“双轨合一”模式下医学研究生心理健康现状及对策探讨

Current situation and countermeasures of mental health of medical postgraduate after the“dual-track integration”mode training

目的探讨“双轨合一”后医学研究生心理健康现状及对策。方法通过症状自评量表(Symptom Checklist 90,SCL-90)、焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、疲劳评定量表(Fatigue Assessment Instrument,FAI)、匹兹堡睡眠指数(Pittsburgh Sleep Quality Index,PSQI)对全国5所医学院校的106名临床医学专业学位研究生进行问卷调查,了解医学研究生心理健康状况现状,并探讨其影响因素及对策。结果研究中所纳入医学研究生的心理问题检出率为12.26%,疲劳检出率为48.11%,焦虑检出率为17.92%,抑郁检出率为15.09%。5所医学院校各量表阳性分布差异无统计学意义。医学研究生心理压力来源的数据表明,学习仍是主要的压力来源(51%),其次为就业压力、婚恋压力等。所纳入医学研究生的总体入睡时间为(20.74±14.13)min,每天睡眠时间为(6.59±0.84)h。5所医学院校之间入睡时间和睡眠时间比较,差异无统计学意义。通过Logistic回归分析,与心理问题有关的因素有性别和熬夜频率。结论并轨后医学研究生存在一定的心理健康问题,如疲劳、焦虑和抑郁等,同时睡眠时间存在一定的不足,在心理健康教育过程中需要从多角度出发寻求对策,从而改善其心理问题,培养合格医学人才。

Objective To explore the current situation and countermeasures of mental health of medical graduate students after the“dual-track integration”mode training.Methods Through the Symptom Checklist 90(SCL-90),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Fatigue assessment instrument(FAI),Pittsburgh sleep quality index(PSQI),a questionnaire survey was conducted on 106 clinical medical graduate students in five medical college across the country to discuss the current situation of mental health status of medical graduate students,and to explore its influencing factors and countermeasures.Results The overall rate of psychological problems of medical postgraduates included in the study was 12.26%,fatigue was 48.11%,anxiety was 17.92%,and depression was 15.09%.There were no statistically significant differences in the positive distributions of the five medical college across scales.Data on the sources of psychological stress for medical graduate students showed that learning stress was still the main source of stress(51%),followed by employment pressure,marital pressure and so on.The overall sleep latency of the included medical graduate students was(20.74±14.13)minutes,and the sleep time was(6.59±0.84)h.Difference of sleep latency and sleep time between the five medical college were not statistically significant.Through Logistic regression analysis,factors related to psychological problems included gender and frequency of staying up late.Conclusion After the dual-track integration,medical graduate students have certain mental health problems,such as fatigue,anxiety and depression,etc.,and there are certain deficiencies in sleep time,and in the process of mental health education.It is necessary to seek countermeasures from multiple angles,so as to improve their psychological problems and cultivate qualified medical talents.