医学研究生亚健康状态及相关因素的研究

目的 探讨医学研究生亚健康状态的现状及其相关影响因素,为促进医学研究生身心健康提供依据.方法 采用亚健康状态自评表、研究生心理压力源量表、简易应对方式问卷及社会支持评定量表对689名医学研究生进行调查研究.结果 ①52.7%的医学研究生处于亚健康状态.②亚健康状态与心理压力源7个维度(r=0.527;r=0.501;r=0.438;r=0.471;r=0.417;r=0.420;r=0.318)、消极应对方式(r=0.275)呈显著正相关(均P＜0.01),与客观支持(r=-0.229)、主观支持(r=-0.277)、支持利用度(r=-0.184)、积极应对(r=-0.213)呈显著负相关(均P＜0.01).③多元回归分析表明,影响医学研究生亚健康状态的因素依次为学业压力(sβ=0.242,P＜0.01),消极应对(sβ=0.198,P＜0.01),经济压力(sβ=0.186,P＜0.01),人际交往压力(sβ=0.161,P＜0.01),积极应对(sβ=-0.146,P＜0.01),主观支持(sβ=-0.127,P＜0.01),就业前途压力(sβ=0.082,P＜0.05).结论 亚健康状态在医学研究生中普遍存在;亚健康状态与学业压力,消极应对,经济压力,人际交往压力,积极应对,主观支持,就业前途压力密切相关.

The status and the influence factors of sub-health status in medical postgraduates

Objective To explore the current situation and influence factors of sub-health status,in order to provide basis for improving the psychological health of medical postgraduates.Methods 689 medical postgraduates were investigated with self-rating sub-health scale(SRSHS),psychological pressure sources scale(PPSS),simplified coping style questionnaire(SCSQ),social support rating scale(SSRS).Results ① 52.7% of the medical postgraduates were in sub-health status.②Sub-health status was positively related with psychological pressure sources(r=0.527,r=0.501,r=0.438,r=0.471,r=0.417,r=0.420,r=0.318；P＜0.01)and negative coping(r=0.275,P＜0.01)；negatively related with objective support(r=-0.229,P＜0.01),subjective support(r=-0.277,P＜0.01),availability of support(r=-0.184,P＜0.01),and positive coping(r=-0.213,P＜0.01).③Multiple regression analysis showed that the influence factors of sub-health status were academic pressure(sβ=0.242,P＜0.01),negative coping(sβ=0.198,P＜0.01),economic pressure(sβ=0.186,P＜0.01),interpersonal communication pressure(sβ=0.161,P＜0.01),positive coping(sβ=-0.146,P＜0.01),subjective support(sβ=-0.127,P＜0.01),pressure of future employment(sβ=0.082,P＜0.05).Conclusion It is a common phenomenon that medical postgraduates are in sub-health status；sub-health status closely related to academic pressure,negative coping,economic pressure,interpersonal communication pressure,positive coping,subjective support,pressure of future employment.