临床医学实习生心理健康状况及影响因素分析

    Study on the psychological health status of clinical interns and its influencing factors

    • 摘要: 目的: 通过问卷调查和数据分析探讨临床专业实习生的总体心理状况。方法: 采用问卷调查法(包括基本情况调查表和SCL-90量表), 对蚌埠医学院临床专业2010年级进入医院实习的学生共457人进行人口学资料的调查和心理健康状况的测试。结果: 临床实习生SCL-90各项指标中躯体化、焦虑、恐怖因子的评分均高于全国大学生常模和青年组常模(P<0.01);而强迫症状、抑郁、敌对、偏执、精神病性因子的评分均显著低于全国大学生常模和高于全国青年组常模(P<0.01)。女生的抑郁、焦虑和恐怖因子各评分均高于男生(P<0.05~P<0.01), 男生的敌对因子评分高于女生(P<0.05);农村学生的人际关系敏感、焦虑和偏执评分均明显高于城镇学生(P<0.01);单亲家庭实习生在SCL-90各因子评分上均高于双亲家庭实习生(P<0.05~P<0.01);准备考研与不准备考研的实习生SCL-90各因子评分差异均无统计学意义(P>0.05)。结论: 蚌埠医学院临床医学实习生心理健康水平略低于全国青年常模和全国大学生常模;临床实习生的心理健康水平在性别、生源地、家庭结构方面均存在不同。

       

      Abstract: Objective: To analyze the overall psychological health status of clinical interns by the questionnaire survey and data analysis.Methods: The demographic data and psychological health status of 457 clinical interns from Bengbu Medical College were surveyed using the questionnaire methods(including the Basic-Data-Company and SCL-90 scale).Results: The scores of the somatization,anxiety and phobic factors of SCL-90 in clinical interns were higher than those in national college norm and youth norm(P<0.01).The scores of the forced symptoms,depression,hostility,paranoia and psychosis in clinical interns were significantly lower than those in national college norm and higher than those in national youth norm(P<0.01).Girl students are found higher in SCL-90 score in terms of depression(P<0.05 to P<0.01),anxiety and phobic anxiety while boy students with higher score in terms of hostility(P<0.05).Students from rural area are found higher in SCL-90 score in terms of interpersonal sensitivity,anxiety and paranoid ideation(P<0.01).Students from single-parent family are found with higher score in terms of all factors(P<0.05 to P<0.01).There are no significant differences between students who are or are not going to attend Master's degree exam(P>0.05).Conclusions: The levels of psychological health status of clinical interns from the second department of clinical medicine of Bengbu Medical College are slightly lower than those in national college norm and national youth norm,and the levels of psychological health status of clinical interns in different gender,origin and family structure are different.

       

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