摘要
目的了解南京市全科规范化培训学员的心理健康现状。方法采用症状自评量表(SCL-90)对2018年10月至2019年5月参加南京医科大学第二附属医院全科理论培训的184名全科学员进行调查,并将结果分别与全国常模、江苏省常模、全国医生及江苏省医学生常模进行比较。结果全科规范化培训学员SCL-90量表阳性率为26.3%(47/179)。与全国常模比较,本研究中学员敌对因子得分高于常模(t=4.863),焦虑(t=-9.853)、恐怖(t=-8.407)、偏执因子得分(t=-5.434)低于全国常模,差异均有统计学意义(均P<0.01);与江苏省常模比较,除强迫因子外,其余各因子得分均低于常模,差异有统计学意义(t值分别为-4.508、-7.138、-4.760、-4.541、-8.017、-6.740、-11.881,均P<0.01);与全国医生常模比较,躯体化(t=-7.447)、人际关系敏感(t=-6.483)、抑郁(t=-7.810)、焦虑(t=-11.750)、敌对(t=-7.659)、恐怖(t=-4.657)、偏执因子得分(t=-11.075)均明显低于常模,差异具有统计学意义(均P<0.01);与江苏省医学生常模相比,所有因子均低于常模,且差异具有统计学意义(t值分别为-2.304、-7.300、-12.049、-8.115、-9.853、-8.374、-5.490、-15.910、-9.059,均P<0.05)。此外,大专及以下、本科、研究生及以上学员阳性率分别为35.2%(32/91)、13.2%(10/76)、41.7%(5/12),不同学历学员阳性率差异有统计学意义(χ²=11.936,P<0.05)。结论南京市全科规范化培训学员心理健康水平总体优于与全国常模、江苏省常模、全国医生及江苏省医学生常模。研究生学历学员的心理健康状态较大专学历、本科学历学员差。
Objective To investigate the mental health status of residents in standardized general practice training.Methods A total 184 residents participating in general practice training in the Second Affiliated Hospital of Nanjing Medical University were selected for study by cluster random sampling from October 2018 to May 2019.The mental health status of participants was evaluated with symptom check list 90(SCL-90).The results were compared with several norms.Results The overall positive detection rate of SCL-90 scale was 26.3%among participants.Compared with the national norm the hostile factor score of the study group was higher than that of the norm(t=4.863),the anxiety(t=-9.853),fear(t=-8.407)and paranoia(t=-5.434)scores were lower than those of the norm(P<0.05).Compared with the norm of Jiangsu Province in 2009,the scores of all the factors except the forcing factor were lower than those of the norm(t=-4.508,-7.138,-4.760,-4.541,-8.017,-6.740,-11.881,all P<0.01).Compared with the norm of national physicians,the somatization(t=-7.447),interpersonal sensitivity(t=-6.483),depression(t=-7.810),anxiety(t=-11.750),hostility(t=-7.659),fear(t=-4.657,)and paranoia(t=-11.075)scores were all significantly lower than those of the norm(P<0.01).Compared with the norm of medical students in Jiangsu province,all factors were lower than those of the norm(t=-2.304,-7.300,-12.049,-8.115,-9.853,-8.374,-5.490,-15.910,-9.059,all P<0.05).Meanwhile,results varied among residents at different educational levels.The positive rate of residents with college level or below,with undergraduate level and graduate level or above were 35.2%(32/91),13.2%(10/76)and 41.7%(5/12),respectively(χ^(2)=11.936,P<0.05).Conclusion Compared with the national norm,the national norm of physicians,the norm of Jiangsu Province′s,and the norm of medical students in Jiangsu Province,the mental health of residents in standardized general practice training programs in Nanjing are generally better.The mental health status of the residents with postgraduate education
作者
陈楠
戴昕妤
黄柳
颜红
汤忠泉
欧婷
王荣华
李云涛
Chen Nan;Dai Xinyu;Huang Liu;Yan Hong;Tang Zhongquan;Ou Ting;Wang Ronghua;Li Yuntao(Department of General Practice,Second Affiliated Hospital of Nanjing Medical University,Nanjing 210011,China)
出处
《中华全科医师杂志》
2021年第2期205-209,共5页
Chinese Journal of General Practitioners
基金
学位与研究生教育研究课题(YX2017‑03‑04)
南京医科大学一流本科专业建设2020年专项招标项目(JX1121600201)。
关键词
教育
继续
社区医学
精神卫生
问卷调查
Education,continuing
Community medicine
Mental health
Questionnaires
