七年制医学生心理健康状况与影响因素的研究

Research into the mental health status of the seven-year program medical students and its related influencing factors

摘要:

目的：了解七年制医学生心理健康状况及其影响因素，为制订干预性措施提供依据。方法：采用症状自评量表（Symptom checklist 90，SCL-90）对重庆医科大学203名七年制医学生进行匿名问卷调查。结果：七年制医学生阳性症状检出率为36.5%，排在前三位的是强迫因子、抑郁因子以及其他因子。中度以上可能的心理问题检出率为6.9%，排在前三位的是强迫因子、抑郁因子以及焦虑因子；男生与女生各因子得分差别均无统计学意义（P>0．05）；农村户口学生SCL-90总分及强迫症状、人际关系敏感、抑郁、恐怖、偏执、精神病性因子分均高于城市户口学生（P＜0．05）；父母教养方式、睡眠状况、与同学朋友相处情况、学习压力是影响七年制医学生心理健康状况的主要因素。结论：七年制医学生心理健康状况较差，其心理健康教育工作需加强。

Abstract:

Objective：To explore the mental health status of the seven-year program medicine students and its relevant influencing factors in an aim to provide references for formulating intervention measures． Methods:Anonymous questionnaire adopting the scale of symptom checklist 90（SCL-90） was provided for 203 seven-year program medicine students in Chongqing medical university. Results：The detection rate of positive symptoms is 36.5% and the top three influencing factors were compelling factor，depression factor and anxiety factor. The detection rate for moderate or serious mental problems was 6.9% and the top three influencing factors were compelling factor，depression factor and anxiety factor. There was no significant difference in scores of SCL-90 factors between male and female（P＞0.05）. The total score and scores of factors of compelling，interpersonal relationship sensitivity，depression，horror，stubborn，anxiety and mental disorder in SCL-90 among country students were higher than those among city students（P＜0.05）. Family education，sleeping condition，interpersonal relationship and study pressure were the main influencing factors of the seven-year program medical students. Conclusion：The mental health condition of the seven-year program medical students is poor and mental health education should be enhanced.