医学生临床实习期间心理压力变化趋势及感知信念—参照规范影响模式  

Trends in Psychological Stress and the Perceived Belief-Referent Norm Model During Clinical Internships for Medical Students

作　　者：王慧慧 樊立洁[1] 华晨晨 杨廷忠 章伟芳 Wang Huihui;Fan Lijie;Hua Chenchen;Yang Tingzhong;Zhang Weifang(Affiliated Stomatology Hospital of Zhejiang University School of Medicine,Zhejiang University School of Stomatology,Zhejiang Provincial Clinical Research Center for Oral Diseases,Zhejiang Key Laboratory of Oral Biomedical Research,Zhejiang University Cancer Institute,Zhejiang Provincial Engineering Research Center for Oral Biomaterials and Devices,Hangzhou 310006,Zhejiang,China;Affiliated Women's Hospital of Zhejiang University School of Medicine,Hangzhou 310006,Zhejiang,China;InjuryControl Research Center,West VirginiaUniversity,Morgantown,WV26506,USA)

机构地区：[1]浙江大学医学院附属口腔医院,浙江大学口腔医学院,浙江省口腔疾病临床医学研究中心,浙江省口腔生物医学研究重点实验室,浙江大学癌症研究院,口腔生物材料与器械浙江省工程研究中心,浙江杭州310006 [2]浙江大学医学院附属妇产科医院,浙江杭州310006 [3]美国西弗吉尼亚大学伤害研究中心,美国西弗吉尼亚州摩根城26506

出　　处：《中国高等医学教育》2024年第9期30-33,共4页China Higher Medical Education

基　　金：浙江省教育厅一般科研项目(Y202248599);浙江大学医学院附属口腔医院探索与研发项目(RD2022RKZD01);“十四五”研究生教育改革项目。

摘　　要：目的:研究为前瞻性的纵向观察研究.旨在检验医学生在临床实习期间心理压力变化趋势及感知信念—参照规范影响模式.方法:随机选取即将进入临床实习的医学生.以无记名纸质问卷通过4次重复测量变量而获取资料.全部完成4次观察者纳入分析.采用描述性统计、线性混合模型进行分析.结果:基线招募到27名研究对象,经过3个观察点,完成全部观察的有25人.最终在所有观察变量中,研究对象心理压力和同学对医生的看法在观察期间呈现显著上升趋势,β值分别为3.73和5.80,P值均<0.01.其余变量则变化不显著.口腔技术操作复杂、工作压力大,家人或亲戚对口腔医生的看法,朋友对口腔医生的看法,同学对口腔医生的看法均对心理压力产生显著影响,参数估计分别为27.12、23.98、20.12、21.87,P值均<0.0001.结论:本研究检验了医学生在临床实习期间心理压力变化趋势及感知信念—参照规范模式,为医学生心理压力问题的理解和教育管理提供新的视角.Objective:This prospective longitudinal study aimed to examine trends in psychological stress among medical students during clinical internships and the influence of the perceived belief-referent norm model.Methods:A random selection of medical students about to begin their clinical internships participated in the study.Anonymous paper questionnaires were administered four times at different stages to measure the variables,and data from students who completed all four observations were included in the analysis.Descriptive statistics and linear mixed models were used for analysis.Results:A total of 27 students were initially recruited,with 25 completing all four observations.Psychological stress and peers'perceptions of doctors showed significant increases over time,withβvalues of 3.73 and 5.80,respectively,and P values<0.01.Other variables did not show significant changes.Factors significantly influencing psychological stress included the complexity of oral technical procedures,work pressure,family or relatives'opinions of oral doctors,friends'opinions of oral doctors,and classmates'opinions of oral doctors,with parameter estimates of 27.12,23.98,20.12,and 21.87,respectively,and P values all<0.0001.Conclusion:This study examined the trends in psychological stress among medical students during clinical internships and the perceived belief-referent norm model,offering new insights into the understanding and management of psychological stress in medical students.

关 键 词：医学生 心理压力 感知信念—参照规范 

分 类 号：G444[哲学宗教—心理学]