湖南省实习期医学生受虐状况调查

Survey on Medical Students Abuse during Clinical Clerkships in Hunan Province

目的了解医学院校学生在临床实习期期间虐待的发生情况。方法按照分层随机抽样的方法选取湖南省6所医学院校的8家直属、附属医院共312名实习医学生为调查对象,采用Sh izuko N agata-K obayash i的医学实习生虐待调查表进行回顾性调查。结果在医学生虐待的5种类型中,言语虐待事件发生的频率最高(n=210,67.3%,P=0.734)。从施虐者来看,言语虐待的施虐者中护士占第一位(n=97,26.1%),躯体虐待中为主治医师(n=19,20.9%),学业虐待中为住院医师(n=19,18.2%),性骚扰中也是主治医师(n=32,19.9%),性别歧视中住院医师和主治医师并列第一(n=36,20.8%)。从虐待事件的发生科室来看,言语虐待和躯体虐待均以外科(n=109,31.6%、n=32,36.0%)为主,学业虐待发生率最高的是内科(n=72,38.5%),性骚扰和性别歧视事件出现最多的是外科(n=42,38.5%、n=56,37.1%)。结论医学院校中医学生虐待现象较普遍;各虐待事件对学生的心理状态有一定影响;施虐者以住院医师、主治医师、护士居多;虐待发生的科室以外科和内科为主。

Objective To assess the prevalence of medical students abuse during clinical clerkships. Methods Clerkship abuse checklist developed by Shizuko Nagata-Kobayashi was used anonymously in 329 medical students in 8 teaching hospitals in Hunan province. Results In all five types of medical student abuse we investigated, verbal abuse （n = 210,67.3 %,P= 0. 734）was the most common . The sources of abuse were . nurses （n =97,26.1% ） vs verbal abuse, attending physician （n =19,20.9 % ） vs physical abuse, resident physician （n =19,18.2 % ） vs academic abuse, attending physician （n = 32,19. 9 % ） vs sexual harassment, attending physician and resident physician （n= 36,20.8%）vs gender discrimination. Surgical department was reported as the most common abusive site of verbal abuse （n=109,31.6% ）, physical abuse （n= 32,36.0 % ）, sexual harassment （n = 42,38.5 % ） and gender dis- crimination （n= 56,37. 1% ） Internal medicine （n=42,38.5 % ）was reported as the most common abusive site of academic abuse. Conclusion The phenomenon of medical student abuse is common in Hunan province. All kinds of the abuse have bad effect on students. The main sources of abuse are physicians and nurses. The abuse happens most in surgery and gynecology.