住院医师心理健康调查及影响因素分析  

Mental health survey of residents and analysis of influencing factors

作　　者：张鼎[1] 刘振洪[2] 尚欣妹[3] 王美杰 郑楠 朱楠 刘振华[2] Zhang Ding;Liu Zhenhong;Shang Xinmei;Wang Meijie;Zheng Nan;Zhu Nan;Liu Zhenhua(Teaching Management Division,Harbin Medical University,Harbin 150081,Heilongjiang,China;Continuing Education College,Harbin Medical University,Harbin 150081,Heilongjiang,China;Continuing Education Division,Harbin Medical University,Harbin 150081,Heilongjiang,China;Non-Academic Education Division,Harbin Medical University,Harbin 150081,Heilongjiang,China;Office of Postgraduate Education,Harbin Medical University,Harbin 150081,Heilongjiang,China)

机构地区：[1]哈尔滨医科大学继续教育学院教学管理科,黑龙江哈尔滨150081 [2]哈尔滨医科大学继续教育学院,黑龙江哈尔滨150081 [3]哈尔滨医科大学继续教育科,黑龙江哈尔滨150081 [4]哈尔滨医科大学非学历教育科,黑龙江哈尔滨150081 [5]哈尔滨医科大学毕业后教育办公室,黑龙江哈尔滨150081

出　　处：《中国毕业后医学教育》2025年第1期62-66,共5页Chinese Journal of Graduate Medical Education

基　　金：2021年黑龙江省高等教育教学改革研究一般项目(SJGY20210527)。

摘　　要：目的调查哈尔滨医科大学4所附属医院住院医师心理健康情况,分析其影响因素,提出改善措施,为住院医师心理健康调查及干预工作提供参考。方法通过问卷调查收集哈尔滨医科大学4所附属医院住院医师一般信息、与住院医师规范化培训(简称住培)相关信息、拖延、人际关系、心理负性情绪得分,分析上述资料的结果及其与心理负性情绪的相关性。结果3种心理负性情绪结果显示,14.35%的住院医师存在压力情绪,29.31%的住院医师存在焦虑情绪,22.68%的住院医师存在抑郁情绪。住院医师心理负性情绪同住院医师与科室同事关系、与指导医师关系、自身睡眠质量等因素有相关性(均P<0.05);心理负性情绪与人际关系(rs=0.352)、拖延状态(rs=0.486)呈正向相关;性别、睡眠质量、人际关系、拖延是心理负性情绪的独立影响因素。结论住院医师存在心理健康问题,尤其是焦虑、抑郁情绪。住院医师心理负性情绪与性别、睡眠质量、拖延、人际关系有关,住培基地及相关部门的心理健康调查或干预工作可考虑从以上方面开展。Objective To investigate the mental health status of residents in 4 affiliated hospitals of Harbin Medical University,analyze its influencing factors,and provide reference for the investigation of residents'mental health.Methods General information of residents in 4 affiliated hospitals of Harbin Medical University,information related to standardized residency training,procrastination,interpersonal relationships,and psychological negative emotion scores were collected through a questionnaire survey,then analyze the distribution of the above data and its correlations with negative psychological emotions.Results The result of three psychological negative emotions showed that 14.35%of residents had stress,29.31%had anxiety,and 22.68%had depression.Residents'negative psychological emotions are related to the relationship between residents and colleagues,relationship with instructors,and their own sleep quality.Negative psychological emotions were positively correlated with interpersonal relationships(rs=0.352)and procrastination status(rs=0.486).Gender,sleep quality,interpersonal relationships,and procrastination were independent influencing factors of negative psychological emotions.Conclusion Residents had mental health problems,especially anxiety and depression.Negative psychological emotions among residents are related with gender,sleep quality,procrastination,and interpersonal relationships.The investigation or intervention of mental health in the standardized residency training base and relevant departments can be considered from the above aspects.

关 键 词：住院医师 心理健康 调查 影响因素 

分 类 号：B841.7[哲学宗教—基础心理学] R4[哲学宗教—心理学]