目的 探讨某三甲医院中参加规范化培训的住院医师在新型冠状病毒肺炎疫情中心理健康的影响因素。方法 采用问卷调查方法,选取2020年1月至3月在青岛大学附属医院进行规范化培训的1 125名住院医师为研究对象,结合Kessler 10量表设计问卷调查结果,通过有序logistics回归分析其心理健康影响因素。结果 12.5%(141/1 125)的住院医师有较高的罹患心理疾病的危险性,2.1%(24/1 125)的住院医师有高的患心理疾病的危险性。与心理健康密切相关的因素中,在一线科室工作、住院医师及其亲友对医疗专业选择有负面看法等因素明显升高了住院医师罹患心理疾病的风险,而未接触过感染病例、可以自主学习等因素可以降低其罹患心理疾病的风险。结论 新冠肺炎疫情期间多种因素影响住院医师的心理健康,住院医师的暴露风险、学习能力和舆论环境均为重要独立因素。
Objective To explore the factors affecting the mental health of standardized training residents in affiliated hospital during COVID-19 pandemic. Methods A questionnaire survey was distributed with the Kessler 10 scale to measure the mental health of all residents in training, and ordered logistics regression was used to analyzing its mental health influencing factors. Results It was found that 12.5%(141/1 125) of residents had a high risk of mental illness and 2.1% (24/1 125) of residents had a higher risk. Working in first-line departments, as well as residents and their relatives who have negative views on the choice of medical professions have an impressive impact on the risk of mental illness. In the same time, no exposure to infection cases, learning autonomously facilitated significantly of decreasing the risk of mental illness. Conclusions Multiple factors affect the mental health of residents during the COVID-19 pandemic. Residents' exposure risk, learning capacity, and social environment are important factors.
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