目的 了解新型冠状病毒肺炎疫情防控期间医学研究生毕业前焦虑现状及其影响因素,为促进医学研究生心理健康提供依据。方法 2020年12月,以四川大学华西临床医学院2018级全日制医学研究生为调查对象,采用焦虑自评量表和自制问卷进行调查,采用logistic回归进行影响因素分析。结果 共有486名医学研究生接受了调查,焦虑人数占比37.4%(182/486)。有无焦虑的医学研究生在体育锻炼满意度[7(5,10)分比6(4,9)分]、休闲娱乐满意度[5(3,8)分比4(2,8)分]、学习满意度[7(5,10)分比4(3,7)分]以及自评主观压力值[5(3,8)分比7(4,9)分]等方面的差异均具有统计学意义(均P＜0.05)。logistics多因素回归分析表明,医学研究生的休闲娱乐满意度[OR(95%CI)=0.871(0.803~0.945)]、学习满意度[(OR(95%CI)=0.687 (0.627~0.751)]与焦虑呈显著负相关,而自评压力值[OR(95%CI)=1.246 (1.148~1.353)]与焦虑呈显著正相关。结论 新型冠状病毒肺炎疫情防控期间医学研究生毕业前焦虑比例较高。休闲娱乐满意度低、学习满意度低和自评主观压力大是毕业前医学研究生出现焦虑问题的影响因素。应当加强对毕业班研究生心理问题的重视度,强化全方位管理,及时干预焦虑问题,提高医学研究生综合素质。
Objective To investigate the pre-graduation anxiety of medical graduates during COVID-19 pandemic and to identify the influencing factors, so as to provide the basis for improving the emotional health of medical graduates.Methods In December 2020, full-time medical graduate students enrolled in 2018 from West China Clinical Medical College of Sichuan University were investigated by self-rating anxiety scale (SAS) and self-designed questionnaire, and the influencing factors were analyzed by logistic regression.Results A total of 486 valid questionnaires were collected. The overall anxiety rate was 37.4% (182 / 486). Compared with the students with anxiety, there were significant differences in physical exercise[7(5,10)vs. 6(4,9)], entertainment[5(3,8)vs. 4(2,8)], learning satisfaction [7(5,10)vs. 4(3,7)]and self-rated stress [5(3,8)vs.7(4,9)] (all P < 0.05). Logistic regression analysis showed that entertainment [OR(95%CI)=0.871(0.803~0.945)] and learning satisfaction [OR(95%CI)=0.687 (0.627~0.751)] were negatively correlated with anxiety, while self-rated stress value [OR(95%CI)=1.246(1.148~1.353)] was positively correlated with anxiety.Conclusions During the pandemic, the anxiety rate of medical graduates was high. The main factors are lack of entertainment activity, low satisfaction of study and subjective pressure. We should pay more attention to the psychological situation of graduate students, strengthen comprehensive management scheme, timely intervention to anxiety, and to improve the professionalism as well as personal accomplishment of medical graduate students.
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