中华医学教育杂志

中华医学教育杂志 ›› 2019, Vol. 39 ›› Issue (9): 662-667.DOI: 10.3760/cma.j.issn.1673-677X.2019.09.005

• 心理健康教育 • 上一篇    下一篇

是否完成规范化培训对住院医师心理健康状态影响的研究

梁瀛1, 周庆涛1, 沈宁1, 孙永昌1, 何旋2, 黄悦勤3   

  1. 1北京大学第三医院呼吸与危重症医学科 100191;
    2北京大学第三医院教育处 100191;
    3北京大学第六医院社会精神病与行为医学研究室 100191
  • 收稿日期:2018-12-25 出版日期:2019-09-01 发布日期:2020-12-09
  • 通讯作者: 周庆涛,Email:qtzhou@163.com,电话:010-82265562

Study of the impact of whether completing the standardized residency training on the mental health of the residents trainees

Liang Ying1, Zhou Qingtao1, Shen Ning1, Sun Yongchang1, He Xuan2, Huang Yueqin3   

  1. 1Department of Pulmonary and Critical Care Medicine,Peking University Third Hospital,Beijing 100191,China;
    2Department of Education,Peking University Third Hospital,Beijing 100191,China;
    3Social Psychiatry and Behavioral Medicine Laboratory,Peking University Sixth Hospital,Beijing 100191,China
  • Received:2018-12-25 Online:2019-09-01 Published:2020-12-09
  • Contact: Zhou Qingtao,Email:qtzhou@163.com,Tel:0086-10-82265562

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摘要： 目的 比较正在接受规范化培训和已经完成规范化培训2种状态下住院医师的心理健康状况。方法 本研究采用问卷调查方法。选择2018年1月至2月在北京大学第三医院内科接受规范化培训的78名住院医师作为实验组,以及2016年和2017年在北京大学第三医院内科完成住院医师规范化培训并通过一阶段考试的80名住院医师为对照组。通过发放在线问卷调查的形式,借助12项一般健康问卷(GeneralHealthQuestionnaire-12,GHQ-12)、自评焦虑量表(Self-RatingAnxietyScale,SAS)和自评抑郁量表(Self-ratingDepressionScale,SDS),比较两组住院医师在一般健康状态与心理健康状态等方面的差异。结果 实验组住院医师GHQ-12评分、SAS标准分、抑郁严重度指数均高于对照组住院医师[GHQ-12评分:1.00(1.00,3.25)比0.00(0.00,1.75),Z=-4.11,P＜0.01;SAS标准分:46.50(42.00,48.50)比42.00(38.00,47.00),Z=-2.98,P＜0.01;抑郁严重度指数:0.56(0.51,0.61)比0.54(0.39,0.60),Z=-2.42,P=0.02]。实验组住院医师GHQ-12评分≥3分的比例、出现抑郁的比例均高于对照组住院医师(GHQ-12≥3分:37.2%比18.8%,χ2=6.68,P=0.01;抑郁:88.5%比62.5%,χ2=14.32,P＜0.01)。二元logistic回归分析结果显示,正在接受规范化培训与GHQ-12评分≥3分(OR=2.58,P=0.04)及出现抑郁状态(OR=5.05,P＜0.01)具有独立相关性。结论 在培的住院医师是发生抑郁的高危人群,完成并通过规范化培训可能改善住院医师的心理健康状况。

关键词: 住院医师, 规范化培训, 抑郁, 焦虑, 心理健康, 研究

Abstract: Objective Comparing the mental health of the residents who are undergoing standardized training and having completed standardized training.Methods An online questionnaire survey research was performed from January to February,2018.Experimental group (n=78) were the residents who were on the way of residency training in Department of Internal Medicine in Peking University Third Hospital at this time,while control group (n=80) were the residents who had completed the standardized residency training and passed the first-stage examination in the same institute on 2016 and 2017.General health and mental health status were compared between two groups by the online questionnaire survey with three scale tools,General Health Questionnaire-12 (GHQ-12),Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS).Results Residents in experimental group had greater GHQ-12 score,SAS standard score and depression severity index than those in control group[1.00(1.00,3.25) vs 0.00(0.00,1.75),Z=-4.11,P＜0.01;46.50(42.00,48.50) vs 42.00(38.00,47.00),Z=-2.98,P＜0.01;0.56(0.51,0.61) vs 0.54(0.39,0.60),Z=-2.42,P=0.02,respectively].Compared with control,the proportions of GHQ-12 score ≥3 and depression status were higher in experimental group (GHQ-12 ≥3:37.2% vs 18.8%,χ2=6.68,P=0.01;Depression:88.5% vs 62.5%,χ2=14.32,P＜0.01).Binary Logistic analysis showed that being in residency training was independently and positively associated with GHQ-12 score ≥3 (OR=2.58,P=0.04) and depression status (OR=5.05,P＜0.01).Conclusions Residents who are still in residency training are at high risk of depression status.Their mental health will be improved when they complete the standardized training and pass the test.

Key words: Resident, Standardized residency training, Depression, Anxiety, Mental health, Research

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