新型冠状病毒肺炎流行期间住院医师规范化培训学员的心理健康及其影响因素调查

A survey of mental health and its factors among residents under standardized residency training during the epidemic of COVID-19

投稿时间：2020-08-02 修订日期：2020-11-15

DOI：

中文关键词: 新型冠状病毒住院医师规范化培训学员心理健康影响因素

英文关键词:COVID-19 standardized residency training mental health factors

基金项目:云南省医学领军人才培养计划（L-201623）

作者	单位	地址
冯祖幸	昆明医科大学第二附属医院	云南省昆明市五华区滇缅大道374号
杨建中^*	昆明医科大学第二附属医院	云南省昆明市五华区滇缅大道374号
马焕	昆明医科大学第二附属医院
范昕昕	昆明医科大学第二附属医院
曾婷婷	昆明医科大学第二附属医院
元静	昆明医科大学第二附属医院
徐莉	昆明医科大学第二附属医院
卫芋君	昆明医科大学第二附属医院
周芳	昆明医科大学第二附属医院

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中文摘要:

目的了解新型冠状病毒肺炎爆发期及平稳期住院医师规范化培训学员的心理健康状态及其影响因素，为进一步的心理健康教育提供依据。方法通过电子问卷使用非概率抽样方法获得调查样本，分别于2020年2月8日-10日和4月11日-13日向昆明医科大学第二附属医院各年级规培群发放问卷调查，采用SCL-90 症状自评量表（SCL-90）、Beck压力量表（BSSI）及简易应对方式问卷（SCSQ）测量心理健康状况。结果第一次调查得到有效问卷159份，第二次99份。第一次调查SCL-90总评分为（117.69±37.74）分，SCL-90 量表症状因子阳性检出率25.8 %（41/159），阳性症状因子以强迫症状、恐怖、人际关系敏感为主。第二次调查SCL-90总评分为（127.19±51.44）分，SCL-90 量表症状因子阳性检出率30.3 %（30/99），阳性症状因子以强迫症状、抑郁及人际关系敏感为主。第一次调查中，不同规培年级学员心理健康状况差异有统计学意义（χ2=7.46，P＜0.05），低规培年级为影响心理健康状况的危险因素，非独生子女为影响心理健康状况的保护因素（P＜0.05），SCL-90总评分与消极应对方式呈正相关（r=0.47，P＜0.01）。第二次调查中低规培年级为影响心理健康状况的危险因素，非独生子女为影响心理健康状况的保护因素（P＜0.05），SCL-90总评分与学习、经济、人际、临床的压力及消极应对方式呈正相关（r=0.52、0.46、0.55、0.54，P＜0.05或0.01）。结论在新型冠状病毒肺炎疫情爆发期，规培学员心理健康问题较明显，在疫情平稳期，规培学员心理问题较疫情爆发期更为显著。

英文摘要:

Objective To explore the mental health status and the relevant factors among the residents under standardized residency training during the outbreak and stable period of COVID-19 and to provide evidence for their mental health education. MethodsThe survey was carried out twice, on February 8, 2020 and April 11, 2020, respectively, via the online questionnaires of Symptom Check List90 (SCL-90), Beck Srivastava Stress Inventory (BSSI) and Simplified Coping Style Questionnaires by non-probability sampling, which were postedto each grade of residents under standardized residency training of the Second Affiliated Hospital of Kunming Medical University. Results 159 responded in the first survey and 99 responded in the second one. In the first survey, the total score of SCL-90 was (117.69±37.74), the positive detection rate of symptoms on the SCL-90 was 25.8%(41/159), and the main positive symptoms were obsession, fear and interpersonal sensitivity. In the second survey, the total score of SCL-90 was (127.19±51.44), the positive detection rate of symptoms on the SCL-90 was 30.3%(30/99), and main positive symptoms were obsession, depression, and interpersonal sensitivity. The first survey found that there were differences in the mental health status of residents of different grades (χ2=7.46, P＜0.05), lower grade was a risk factor while non-singleton was the protective factor of mental health status (P<0.05), and SCL-90 total score was positively correlated with negative coping styles (r=0.467, P<0.01). In the second survey, lower grade was also a risk factor while non-singleton was also a protective factor that affected mental health status (P <0.05), and SCL-90 total score was positively correlated with learning, economic, interpersonal, clinical stress and negative coping styles (r=0.52, 0.46, 0.55, 0.54, P<0.05 or 0.01). Conclusions During the outbreak of COVID-19, the mental health problems of residents under standardized residency training were obvious. The psychological problems of residents during the stable period of the epidemic were more significant than that during the outbreak period.

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