疫情后期医学研究生焦虑抑郁状态的研究

Research on the anxiety and depression status of medical postgraduates in the late epidemic

目的识别疫情后期医学研究生的焦虑抑郁状态,并初步分析其影响因素制定干预策略。方法以哈尔滨医科大学附属第二医院硕士研究生为研究对象,于2020年3月31日~2020年5月10日进行调查,采用随机抽样法最终选取240名医学研究生,应用焦虑自评量表SAS和抑郁自评量表SDS并结合自制电子问卷进行调查,分析焦虑、抑郁状态的影响因素。结果抑郁状态的检出率为38.75%(93人),轻度、中度、重度抑郁状态分别为:25.42%(61人)、10.42%(25人)、2.92%(7人);医学研究生焦虑状态的检出率为24.17%(58人),轻度、中度、重度焦虑状态分别为:13.33%(32人)、7.5%(18人)、3.4%(8人);多因素Logistic回归分析显示科研压力较大、经常对疫情恐慌是研究生容易出现抑郁状态的重要影响因素,OR(95%CI)分别为2.64(1.441~4.973)、1.81(1.447~3.579);实习压力较大、就业压力增加是研究生存在焦虑状态的重要影响因素,OR(95%CI):分别为1.82(1.231~4.453)、1.51(1.227~3.279)。结论疫情后期医学研究生的焦虑及抑郁状态发生率较高,需要采取线上线下相结合的综合策略进行干预。

Objective To identify the anxiety and depression status of medical postgraduates,and analyze the influencing factors to formulate intervention strategies in the late epidemic.Methods The research will be conducted from March 31,2020 to May 10,2020 with postgraduates from the Second Affiliated Hospital of Harbin Medical University as the research object.A random sampling method was used to finally select 240 medical postgraduate students.Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to investigate the factors of anxiety and depression in conjunction with self-made electronic questionnaires,and the factors affecting anxiety and depression were analyzed.Results The detection rate of depression was 38.75%(93).The states of mild,moderate,and severe depression were 25.42%(61),10.42%(25),2.92%(7);The detection rate of anxiety state was 24.17%(58),and the mild,moderate,and severe anxiety states were 13.33%(32),7.5%(18),3.4%(8).Mltivariate logistic regression analysis showed that the scientific research pressure and the frequent panic on the epidemic were important factors for postgraduates’anxiety state,OR(95%CI):2.64(1.441~4.973),1.81(1.447~3.579);the internship pressure and the increase in employment pressure were important influencing factors for postgraduates to be prone to depression,OR(95%CI):1.82(1.231~4.453)and 1.51(1.227~3.279),respectively.Conclusion The incidence of anxiety and depression of medical postgraduates is relatively high in the late stage of epidemic,and a comprehensive strategy combining online and offline interventions is required.