新冠肺炎疫情期间住院医师规范化培训学员心理健康及其影响因素

目的 了解新冠肺炎疫情爆发期及平稳期住院医师规范化培训学员的心理健康状态及其影响因素,为进一步心理健康教育提供参考.方法 通过电子问卷使用非概率抽样方法获得调查样本,分别于2020年2月8日-10日和4月11日-13日向昆明医科大学第二附属医院各年级规培群发放调查问卷,采用症状自评量表(SCL-90)、Beck压力量表...

Mental health and influencing factors among residents under standardized residency training during the epidemic of COVID-19

Objective To analyze the mental health status and the influencing factors among the residents taking standardized residency training during the outbreak and stable period of COVID-19,so as to provide theoretical basis for their mental health education.Methods On February 8 to February 10 and April 11 to April 13,2020,Symptom Checklist 90(SCL-90),Beck Srivastava Stress Inventory(BSSI)and Simplified Coping Style Questionnaire(SCSQ)were distributed in online chat groups involving all grades of residents taking standardized residency training in the Second Affiliated Hospital of Kunming Medical University.Through two rounds of questionnaire survey,non-probability sampling method was used to obtain survey samples,and their mental status were analyzed.Results A total of 159 valid questionnaires were collected in the first round,and 99 valid questionnaires in the second round.The first survey showed that the total score of SCL-90 was(117.69±37.74)and the detection rate of positive symptoms in SCL-90 was 25.8%,and mainly dominated by obsession,fear and interpersonal sensitivity.In the second survey,the results showed that the total score of SCL-90 was(127.19±51.44),and the main positive symptoms included obsession,depression and interpersonal sensitivity,with a positive detection rate of 30.3%.The first survey found that the mental health status had significant differences among residents of different grades(χ²=7.46,P<0.05),furthermore,the results indicated that lower grade was a risk factor while non-singleton was the protective factor of mental health status(P<0.05),and SCL-90 total score was positively correlated with score of negative coping styles(r=0.45,P<0.01).The second survey also classified lower grade as risk factor and non-singleton as protective factor(P<0.05),and SCL-90 total score was positively correlated with study stress,economic pressure,interpersonal relationship,clinical practice and negative coping styles(r=0.52,0.46,0.55,0.54,P<0.05 or 0.01).Conclusion Residents under standardized residency training have obvious mental health problems during the outbreak of COVID-19,and the problems become more serious during the stable period of COVID-19.