住院医师规范化培训协同基地学员心理压力现状分析

Analysis on the current situation of psychological stress of residents in the standardized training base

目的分析市级住院医师规范化培训协同基地培训学员心理压力现状,探讨其心理健康问题。方法运用整群方便抽样法,选取某地市级协同基地在培的住院医师规范化培训学员(108人)为研究对象,采用自制心理压力量表进行测评,分为心理压力、情绪两维度,其中心理压力按压力强度分别给予1~7分,分值越高压力越大;情绪维度分别给予1~10分。运用SPSS 19.0进行描述性统计和方差分析测评住院医师规范化培训学员的一般情况和压力现状。结果学员心理压力问题突出,就业压力成为最大压力来源(4.583±2.939);其次分别为工作压力(4.269±2.791)、学习压力(3.398±2.782)、经济压力(3.167±2.715)、人际关系压力(1.222±2.088)、环境压力(1.065±1.906)、情感压力(0.824±1.723);各类压力之间差异有统计学意义(F=44.68,P=0.000)。学员心理健康问题较为严峻,59.26%的规培学员偶尔感到压力,经常感到压力的人员比例占35.19%,一直有压力问题的学员占4.63%;学员焦虑情绪检出率为64%,抑郁情绪检出率为26%,自卑情绪检出率为26%,各类情绪平均得分之间的差异有统计学意义(F=24.19,P=0.000)。结论规培学员心理压力和心理健康问题突出,准医生群体转型发展阶段应采取积极措施应对心理健康问题。

Objective To analyze the status of psychological stress of trainees in the standardized cooperation training base for municipal hospital residents, and to discuss their mental health problems. Methods Cluster random sampling method was used to select the standardized training trainees of resident physicians in a municipal cooperative base as the research object. Self-made psychological stress evaluation scale was divided into two dimensions: psychological stress and emotion. The emotional dimension was given 1 to 10 points respectively. Descriptive statistics and analysis of variance were used to evaluate the general situation and stress status of residents in standardized training. Results The psychological stress of trainees is prominent, and the employment pressure is the biggest source of stress (4.583±2.939). Other source are work pressure (4.269±2.791), study pressure (3.398±2.782), economic pressure (3.167±2.715), interpersonal pressure (1.222±2.088), environmental pressure (1.065±1.906), and emotional pressure (0.824±1.723). There are significant differences between different types of stress (F=44.68, P=0.000). Trainees' mental health problems are quite serious. 59.26% of the standardized training students occasionally feel pressure, 35.19% often feel pressure, and 4.63% always feel pressure. The detection rate of anxiety, depression and inferiority is 64%, 26% and 26%, respectively. There are significant differences in the average scores of various emotions (F=24.19, P=0.000). Conclusion The psychological stress and mental health problems of residents in standardized training are prominent. Positive measures should be taken to deal with the mental health problems in prospective doctors groups in their transformation stage of development.