当代医学生社交焦虑现状及影响因素分析

目的 了解当代医学生社交焦虑现状,分析影响因素,为制定相关干预措施提供依据。方法 随机抽取某医学院校在校本科生1 388人为研究对象,应用社交焦虑量表(LSAS)对研究对象进行测评,采用t检验、方差分析、多重线性回归等方法分析影响社交焦虑的因素。结果 1 388名医学生社交焦虑得分为(40.46±25.44)分。单因素分析结果显示,医学生社交焦虑得分在性别、年龄、年级、是否曾经担任班干部、是否参与过社团活动和使用手机频率组间存在差异。多重线性回归结果显示,性别、年龄、是否曾经担任班干部、是否参与过社团活动、每日手机使用时间是医学生社交焦虑的影响因素,具体表现为:女性高于男性,年龄越大焦虑得分越高,未担任班干部高于担任班干部,不参加社团活动高于参加社团活动,日均使用手机时间越长焦虑得分越高。结论 医学专业学生学业压力繁重、就业压力相对较大,对心理健康造成影响,社交焦虑总体水平较高,尤其是要引导女生、高年级学生、采取积极有效的应对方式来面对社交挑战,培养沟通能力,减少社交焦虑。

Analysis on the status quo and influencing factors of social anxiety of contemporary medical students

Objective To investigate the status of social anxiety among contemporary medical students, analyze the influencing factors, and provide evidence for the formulation of relevant intervention measures.Methods Totally 1388 undergraduates from a medical university were randomly selected as the research subjects and social anxiety scale (LSAS) was used to evaluate the subjects. The influential factors of social anxiety were analyzed by t test, analysis of variance and multiple linear regression.Results The social anxiety scores of 1388 medical students were 40.46±25.44 points. The results of univariate analysis showed that there were differences in the scores of social anxiety among the medical students in gender, age, grade, whether they had been a class leader, whether they had participated in community activities and the frequency of using mobile phones. Multiple linear regression results showed that gender, age, service as a class cadre, participation in community activities, daily mobile phone usage time were the influence factors of medical students′ social anxiety, and the results specifically showed that women above men, the older the age, the higher the anxiety score, without service as a class cadre above service as a class cadre, without participation in community activities above participation in community activities, the longer the daily average time of cell phone use, the higher the anxiety score.Conclusion Medical students have heavy academic pressure and relatively large employment pressure, which have an impact on their mental health, and the overall level of social anxiety is high. Especially, it is necessary to guide female students and senior students to take active and effective coping ways to face social challenges, cultivate communication ability and reduce social anxiety.