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医学生心理问题及影响因素调查分析

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目的:了解医学生心理问题现状并分析其影响因素,为制定针对性的干预措施提供参考。方法:采用随机抽样法,选取江苏省某医科院校的691名在校大学生为研究对象,采用一般资料调查表、Beck自杀意念量表中文版进行问卷调查,并对结果进行分析。结果:有部分学生存在较严重的心理问题,性别、是否接受过心理健康服务、人际关系状况、学习成绩、家庭教养方式、家庭和睦情况检出率差异有统计学意义(P<0。05)。有轻生意念的医学生量表平均得分8。27±5。13,轻生意念得分在有无慢性疾病、是否接受过心理健康服务、原生家庭是否完整、家庭和睦情况变量间的差异具有统计学意义(P<0。05)。二分类Logistic回归分析显示,性别、是否接受过心理健康服务、人际关系状况、家庭和睦情况是医学生产生轻生意念的危险因素。多元线性回归分析显示,性别、是否接受过心理健康服务、人际关系状况、家庭和睦情况与医学生轻生意念得分相关。结论:医学生较易产生心理问题,高校教育者应当加以重视,从不同的影响因素入手,制定相应的教育策略,针对危险因素开展积极的心理干预。
Investigation of Psychological Problems of Medical Students and Analysis of Influencing Factors
Purpose:To understand the current situation of psychological problems among medical students and analyse its influenc-ing factors,in order to provide reference for the development of targeted interventions.Methods:A random sampling method was used to select 691 college students from a certain medical college in Jiangsu Province as the study subjects.A general information question-naire and the Chinese version of the Beck Suicidal Ideation Scale were used to conduct a questionnaire survey,and the results were an-alysed.Results:Some students have serious psychological problems,and the differences in the detection rates of gender,whether or not they had received mental health services,interpersonal relationship status,academic performance,family upbringing style,and fam-ily harmony were statistically significant(P<0.05).The mean score of the scale for medical students with commit suicidal ideation was 8.27±5.13,and the differences in commit suicidal ideation scores among the variables of the presence of chronic diseases,whether or not they had received mental health services,whether or not their families of origin were intact,and family harmony situation were statistically significant(P<0.05).Bicategorical logistic regression analysis showed that gender,whether they had received mental health services,relationship status,and family harmony situation were risk factors for commit suicidal ideation among medical stu-dents.Multiple linear regression analyses showed that gender,whether or not they had received mental health services,relationship sta-tus,and family harmony were associated with the scores of commit suicidal ideation among medical students.Conclusion:The detec-tion rate of suicidal ideation among medical students is high,and educators in colleges and universities should pay attention to this is-sue,develop appropriate educational strategies from different influencing factors,and carry out positive psychological interventions to address the risk factors.

Medical StudentMental HealthInfluencing Factor

王越、郑沛瑶、赵蓝希、陆佳妮、郑爱明

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南京医科大学马克思主义学院,江苏 南京 211166

悉尼大学公共卫生学院,澳大利亚 悉尼 2006

医学生 心理健康 影响因素

南京医科大学教育研究校级重点项目

2023ZD001

2024

江苏卫生事业管理
江苏省医学会

江苏卫生事业管理

影响因子:0.453
ISSN:1005-7803
年,卷(期):2024.35(7)
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