摘要
目的:调查山东省临床医学专业本科毕业生心理压力及失眠情况,为有针对性地开展心理压力疏导及睡眠质量改善工作提供依据。方法:对来自山东省重点高校、普通高校及专科院校的临床医学专业本科毕业生的就业去向开展调查,并使用BECK压力量表及失眠严重指数量表对毕业后不同去向的毕业生心理压力及失眠情况进行分析。结果:394名参与调查的山东省临床医学专业本科毕业生中,已有了明确毕业去向的学生占总人数的84.77%。无明确毕业去向的学生在BSSI各个项目的平均得分以及总分均高于有明确毕业去向学生(P<0.05)。受调查者全部存在失眠情况,且大部分处于亚临床失眠阶段,占比48.18%。尚无明确去向学生ISI平均得分高于已有明确去向学生(P<0.05)。参与者BSSI各项得分以及BSSI总分与ISI之间存在正相关关系(P<0.001),性别、经济压力对山东省临床医学专业本科毕业生失眠产生影响(P<0.05)。结论:山东省临床医学专业本科毕业生普遍压力较大,毕业去向是其重要因素,过大的心理压力加重了失眠严重程度。
Objective:To Investigate the effect of psychological stress on insomnia in undergraduate clinical medical graduates of Shandong province,so as to provide the basis for carrying out psychological stress counseling and sleep assurance.Methods:The employment destination of undergraduate graduates from medical colleges was investigated,and the psychological pressure and insomnia of graduates with different destinations after graduation were analyzed by Beck-srivastava stress scale(BSSI)and insomnia severity index scale(ISI).Results:394 undergraduate graduates of clinical medicine who participated in the survey,84.77%had clear graduation destinations.The average score and total score of students without clear graduation destination in each item of BSSI were higher than those of students with clear graduation destination(P<0.05).All the subjects had insomnia,and most of them were in subclinical insomnia stage,accounting for 48.18%.The mean ISI score of students with no clear destination was higher than that of students with clear destination(P<0.05).There was a positive correlation between BSSI scores and BSSI total scores and ISI(P<0.001),and gender,economic pressure had an effect on insomnia in undergraduate graduates of clinical medicine(P<0.05).Conclusion:Undergraduate clinical medical graduates are generally under great pressure,and graduation destination is an important factor.Excessive psychological pressure aggravates the severity of insomnia.
作者
刘福泽
黄岳
王海
LIU Fuze(Department of Orthopaedic Surgery,Peking Union Medical College Hospital,Peking Union Medical College and Chinese Academy of Medical Sciences,Beijing,100730,China)
出处
《医学与社会》
北大核心
2023年第9期74-78,共5页
Medicine and Society
基金
国家自然科学基金资助项目,编号为82172450。
关键词
心理压力
失眠
临床医学
本科生
毕业生
山东省
Psychological Stress
Insomnia
Clinical Medicine
Undergraduate
Graduate
Shandong Province