临床医学研究生心理压力影响因素及健康教育对策分析

    Analysis of the influencing factors and health educational strategies of psychological stress among clinical medical graduate students

    • 摘要:
      目的了解临床医学研究生心理压力来源及影响因素,为研究生心理健康教育提供支持依据。
      方法采用自行设计的研究生心理压力调查问卷,对462名临床医学研究生心理压力现状及影响因素进行调查分析。
      结果462名医学研究生中,有压力感知的311人(67.32%)。居住地为城镇的医学研究生压力感知高于农村和城市(P < 0.05),博二及以上年级有压力人数高于博一(P < 0.05)。研究生压力源由高到低依次为学习、环境、就业、经济、情感因素。有压力感知的311名医学研究生中,感受压力持续时间 < 6个月(短期)230人(73.95%),≥6个月(长期)81人(26.05%)。性别和压力源中学习、就业、情感和经济因素为压力感知时间的影响因素(P < 0.05~P < 0.01)。女生较男生更容易产生长期压力,压力源中情感和经济因素会增加长期压力的风险(P < 0.05~P < 0.01)。
      结论医学研究生压力感知率较高,居住地和年级是压力感知的影响因素,性别、压力源中情感和经济因素是压力持续时间的影响因素。教学管理部门应关注高年级和居住地为城镇的学生,注重升学、就业等压力易发生的时段,给予学生有针对性的心理辅导,导师及专职班主任共同配合,引导医学研究生积极应对工作与学习中的压力。

       

      Abstract:
      ObjectiveTo understand the sources and influencing factors of psychological stress among clinical medical graduate students, and provide support for graduate students' mental health education.
      MethodsA self-designed Graduate Psychological Stress Survey Questionnaire was used to investigate and analyze the current status and influencing factors of psychological stress among 462 clinical medical graduate students.
      ResultsAmong the 462 medical graduate students, 311 students (67.32%) had stress perception.Medical graduate students who resided in cities and towns had a higher perception of stress than those in rural areas and cities (P < 0.05), and the number of people with stress in the second year and above of doctoral program was higher than that in the first year of doctoral program (P < 0.05).The sources of stress from high to low were as follows: learning, environment, employment, economy, and emotion factors.Among the 311 medical graduate students with stress perception, 230 students (73.95%) felt stress for less than 6 months (short-term) and 81 students (26.05%) felt stress for more than 6 months (long-term).Gender and stress sources including learning, employment, emotion, and economy factors were the influencing factors of perceived stress time (P < 0.05 to P < 0.01).Female students were more prone to long-term stress than male students, and emotion and economy factors of stress sources increased the risk of long-term stress (P < 0.05 to P < 0.01).
      ConclusionsThe stress perception rate of medical graduates is relatively high, residence and grade are the influencing factors of stress perception, and gender, emotion and economy factors of stress sources are the influencing factors for the duration of stress.Teaching management departments should pay attention to students in senior grades and those who live in cities and towns, and also to the time periods when pressure is prone to occur such as entering higher education and employment, provide targeted psychological counseling to students, and cooperate with tutors and full-time head teachers to guide medical graduate students in handling the pressures and challenges of work and study actively.

       

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