住院医师规范化培训学员心理压力、心理资本现状及与职业期望的相关性研究  

Status Quo of Psychological Stress and Psychological Capital and Correlation with Career Expectation of Resident Standardized Training Students

作　　者：雷蕾[1] 李良平[1] 张颖慧[1] 张笛[1] 雷姗 黄鑫宇 彭羽[2] LEI Lei;LI Liangping;ZHANG Yinghui;ZHANG Di;LEI Shan;HUANG Xinyu;PENG Yu(Sichuan Academy of Medical Sciences/Sichuan Provincial People's Hospital,Chengdu,610072,China;不详)

机构地区：[1]四川省医学科学院·四川省人民医院消化内科,四川成都610072 [2]四川省医学科学院·四川省人民医院学术期刊部,四川成都610072

出　　处：《中国社会医学杂志》2024年第6期673-676,共4页Chinese Journal of Social Medicine

基　　金：四川省干部保健重点项目(川干研ZH2023-201)。

摘　　要：目的分析住院医师规范化培训(简称住培)学员的心理压力、心理资本及职业期望现状,并分析其相关性。方法采用便利抽样法选取2021年6月—2023年6月于四川省人民医院进行住培的516例学员为研究对象,采用抑郁-焦虑-压力量表(Depression-Anxiety-Stress Scal e,DASS)、心理资本量表、职业期望量表调查住培学员的心理压力、心理资本与职业期望现状,并采用Pearson相关性分析学员心理压力、心理资本与职业期望的相关性。结果住培学员DASS量表各维度得分分别为(7.68±1.93)分、(9.11±2.86)分、(13.09±3.64)分,心理资本量表各维度得分分别为(23.69±3.88)分、(25.63±4.18)分、(21.05±3.94)分、(16.67±3.12)分,职业期望量表各维度得分分别为(28.34±4.82)分、(28.02±4.23)分、(18.12±3.53)分;Pearson相关性分析显示,抑郁、焦虑、压力与地位声望、自我发展、稳定性均呈显著负相关(r分别为-0.525、-0.565、-0.536,-0.633、-0.259、-0.234,-0.486、-0.357、-0.199;P<0.05);Pearson相关性分析显示,自我效能、希望、韧性、乐观与地位声望、自我发展、稳定性均呈显著正相关(r分别为0.344、0.487、0.238,0.447、0.391、0.187,0.476、0.351、0.228,0.330、0.569、0.226,P<0.05);心理资本在住培学员心理压力与职业期望间起部分中介作用,中介效应占总效应的47.18%。结论住培学员存在较高心理压力,处于中等心理资本水平,职业期望与心理压力呈显著负相关,与心理资本呈显著正相关,故通过改善学员的心理资本和心理压力有助于提高其职业期望。Objective To analyze the status quo of psychological stress,psychological capital and career expectation of resident standardized training students(RRT),and to analyze their correlation.Methods Adopting conve-nience sampling method,a total of 516 students were selected from June 2021 to June 2023 in Sichuan Provincial People’s Hospital for residential training.The psychological stress,psychological capital and career expectation of the students were investigated and analyzed by Depression-Anxiety-Stress Scale(DASS),Psychological Capital Scale and Career Expectation Scale,and the correlation between psychological stress,psychological capital and career expectation was analyzed by Pearson correlation analysis.Results The scores of dimensions of DASS,psychological capital and career expectation were(7.68±1.93)points,(9.11±2.86)points and(13.09±3.64)points,(23.69±3.88)points,(25.63±4.18)points,(21.05±3.94)points and(16.67±3.12)points,and(28.34±4.82)points,(28.02±4.23)points and(18.12±3.53)points respectively.Pearson correlation analysis showed that depression,anxiety and stress were negatively correlated with status prestige,self-development and stability(r=-0.525,-0.565,-0.536,-0.633,-0.259,-0.234;-0.486,-0.357,-0.199;P<0.05).Pearson correlation analysis showed that self-efficacy,hope,resilience,and optimism were positively correlated with status prestige,self-development and stability(r=0.344,0.487,0.238;0.447,0.391,0.187;0.476,0.351,0.228;0.330,0.569,0.226;P<0.05).Psychological ca-pital had a partial mediating effect between psychological stress and career expectation of resident training students,and the mediating effect accounted for 47.18%of the total effect.Conclusion There is a high psychological stress in the students of residential training,and they are in the middle level of psychological capital.There is a significant negative correlation between career expectation and psychological stress,and a significant positive correlation between career expectation and psychological capital.Therefore,imp

关 键 词：住院医师 规范化培训 心理压力 心理资本 职业期望 相关性 中介效应 

分 类 号：R192.3[医药卫生—卫生事业管理]