某军医大学研究生自测健康状况及其影响因素

目的了解军医大学研究生的自测健康状况及其影响因素，以便为改善该人群心理健康状况提供依据。方法选取广州市某军医大学在读硕士研究生培9名，应用自测健康评定量表、艾森克个性问卷、生活事件量表、领悟社会支持量表和简易应对方式问卷等进行调查。结果军医大学研究生的自测健康状况高于常模水平；人格的内外向和神经质维度、生活事件、社会支持、积极应对、消极应对与自测健康各子量表的得分和总分相关显著。多元回归分析结果表明：人格的内外向和神经质维度、社会支持和生活事件是影响军医大学研究生自测健康状况的主要因素。路径分析显示，情绪的稳定性是对自测健康总分有直接和间接影响的重要变量，生活事件通过人格的神经质维度间接影响健康状况的作用更明显。结论军医大学研究生的自测健康状况较好，保持情绪稳定、完善个性、寻求社会支持、减轻生活事件的影响、减少消极的应对行为是提高他们健康状况的有效途径。

The Self-Rated Health Status and Its Related Factors of Graduate Students in Military Medical University

Objective To study the status of the self-rated health and its related factors of graduate students in military medical university, and to provide basis for improving their mental health. Methods One hundred and eighty-nine graduate students were estimated with Serf-rated Health Measurement Scale, Eysenck Personality Questionnaire, Life Event Scale, Perceived Social Support Scale and Simplified Coping Questionnaire. Results The scores of the self-rated health for graduate students in military medical university were higher than norm; the scores of each subscale and its general score were significantly correlated with introversion and extroversion, neuroticism, life event, social support and coping style. Multiple regression analysis indicated that introversion and extroversion, neutroticism, social support and life events were the main factors to self-rated health of military medical graduate students. Path analysis revealed that stable emotion was an important factor influencing the self-rated health directly or indirectly, and life events influenced the self-rated health indirectly by neuroticism. Conclusion The status of the self-rated health of graduate students in military medical university is better. Their status of the self-rated health could be improved by these measures, such as keeping stable emotion, developing extroversion, seeking social support, relieving the influence of negative life events and reducing negative coping behavior.