上海某高校新冠肺炎疫情防控期间医学生心身健康状况及其影响因素分析

Analysis on medical students’psychosomatic health status and its influencing factors during the COVID-19 lockdown in a particular university in Shanghai

目的了解上海市新冠肺炎疫情校园封控管理期间某高校临床医学专业学生的心身健康状况及其影响因素,为医学生的心身健康指导提供科学依据。方法2022年6月,采用方便抽样方法,选择上海某高校2017~2021级五年制和“5+3”一体化临床医学专业267名学生为研究对象,对其进行新冠肺炎疫情防控期间心身健康状况及其影响因素的问卷调查。结果267名医学生的心身症状平均分为(18.83±4.90)分,65.9%(176/267)的医学生可能存在心身相关障碍;267名医学生的睡眠质量平均分为(8.98±4.31)分,57.7%(154/267)的医学生睡眠质量差。多元线性回归显示,“学习阶段”、“负性生活事件”、“心理韧性”和“生活满意度”进入“心身症状”的回归方程(P<0.05);“心理韧性”和“生活满意度”进入“睡眠质量”的回归方程(P<0.01)。结论上海某高校新冠疫情校园封控期间临床医学专业学生的心身健康状况不容乐观,可以通过增加学生的心理韧性、提高个人生活满意度等方式改善其心身健康状况。

Objective To investigate the psychosomatic health status and its influencing factors of clinical medical students in a particular university during the campus lockdown in response to COVID-19 in Shanghai,aiming to provide a scientific basis to conduct guidance for medical students’psychosomatic health.Methods The convenient sampling was adopted to investigate 267 clinical medical undergraduates of grade 2017 to 2021 from a particular university in Shanghai in June 2022.Results The 267 medical students’average score of psychosomatic symptoms was 18.83±4.90,and 65.9%(176/267)of medical students might have a co-occurrence of psychological and somatic disturbances.The 267 medical students’average of sleep quality was 8.98±4.31,and there were 57.7%(154/267)of medical students suffering from sleep disturbances.As multiple linear regression showed,“learning phase”,“negative life events”,“resilience”and“satisfaction with life”were entered in the regression equation of“psychosomatic symptoms”(P<0.05).“Resilience”and“satisfaction with life”were entered in the regression equation of“sleep quality”(P<0.01).Conclusions Clinical medical students’psychosomatic health status was not optimistic during the COVID-19 lockdown in a particular university in Shanghai,while it could be improved by enhancing individuals’resilience and life satisfaction.