考研对医学实习生心理健康的影响
Impact of postgraduate entrance examination on mental health of medical graduates
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摘要: 目的：探讨考研事件对医学实习生心理健康的影响。方法：整群选取某医学院校71所医疗机构的实习生1 182人，分为考研组与非考研组，采用症状自评量表和自行设计的调查问卷，调查2组性别、年龄、户籍、家庭经济收入、心理状况以及心理压力来源。结果：2组性别、年龄、生源地、专业差异均有统计学意义（P < 0.05~P < 0.01）。考研组实习生心理异常检出率38.2%，明显高于非考研组实习生的20.7%（P<0.01），其中考研组学生阳性项目数、躯体化、人际关系、敌对、恐怖异常比例均高于非考研组（P < 0.05~P < 0.01）。2组心理异常者心理异常来源差异有统计学意义（P<0.01）。结论：选择考研的学生人群更容易出现心理异常；考研实习生与非考研实习生心理压力来源不同。Abstract: Objective:To explore the impact of postgraduate entrance examination on medical interns' mental health.Methods:We chose 1 182 clinical internship students of a medical college in 71 medical institutions,and divided them into two groups,which were those who would take the examination and those who would not.Symptom Check List and self-designed questionnaires were used to investigate their gender,age,household register,family income,psychological status,as well as the sources of psychological pressure.Results:The differences of distribution characteristics of their gender,age,household register,major and internship institution were statistically significant(P < 0.05 to P < 0.01)in two groups.The percentage of students with psychological problems was 38.2% among those who would take the examination and 20.7% among those who would not(P<0.01).Positive projects,somzatization,interpersonal relationships,hostility and abnormal proportion of terror among students who would take the examination were higher than students who would not(P < 0.05 to P < 0.01).The differences of aberrant sources in both psychological abnormal groups were statistically significant(P<0.01).Conclusions:Graduates who will take the postgraduate entrance examination are more prone to have psychological problems.The sources of psychological pressure vary from one group to another.
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Key words:
- mental health /
- medical interns /
- postgraduate entrance examination
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