南京市全科规范化培训医师心理健康状况调查

目的 了解分析南京市全科规范化培训医师的心理健康状况,探讨改善规培学员心理健康状况方法,为进一步完善全科医师规范化培训提供参考。 方法 2018年10—11月期间,选取南京市11个区共110名全科规范化培训在培学员作为研究对象,采用症状自评量表(SCL-90),以现场发放问卷方式进行心理健康调查,采用SPSS 19.0统计软件对数据进行统计分析。 结果 南京市全科医师规范化培训在培学员SCL-90的阳性检出率为24.5%,总平均分为(121.51±30.69)分,低于全国常模(129.96±38.76)分],差异有统计学意义(t=-2.888,P<0.05),除强迫因子外,躯体化、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性等8个因子平均分均低于全国常模,其中躯体化、人际关系敏感、抑郁、焦虑、敌对、偏执因子差异有统计学意义(均P<0.05)。规培时间≥1年学员的心理健康状况优于规培时间<1年学员,已完成全科理论学习学员心理健康状况优于未参加全科理论学习学员(均P<0.05)。 结论 南京市全科规范化培训医师整体心理健康状况尚良好,优于全国常模,提高学员专业兴趣,实施全科学员双导师制、进行团体心理健康教育等措施有可能有效改善全科规范化培训医师心理健康状况。 

Investigation on Mental Health of Normalized General Practice Training Doctors in Nanjing

Objective To investigate the mental health status of standardized training of general practitioners in Nanjing, and to provide reference for further improvement of standardized general practice training. Methods A questionnaire survey was conducted among 110 general practitioners in Nanjing with the Symptom Checklist 90(SCL-90) and the self-made General Situation Questionnaire. Results The positive rate of SCL-90 of general practitioners in Nanjing was 24.5%, with a total average score of(121.51±30.69), which was lower than the national norm score of(129.96±38.76), t=-2.888, P<0.05. Apart from obsessive-compulsive factor, the average scores of eight factors, including somatization, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoia and psychosis, were lower than those of the national norm, among which there were statistically significant differences in somatization, interpersonal sensitivity, depression, anxiety, hostility and paranoia. Mental health status of students whose training time longer than or equal to one year was better than that of students whose training time less than one year. The mental health status of the students who had completed the general theory study was better than that of the students who had not attended the general theory study. Conclusion The mental health status of Nanjing general practice standardized training physician is still good. Measures such as increasing students' professional interest, implementing the dual tutorial system for resident doctors and conducting group mental health education may effectively improve the mental health status of trained physicians.