目的 了解健康中国背景下新疆某大学医学生心理健康水平和压力源,并分析其影响因素.方法 采用分层整群随机抽样法抽取2021年2~4月新疆维吾尔自治区某大学4421名医学生,采用症状自评量表(Symptom Check List 90,SCL-90)和当代大学生压力源量表进行问卷调查.结果 25.26%医学生存在不同程度SCL-90量表所列症状;SCL-90各因子分均低于全国部分地区大学生常模(P<0.05);SCL-90量表中躯体化、强迫症状、抑郁和恐怖因子得分女生显著高于男生(P<0.05);主要压力源为发展困扰型;疆外生源学生发展困扰型压力源得分高于疆内生源学生(P<0.05);女生压力高于男生,女生发展困扰型、个人管理型、消极事件型压力源得分均高于男生(P<0.05);Pearson相关性分析结果显示,医学生SCL-90得分与压力源得分呈显著正相关(P<0.05).结论 新疆维吾尔自治区某大学有25.26%医学生存在不同程度的心理健康问题,女生心理健康水平不如男生.心理健康水平和压力呈正相关,发展困扰型压力成为医学生主要压力源.不同特征医学生的心理健康水平与压力源存在一定的差异.
Analysis of Medical Students'Mental Health and Stressors in the Context of Healthy China
Objective To investigate the mental health level and stressors of medical students in a university in Xinjiang in the con-text of healthy China and analyzing their influencing factors.Methods From February to April 2021,a stratified cluster random sampling method was used to select 4421 medical students from a university in Xinjiang.Questionnaires were administered using Symptom Check List 90(SCL-90)and the Stressor Scale for Contemporary College Students.Results 25.26%medical survival in varying degrees of SCL-90scale listed symptoms;SCL-90scores on all factors were lower than the national norm for university students in some regions,the SCL-90scale scores for somatization,obsessive-compulsive symptoms,depression,and terror factors were significantly higher for girls than for boys(P<0.05);the main stressors were developmental distress type;students from outside the Xinjiang had higher scores on developmental distress stressors than students from inside the Xinjiang(P<0.05);girls were more stressed than boys,female students scored higher on developmental distress,personal management,and negative event stressors than male students(P<0.05).Pearson cor-relation analysis showed that students'mental health level was positively correlated with the source of pressure(P<0.05).Conclusion In a university in Xinjiang,25.26%of medical students had different degrees of mental health problems,and the mental health level of fe-male students was inferior to that of male students.Mental health level is positively correlated with stress,and developmental distress stress is the main source of stress for medical students.There are some differences in mental health level and stressors of medical students with different characteristics.
Medical studentsMental health levelSource of pressureHealth China Initiative