目的 采用结构方程模型探讨医学硕士研究生心理困扰影响因素,为医学硕士研究生的心理干预提供依据。方法 2021年9月至11月,对新疆医科大学2021级493名硕士研究生进行调查。构建医学硕士研究生心理困扰影响因素的结构方程模型。结果 结果显示,新疆医科大学493名医学硕士研究生心理困扰评分(8.00±8.86)分,总压力评分(14.99±13.82)分,心理资本评分(123.61±22.13)分。对心理困扰的影响最高的是总压力,总效应为0.848(P<0.001);其次为对所学专业满意度,总效应为0.633(P<0.001);其他影响因素从大到小依次为性格类型、心理资本、读研原因,总效应分别为-0.119(P<0.001)、-0.076(P<0.001)、0.053(P<0.001)。结论 总压力和对所学专业满意度是医学硕士研究生心理困扰的重要影响因素。未来的医学硕士研究生心理健康教育,可以从压力感受情况和改变学生对所学专业满意度情况方面进行心理干预。

Objective To explore the influencing factors of psychological distress of medical graduates by structural equation model and to support mental intervention for medical graduates. Methods A total of 493 graduates enrolled in 2021 by Xinjiang Medical University were investigated from September to November 2021. The structural equation model of influencing factors of psychological distress of medical graduates was constructed. Results The results showed that 493 medical postgraduates' psychological distress score (8.00±8.86), total stress score (14.99±13.82) and psychological capital score (123.61±22.13). The results showed that the highest impact on psychological distress was total stress with total effect as 0.848(P<0.001). The second was the satisfaction with the major and the total effect was 0.633(P<0.001). Other influencing factors were ranked with importance from top to bottom were personality, psychological capital and motivation for graduate study. The total effects were -0.119(P<0.001), -0.076(P<0.001) and 0.053(P<0.001) respectively. Conclusions The total pressure and satisfaction with their majors are important ones. The mental health education for medical graduates needs to pay attention to psychological intervention from the aspects of stress reception and to support their career development.