不同年级住院医师心理健康教育和职业倦怠感研究  

Investigation on mental health education and job burnout of residents in different grades

作　　者：王雅楠 王耀[1] 何佳林 万姗姗[1] 李亚 傅国胜[1] 黄翯[1] WANG Yanan;WANG Yao;HE Jialin(Department of Cardiology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院心内科,浙江杭州310016

出　　处：《全科医学临床与教育》2025年第1期56-59,共4页Clinical Education of General Practice

基　　金：浙江大学2022年度医学院教育改革项目;浙江大学医学院第三临床医学院教学改革研究项目(SYF2023JG07)。

摘　　要：目的调查浙江大学医学院附属邵逸夫医院不同年级住院医师心理健康教育和职业倦怠感现状,制定针对性的心理健康教育策略。方法选取753名住院医师作为研究对象,进行心理健康教育程度和心理健康状况调查,并通过症状自评量表(SCL-90)、简单自测抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)、职业倦怠量表(MBI-GS)对参与者的心理健康状况进行评估。结果二、三年级住院医师的SCL-90总分均高于一年级(t分别=5.04、5.79,P均<0.05),PHQ-9和GAD-7评分均高于一年级(Z分别=-5.56、-2.70;-6.27、-4.93,P均<0.05),且三年级住院医师的GAD-7评分高于二年级(Z=-2.07,P<0.05)。二、三年级住院医师的MBI-GS评分中的情感衰竭和去人格化得分均高于一年级(Z分别=-6.04、-5.97;-8.03、-7.91,P均<0.05),成就感降低维度得分均低于一年级(Z分别=5.53、5.29,P均<0.05),三年级在去人格化维度得分高于二年级(Z=-1.96,P<0.05)。结论不同年级住院医师在心理健康方面存在的差异性,二、三年级住院医师面临较多的心理健康问题,尤其是职业倦怠感随年级不断增加。因此,建议根据住院医师的年级差异,实施针对性和多样化的心理健康教育措施。特别是对于一年级住院医师,应特别进行心理健康教育,及时引导和支持。Objective To investigate the current status of mental health education and job burnout among residents of different grades at Sir Run Run Shaw Hospital Zhejiang University School of Medicine,and to discuss and develop targeted mental health education strategies.Methods A questionnaire was used to investigate the mental health education level and mental health status of 753 residents.The degree of mental health education and mental health status of the participants were evaluated through the symptom checklist-90(SCL-90),9-item patient health questionnaire(PHQ-9),7-item generalized anxiety disorder scale(GAD-7),and MBI-general survey(MBI-GS).Results The scores of each factor and the total score of the SCL-90 for the second-and third-year residents were higher than those of the first-year ones(t=5.04,5.79,P<0.05).The PHQ-9 and GAD-7 scores of the second-and third-year residents were higher than those of the first-year ones(Z=5.56,-2.70,-6.27,-4.93,P<0.05),and the GAD-7 score of the third-year residents was higher than that of the second-year ones(Z=-2.07,P<0.05).The scores of emotional exhaustion and depersonalization of job burnout of the second-and third-year residents were higher than those of the first-year ones(Z=-6.04,-5.97,-8.03,-7.91,P<0.05),and the scores of reduced personal accomplishment were lower than those of the first year ones(Z=5.53,5.29,P<0.05).The score of depersonalization of the third-year residents was higher than that of the second-year ones(Z=-1.96,P<0.05).Conclusion There are differences in mental health among residents of different grades.The second-and third-year residents face more mental health problems,especially the job burnout increasing with the grade.Therefore,it is suggested to implement targeted and diversified mental health education measures based on the grade differences of residents.Especially for first-year residents,mental health education should be provided in a timely manner for guidance and support.

关 键 词：心理健康教育 住院医师 职业倦怠 

分 类 号：G63[文化科学—教育学]