首页|住院医师规范化培训学员考前焦虑抑郁情况调查及影响因素分析

住院医师规范化培训学员考前焦虑抑郁情况调查及影响因素分析

Investigation and analysis of pre-exam anxiety and depression among standardized training program participants for resident physicians

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目的 了解广东省各住院医师规范化培训(简称规培)基地规培学员临近考试前的焦虑和抑郁情况及其影响因素,为减轻规培学员的考前心理压力提供建议和应对措施.方法 2023年5月19日-8月9日,将Zung氏焦虑自评量表和Zung氏抑郁自评量表通过问卷星发布,对广东省各规培基地的学员进行焦虑和抑郁水平调查和相关分析.结果 共回收有效问卷205份,规培学员中焦虑发生率为16.6%(34/205),轻度占11.7%(24/205),中度占4.9%(10/205),焦虑标准得分为(39.51±10.27)分;抑郁发生率为20.5%(42/205),轻度占16.6%(34/205),中度占3.9%(8/205),抑郁标准得分为(38.98±11.49)分,抑郁严重程度指数为0.37±0.11.规培学员在面临三大考试前焦虑情况差异有统计学意义(H=7.312,P=0.026).其中,面临执业医师资格考试的压力最大.不同生源规培学员在面临三大考试前抑郁情况差异有统计学意义(P<0.05).其中全日制专业型研究生最容易面临考前抑郁.规培学员焦虑抑郁与应考有明显相关性(r=0.651,P<0.01).结论 规培学员临近考试容易出现焦虑、抑郁情况,各规培基地关注考试通过率的同时,更应重视规培学员的心理健康.
Objective The purpose of this study is to examine pre-exam anxiety and depression among participants in the standardized training program for resident physicians in Guangdong Province.The study aimed to identify the influencing factors and provide suggestions and countermeasures to reduce psychological pressure before exams.Methods The Zung's self-rating anxiety scale and the Zung's self-rating depression scale were released through questionnaire star to conduct a survey and analyze the anxiety and depression levels among trainees at various training bases in Guangdong Province from May 19 to August 9,2023.Results A total of 205 valid questionnaires were collected.The incidence of anxiety was 16.6%(34/205),of which 11.7%(24/205)was mild anxiety and 4.9%(10/205)was moderate anxiety.The standard score for anxiety was 39.51±10.27.The incidence of depression was 20.5%(42/205),of which 16.6%(34/205)was mild depression and 3.9%(8/205)was moderate depression.The standard score for depression was 38.98±11.49,and the severity index of depression was 0.37±0.11.There were statistically significant differences in anxiety levels of students before the three major examinations(H=7.312,P=0.026).The pressure faced by partici-pants during the medical practitioner qualification examination was significantly greater.There were significant differences in the degree of depression among students with different sources before facing the three major exams(P<0.05).Full-time professional graduate students were more likely to experience pre-exam depression.There was a significant correla-tion between anxiety,depression,and exam stress(r=0.651,P<0.01).Conclusion The results indicate that trainees are prone to anxiety and depression before exams.Therefore,it is crucial for standardized training bases of residents to give priority to the mental health of students while paying attention to the examination.

Standardized residency trainingSelf-rating anxiety scaleSelf-rating depression scale

孙晔、刘思遥、陈世裕、胡婷、陈耀德、牛红心、陆伶俐

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南方医科大学珠江医院全科医学科,广东广州 510200

南方医科大学珠江医院神经内科

住院医师规范化培训 焦虑自评量表 抑郁自评量表

全国全科医学教育教学研究课题南方医科大学2022年度校级教学质量与教学改革工程建设项目2022年度广东省本科高校在线课程指导委员会研究课题项目

A-YXGP20210201-04ZL20221212022ZXKC076

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(8)