新冠疫情下住院规培研究生心理健康状况调查

Investigation on mental health status of hospitalized graduate students under COVID-19

目的通过对住院规培研究生心理健康现况调查,了解住院规培研究生在"双轨合一"培养模式下和冬季新型冠状疫情散发状态下的心理健康现状及影响因素。方法采用DASS-21量表,通过线上问卷的方式对牡丹江医学院住院规培研究生进行心理健康状况调查。结果住院规培研究生抑郁发生率19.4%(61/314)、焦虑发生率21.3%(67/314)、压力发生率11.5%(37/314)。多因素logistic回归分析结果显示,睡眠障碍(OR=6.399,95%CI=2.726~15.022)、每周不规律用餐1次和多次(OR=2.919,95%CI=1.070~7.963和OR=5.822,95%CI=2.480~13.669)、课程安排有压力(OR=2.914,95%CI=1.548~5.485)、读研期间没有信心发表文章(OR=2.410,95%CI=1.274~4.557)、近期疫情对去医院规培存在抗拒心理(OR=5.637,95%CI=2.652~11.980)是影响住院规培研究生产生心理健康异常状态的危险因素。结论新冠肺炎疫情期间,规培研究生存在心理健康异常情况,多种因素影响心理健康,相关部门应制定有效的干预措施,以提高其心理健康水平。

Objective Through the investigation of mental health status of hospitalized graduate students in a medical university,to understand the mental health status and influencing factors of hospitalized graduate students who under the"unified double-track"training systems and the spread of COVID-19 in winter.Method The DASS-21 scale was used to conduct an online questionnaire survey on the mental health status of hospitalized graduate students in Mudanjiang Medical College.Results The incidence of depression in hospitalized graduate students was 19.4%(61/314),the incidence of anxiety was 21.3%(67/314),and the incidence of stress was 11.5%(37/314).Multivariate logistic regression analysis showed that sleep disorders(OR=6.399,95%CI=2.726~15.022),irregular meals 1 and multiple times a week(OR=2.919,95%CI=1.070~7.963 and OR=5.822,95%CI=2.480~13.669),feeling pressure in course arrangement(OR=2.914,95%CI=1.548~5.485),lack of confidence to publish articles during postgraduate study(OR=2.410,95%CI=1.274~4.557),and resistance to hospital training due to recent epidemic(OR=5.637,95%CI=2.652~11.980)were risk factors affecting the menta health of the hospitalized graduate students.Conclusion During the COVID-19,hospitalized graduate students in training have abnormal mental health conditions,and various factors affect their mental health.The relevant departments should formulate effective intervention measures to improve their mental health.