考研对医学实习生心理健康的影响

Impact of postgraduate entrance examination on mental health of medical graduates

目的:探讨考研事件对医学实习生心理健康的影响。方法:整群选取某医学院校71所医疗机构的实习生1 182人,分为考研组与非考研组,采用症状自评量表和自行设计的调查问卷,调查2组性别、年龄、户籍、家庭经济收入、心理状况以及心理压力来源。结果:2组性别、年龄、生源地、专业差异均有统计学意义(P<0.05~P<0.01)。考研组实习生心理异常检出率38.2%,明显高于非考研组实习生的20.7%(P<0.01),其中考研组学生阳性项目数、躯体化、人际关系、敌对、恐怖异常比例均高于非考研组(P<0.05~P<0.01)。2组心理异常者心理异常来源差异有统计学意义(P<0.01)。结论:选择考研的学生人群更容易出现心理异常;考研实习生与非考研实习生心理压力来源不同。

Objective：To explore the impact of postgraduate entrance examination on medical interns＇ mental health. Methods：We chose 1 182 clinical internship students of a medical college in 71 medical institutions,and divided them into two groups,which were those who would take the examination and those who would not. Symptom Check List and self-designed questionnaires were used to investigate their gender, age, household register, family income, psychological status, as well as the sources of psychological pressure. Results ：The differences of distribution characteristics of their gender, age, household register, major and internship institution were statistically significant（ P 〈 0.05 to P 〈 0.01 ） in two groups. The percentage of students with psychological problems was 38.2% among those who would take the examination and 20.7% among those who would not（P 〈0.01 ）. Positive projects,somzatization,interpersonal relationships, hostility and abnormal proportion of terror among students who would take the examination were higher than students who would not（ P 〈 0. 05 to P 〈 0.01 ）. The differences of aberrant sources in both psychological abnormal groups were statistically significant（ P 〈 0. 01 ）. Conclusions： Graduates who will take the postgraduate entrance examination are more prone to have psychological problems. The sources of psychological pressure vary from one group to another.