首页|突发公共事件缓解期边疆医学院校大学生心理健康现况研究

突发公共事件缓解期边疆医学院校大学生心理健康现况研究

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目的 了解突发公共卫生事件缓解期间边疆地区医学院校大学生的心理健康状态,为突发公共事件后学生情绪疏导和干预提供科学依据.方法 2022年3-6月,采用分层随机比例抽样调查云南省某医学院校4221名在校大学生心理健康现况,使用问卷星开展网络问卷调查,分析突发公共事件缓解期边疆医学院校大学生焦虑、抑郁和睡眠状况,采用抑郁自评量表(SDS)评估抑郁症状,焦虑自评量表(SAS)评估焦虑症状,匹兹堡睡眠质量指数量表(PSQI)评估睡眠质量.运用x2检验和二元logistic回归分析大学生焦虑的影响因素.结果 本次调查在校医学生抑郁评分为(37.29±5.45)分,低于中国常模[(41.88±10.57)分],差异有统计学意义(t=-20.107,P<0.001);睡眠质量评分为[(5.04±2.92)分],低于中国常模[(5.26±2.38)分],差异有统计学意义(t=-2.646,P<0.001);焦虑评分为[(43.77±5.43)分],高于中国常模[(29.78±5.46)分],差异有统计学意义(t=77.573,P<0.001).二元logistics回归分析显示:医学生中睡眠状况异常者(OR=0.350,95%CI:0.311~0.392),性别中男生(OR=0.678,95%CI:0.564~0.814)更容易出现焦虑(P均<0.001).结论 突发公共事件缓解期边疆医学院校大学生心理健康问题以焦虑为主,其中医学生焦虑的主要影响因素是睡眠状况,男生在这一时期更容易出现焦虑.此外,非医学类专业学生心理健康问题更为明显,需进一步开展有针对性的心理健康教育,提高医学生心理健康韧性.
Psychological health status of students of border medical colleges during the public emergency relief period
Objective This study examined the mental health status of medical college students in border areas dur-ing the public health emergency relief period,to provide a scientific basis for emotional counseling and interventions for students after sudden public health emergencies.Methods From March to June 2022,a stratified random proportional sampling method was used to investigate the mental health status of 4 221 medical college students in Yunnan Province.An online questionnaire survey was conducted by using QuestionStar to analyze the border medical college students'anxiety,depression,and sleep status during the public emergency relief period.Symptoms of depression were evaluated with the Self Rating Depression Scale(SDS);anxiety symptoms were evaluated with the Self Rating Anxiety Scale(SAS),and sleep quality was evaluated with the Pittsburgh Sleep Quality Index(PSQI).The x2 test and logistic regression were used to ana-lyze the factors influencing anxiety among the college stu-dents.Results The depression score of on-campus medi-cal students was 37.29±5.45 points,a value significantly lower than the Chinese norm of 41.88±10.57 points(t=-20.107,P<0.001);the sleep quality score was 5.04±2.92 points,a value significantly lower than the Chinese norm of 5.26±2.38 points(t=-2.646,P<0.001);the anxiety score was 43.77±5.43 points,a value significantly higher than the Chi-nese norm of 29.78±5.46 points(t=77.573,P<0.001).Logistic regression analysis indicated that medical students with sleep disorders(OR=0.350,95%CI:0.311-0.392)and male students(OR=0.678,95%CI:0.564-0.814)were more prone to anxiety(all P<0.001).Conclusions Anxiety is the main mental health problem among medical students at frontier medi-cal schools during the public emergency relief period,and the main factor influencing medical students'anxiety is sleep con-dition.Male students were more prone to anxiety in this period;in addition,non-medical students'mental health problems were more apparent.Further targeted mental health education efforts are necessary to improve medical students'mental health resilience.

Burst characteristics public eventRelief periodFrontier areasMedical colleges and schoolsStudentMental health

李飞、赵文娟、屈丽芹、李蔓莎、刘丁瑜、李志华、朱博、赵科颖、沈凌

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昆明医科大学基础医学院,云南昆明 650500

昆明理工大学,云南昆明 650051

昆明医科大学公共卫生学院,云南昆明 650500

突发公共事件 缓解期 边疆地区 医学院校 学生 心理健康

云南省社科基金教育学专项国家自然科学基金项目

AC2001372264018

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(5)