心理干预对八年制医学生心理健康状况改善效果调查

doi:10.16352/j.issn.1001-6325.2023.05.0861

基础医学与临床 ›› 2023, Vol. 43 ›› Issue (5): 861-866.doi: 10.16352/j.issn.1001-6325.2023.05.0861

• 医学教育 • 上一篇

心理干预对八年制医学生心理健康状况改善效果调查

杨惊^1#, 李明夏^2#, 姜忆南³, 许岭翎⁴, 柳涛², 张晓彤^2*

中国医学科学院北京协和医学院北京协和医院 1.急诊科疑难重症及罕见病国家重点实验室;2.呼吸与危重症医学科疑难重症及罕见病国家重点实验室;3.心理医学科疑难重症及罕见病国家重点实验室;4.内分泌科国家卫生健康委员会内分泌重点实验室,北京 100730

收稿日期:2023-02-07 修回日期:2023-03-21 出版日期:2023-05-05 发布日期:2023-04-26
通讯作者: ^*zhangxtpumch@126.com
作者简介:^#对本文有相同贡献

Investigation on improvement effect of psychological intervention on students' mental health status of eight-year medical doctor program

YANG Jing^1#, LI Mingxia^2#, JIANG Yinan³, XU Lingling⁴, LIU Tao², ZHANG Xiaotong^2*

1. Emergency Department, State Key Laboratory of Complex Severe and Rare Diseases; 2. Department of Respiratory and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases; 3. Department of Psychomedicine, State Key Laboratory of Complex Severe and Rare Diseases; 4. Department of Endocrinology, Key Laboratory of Endocrinology of National Health Commission, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China

Received:2023-02-07 Revised:2023-03-21 Online:2023-05-05 Published:2023-04-26
Contact: ^*zhangxtpumch@126.com

摘要/Abstract

摘要： 目的通过调查北京协和医学院临床医学八年制医学生的心理健康状况,尝试提出可行的心理支持对策。方法通过微信(WeChat)向北京协和医学院在读的3~8年级的八年制医学生发放问卷星问卷(www.wjx.cn)进行调查,并按性别、年级分组分析组间差异。见实习组较理论学习组增加了心理支持干预。结果共收到合格问卷248份。82名(33.1%)、16名(6.5%)学生自我评估心理健康情况“一般”或者“差”。6、7年级生活满意度分数(SWLS)显著低于3、4、5、8等其他年级(P＜0.001);对于其他量表(抑郁、焦虑、情绪调节困难),6、7年级虽得分稍高但差异无统计学意义。结论八年制医学生仍存在一定的心理健康问题,在见实习期的6、7年级所受压力更大的情况下,通过积极心理干预可部分缓解其情绪调节。

关键词: 心理干预, 心理健康, 医学生, 八年制

Abstract: Objective To investigate the mental health status of eight-year medical doctor program students in Peking Union Medical College and try to put forward feasible psychological support countermeasures. Methods Undergraduates of eight-year program from grades 3 to 8 in Peking Union Medical College were investigated by WeChat and questionnaires(www.wjx.cn). The differences among groups were analyzed by gender and grade. The practice group received strengthened psychological support intervention and compared with the theoretical study group. Results Totally 248 qualified questionnaires were collected and 82(33.1%) and 16(6.5%) students were rated “moderate” and “poor” in psychological self-assessment. The Life Satisfaction with Life Scores (SWLS) from 6th and 7th grade students was significantly lower than that from 3rd, 5th, and 8th grade. For other scales including depression, anxiety, and difficulties in emotional regulation scale, a tendency showed that these undergraduates from two grades had higher scores but the result was not statistically significant. Conclusions The undergraduates of eight-year doctor program still have some mental health problems especially during internship period when facing to greater pressure. Implementation of intervention may support their emotional regulation.

Key words: psychological intervention, mental health, medical students, eight-year medical doctor program

中图分类号:

杨惊, 李明夏, 姜忆南, 许岭翎, 柳涛, 张晓彤. 心理干预对八年制医学生心理健康状况改善效果调查[J]. 基础医学与临床, 2023, 43(5): 861-866.

YANG Jing, LI Mingxia, JIANG Yinan, XU Lingling, LIU Tao, ZHANG Xiaotong. Investigation on improvement effect of psychological intervention on students' mental health status of eight-year medical doctor program[J]. Basic & Clinical Medicine, 2023, 43(5): 861-866.

参考文献

[1]Dahlin M, Joneborg N, Runeson B: Stress and depression among medical students: a cross-sectional study[J]. Med Educ 2005, 39:594-604.
[2]Dyrbye LN, Thomas MR, Shanafelt TD: Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students[J]. Acad Med, 2006, 81:354-373.
[3]Irwin M, Artin KH, Oxman MN: Screening for depression in the older adult: criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (CES-D)[J]. Arch Intern Med 1999, 159:1701-1704.
[4]Beck AT, Epstein N, Brown G, et al: An inventory for measuring clinical anxiety: psychometric properties[J]. J Consult Clin Psychol, 1988, 56:893-897.
[5]Hallion LS, Steinman SA, Tolin DF, et al: Psychometric properties of the difficulties in emotion regulation scale (DERS) and its short forms in adults with emotional disorders[J]. Front Psychol, 2018, 9:539-551.
[6]Diener E, Emmons RA, Larsen RJ, et al: The satisfac-tion with life scale[J]. J Pers Assess, 1985, 49:71-75.
[7]Sfeir E, El Othman R, Barakat M, et al: Personality traits and mental health among lebanese medical students: the mediating role of emotional intelligence[J]. Healthcare (Basel), 2022, 10:2516-2528.
[8]Moutinho IL, Maddalena NC, Roland RK,et al: Depression, stress and anxiety in medical students: a cross-sectional comparison between students from different semesters[J]. Rev Assoc Med Bras (1992), 2017, 63:21-28.
[9]Wu W, Zhang Y, Wang P, et al: Psychological stress of medical staffs during outbreak of COVID-19 and adjustment strategy[J]. J Med Virol, 2020, 92:1962-1970.
[10]李宁宁,赵峻,侍效春,等: 临床医学八年制本科生多阶段心理状况调查及分析[J]. 基础医学与临床,2020, 40:141-144.
[11]曹锦亚,魏镜, 史丽丽, 等: 医学活动中的共情及困难——巴林特工作对促进共情的作用[J]. 医学与哲学, 2015, 36:4-7.

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心理干预对八年制医学生心理健康状况改善效果调查

Investigation on improvement effect of psychological intervention on students' mental health status of eight-year medical doctor program

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