目的 调研“3+2”助理全科医师项目新生的心理健康状况。方法 从2017年2月起,采用大学生人格问卷(university personality inventory,UPI)对首都医科大学2017级~2019级“3+2”项目新入学学生进行调查,采用秩和检验和χ²检验等统计方法对数据进行分析。结果 可能存在严重心理问题(Ⅰ类)的学生占比15.5%(58/375),可能存在一般心理问题(Ⅱ类)的学生占比22.1%(83/375),心理健康状况相对良好(Ⅲ类)的学生占比62.4%(234/375)。男生UPI评分为3.00(1.00,9.00)分,女生4.00(1.00,10.75)分;2017级学生UPI评分为4.00(1.00,12.50)分,2018级4.00(1.00,10.00)分,2019级3.00(1.00,8.00)分;各区县学生评分分别为大兴7.50(2.00,19.25)分,平谷3.00(1.00,10.00)分,通州6.00(1.00,11.00)分,门头沟2.00(1.00,4.00)分,怀柔9.00(3.00,13.00)分,密云4.00(1.00,11.50)分,延庆3.00(1.25,8.25)分,昌平4.00(1.00,10.25)分,顺义3.00(1.00,8.00)分,房山2.00(1.00,7.00)分。不同性别、年级、区县学生的评分差异均无统计学意义(均P>0.05)。结论 大部分“3+2”项目学生的心理健康状况良好,不同性别、年级、区县学生心理健康状况相近。应当重视学生心理健康问题,为其搭建稳定的心理健康教育体系,根据学生心理健康特点开展特色心理疏导服务。

Objective To investigate the mental health status of newly-enrolled “3+2” assistant general practitioner program students. Methods The investigation started in February 2017 covered 375 newly-enrolled “3+2” assistant general practitioner program students to complete university personality inventory (UPI) from 2017 to 2019, and rank sum test and chi-square test was used to analysis data. Results Students who were highly potential to have serious psychological problems (Type Ⅰ) take 15.5%(58/375), students who were possible to have general mental issues (Type Ⅱ) take 22.1%(83/375) , students who were relatively mentally healthy (Type Ⅲ) take 62.4% (234/375). UPI score of male was 3.00(1.00,9.00), female was 4.00(1.00,10.75), grade 2017 was 4.00(1.00,12.50), grade 2018 was 4.00(1.00,10.00), grade 2019 was 3.00(1.00,8.00), Daxing was 7.50(2.00,19.25), Pinggu was 3.00(1.00,10.00), Tongzhou was 6.00(1.00,11.00), Mentougou was 2.00(1.00,4.00), Huairou was 9.00(3.00,13.00), Miyun was 4.00(1.00,11.50), Yanqing was 3.00(1.25,8.25), Changping was 4.00(1.00,10.25), Shunyi was 3.00(1.00,8.00), Fangshan was 2.00(1.00,7.00). No significant difference was found among students enrolled from 2017 up to 2019, between male and females and different districts(all P>0.05). Conclusions Most of “3+2” assistant general practitioner program students had good mental health, and it was similar in different gender, grade and district. For the students of “3+2” program, we should give highly concern and construct stable mental health system, provide special consulting service according to students' metal health features.