摘要
目的探讨“双轨合一”模式下临床医学专业学位硕士研究生(以下简称“专硕生”)心理健康状况与影响因素。方法2024年5月28日-6月4日选取于我国不同地区123家医院接受住院医师规范化培训的临床医学专硕生为研究对象,针对心理健康和压力等状况进行问卷调查。结果共纳入1195名临床医学专硕生。症状自评量表分析显示,582名(48.7%)专硕生存在心理健康问题。有/无心理问题的两组专硕生在每周运动次数、睡眠质量、熬夜情况、人际交往、平均每月夜班次数方面差异有统计学意义(P<0.001),且有心理问题者的人际关系压力、经济压力、婚恋压力、课业压力、科研压力、临床工作压力、升学压力和就业压力主观评分及本科毕业于985/211大学的比例高于无心理问题者(P<0.001)。logistic回归分析显示,睡眠质量较差[比值比(odds ratio,OR)=1.626,95%置信区间(confidence interval,CI)(1.085,2.438),P=0.019]、本科为985/211大学[OR=1.448,95%CI(1.097,1.910),P=0.009]、人际关系压力[OR=1.194,95%CI(1.121,1.272),P<0.001]、婚恋压力[OR=1.067,95%CI(1.014,1.122),P=0.012]和升学压力[OR=1.110,95%CI(1.055,1.167),P<0.001]是专硕生出现心理问题的独立危险因素,而男性[OR=0.621,95%CI(0.472,0.817),P=0.001]为保护性因素。结论“双轨合一”模式下,临床医学专硕生具有较高的心理问题风险,尤其是女性和本科为985/211大学者。改善睡眠质量、加强人际互动、减轻压力负荷对提高临床医学专硕生的心理健康水平具有重要意义。
Objective To explore the mental health status and influencing factors of clinical medical students pursuing a professional master's degree under the"dual-track integration"training systems.Methods Clinical medical students pursuing a professional master's degree who underwent residency standardized training in 123 hospitals from different areas of China were selected as the research objects from May 28th to June 4th,2024,and the mental health and stress were investigated by questionnaire.Results A total of 1195 clinical medical students pursuing a professional master's degree were included.Symptom Checklist-90 analysis showed that 582(48.7%)master students had mental health problems.The two-group students(with and without psychological problems)had statistical differences in exercise frequency,sleep quality,extent of staying up late,interpersonal communication,and average number of night shifts per month(P<0.001).The subjective scores of interpersonal pressure,economic pressure,love and marriage pressure,schoolwork pressure,scientific research pressure,clinical work pressure,entering higher education pressure and employment pressure,and the proportion of graduating from 985/211 university of the master students with psychological problems were significantly higher than those of the master students without psychological problems(P<0.001).Logistic regression analysis showed that poor sleep quality[odds ratio(OR)=1.626,95%confidence interval(CI)(1.085,2.438),P=0.019],985/211 university degree[OR=1.448,95%CI(1.097,1.910),P=0.009],interpersonal pressure[OR=1.194,95%CI(1.121,1.272),P<0.001],love and marriage pressure[OR=1.067,95%CI(1.014,1.122),P=0.012]and entering higher education pressure[OR=1.110,95%CI(1.055,1.167),P<0.001]were independent risk factors,while the male sex[OR=0.621,95%CI(0.472,0.817),P=0.001]were protective factor for psychological problems of these medical students.Conclusions Under the"dual-track integration"training systems,the clinical medical students pursuing a professional master's degree have a higher prevalence of psychological problems,especially the females and the 985/211 bachelor's degree scholars.It is important to improve sleep quality,strengthen interpersonal interaction and reduce pressure load to improve the mental health level of these clinical medical students.
作者
王波
赖玮婧
刘昕懿
靳梦岩
刘梦媛
颜倩倩
谭洲科
付平
WANG Bo;LAI Weijing;LIU Xinyi;JIN Mengyan;LIU Mengyuan;YAN Qianqian;TAN Zhouke;FU Ping(Department of Nephrology and Institute of Kidney Diseases,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Nephrology,Clinical Medical College and the First Affiliated Hospital of Chengdu Medical College,Chengdu,Sichuan 610500,P.R.China;Administrative Office of Department of Internal Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Anesthesiology,Air Force Hospital of Western Theater Command,PLA,Chengdu,Sichuan 610011,P.R.China;Collage of Medicine,Zhengzhou University,Zhengzhou,Henan 450052,P.R.China;Organ Transplant Center,Department of Nephrology,Affiliated Hospital of Zunyi Medical University,Zunyi,Guizhou 563003,P.R.China)
出处
《华西医学》
CAS
2024年第7期1114-1120,共7页
West China Medical Journal
关键词
临床医学专业学位硕士研究生
住院医师规范化培训
双轨合一
心理健康
影响因素
Clinical medical students pursuing a professional master's degree
residency standardized training
dual-track integration
mental health
influencing factors
