玉溪市某医院临床实习生心理健康调查及干预

目的：对玉溪市某医院临床实习生心理健康状况进行干预，探讨改善临床实习生心理健康和提高临床教学质量的方法．方法使用临床症状自评量表（SCL-90）对2009年1月至2013年1月在医院实习的临床实习生进行问卷调查．对实习生的干预包括：举办心理讲座，针对心理问题严重的个体进行心理咨询．同时对带教老师也进行培训，做到师生双向干预，从而探讨提高临床实习生心理健康的方法．结果临床实习生干预前调查216人，阳性人数34人（15.74%），除恐惧因子外，其他各因子得分与全国常模比较，差异有统计学意义（＜0.05）；干预后调查149人，阳性人数20人（13.42%），强迫症状因子、抑郁因子、焦虑因子、敌对因子、精神病性因子、总均分与干预前相比下降（＜0.05），趋于常模水平．结论临床实习生心理问题突出，各带教医院应加强对临床实习生心理健康状况的关注，对实习生进行必要的心理干预，改善他们的心理健康状况，才能有效提高临床教学质量．

Investigation and Intervention of Mental Health State of Clinical Trainees in the Hospital of Yuxi City

Objective Investigate and intervene the psychological health state of clinical trainees in the hospital of Yuxi City, in order to explore the method to improve the psychological health and clinical quality of teaching. Methods From 2009 to 2013, clinical trainees were investigated by SCL-90. Intervention for interns included holding psychological health lectures and making psychological counseling for the serious interns. At the same time, the teachers were trained to carry out two-way intervention between the teachers and clinic interns and to improve clinical interns＇ psychological health. Results Before the intervention,among 216 interns,34 （15.74%） showed positive. Except fear factor, other factors were significantly different than national norms （ 〈0.05）. After the intervention, among 149 interns, 20 （ 13.42%） showed positive. Obsessive-compulsive symptom, depression,anxiety,hostility, spirit factors and the mean scores were all lower than before （ 〈0.05）,similar to the national norm.Conclusion Clinical trainees have prominent psychological problems. Teaching hospitals should pay more attention to psychological health of them. Intervention is necessary and effective in improving psychological health and quality of teaching.