实习期医学生心理健康状况、应对方式及压力状况的调查

A survey on psychological status, coping method and psychological stress of medical students in internship.

目的探讨实习期医学生心理健康状况、应对方式及压力状况。方法将进入临床实习期的364名临床医学生作为研究组，而选取379名非实习期的临床医学生作为对照组，问卷评定采用症状自评量表（SCL-90）、应对方式问卷及心理身体紧张松弛测试表。结果研究组SCL-90的人际关系敏感、强迫、抑郁、焦虑、敌对因子得分显著高于对照组（t=2．25～5．17，P〈0．05）；与对照组相比，研究组的应对方式中解决问题因予分有显著性降低，自责、退避因子分则有显著性增高（t=-1．97～2．89，P〈0．05）；研究组的心理压力状况明显差于对照组，且差异具有显著性意义（x^2=56．03，P〈0．05）。结论实习期的临床医学生存在不同程度的心理问题，应予以足够重视。

Objective To explore the psychological status, coping method and psychological stress of the medical students in internship. Methods A total of 364 medical students in internship in study group and 379 medical students not in internship in control group were assessed and analysed contrastively using Symptom Check list - 9 0 （ SCL- 90 ） , Coping Methods Inventory and Psycho Smotic Tension Relaxation Inventory （ PSTRI ）. Resuits The SCL-90 scores of study group were significantly higher on interpersonal sensitivity, compulsion, depression, anxiety and hostility than the scores of control group（t = 2.25～5.17, P〈0.05）. In study group the scores of coping methods inventory were significantly lower on solving problems and higher on remorse,and retreat factor than those in control group（t = -1.97～2. 89, P〈0. 05）. The psychological stress of study group was more serious than that of control group and the differenc was significant （ X^2= 5 6. 0 3 , P 〈 0. 0 5 ）. Conclusion The mental health status of medical students in internship is serious and should be paid attention to.