnaire and an emotional self-assessment scale,and combined with one-way and logistic regression analyses to explore the mental health status of medical students and their influencing factors.Results The incidence rates of stress,anxiety and depression were 17.0%(300/1767),37.6%(665/1767)and 29.4%(520/1767)respectively.Univariate analysis found statistically significant differences between different grades,ethnicity,family economic status,physical activity,appetite status,sleep status,and getting along with classmates or friends(P<0.05).Logistic regression analysis revealed that family economic status,physical exercise,sleep status,and getting along with classmates or friends were the main influencing factors for the occurrence of psychological problems among students in a medical school in Xinjiang(P<0.05).The partial correlation results found a positive correlation(P<0.05)between the two of stress,anxiety and depression,with the largest correlation coefficient(0.57)between the stress and anxiety scores.Conclusion Medical students in a university in Xinjiang are experiencing different degrees of psychological problems of stress,anxiety and depression.It is important to strengthen the psychological monitoring of poor medical students,pay close attention to students with poor sleep quality,and guide them to have a regular work and rest schedule and to maintain a moderate level of exercise.

关 键 词：医学生 心理健康 影响因素 压力 焦虑 抑郁 

分 类 号：R195[医药卫生—卫生统计学]