Analysis of medical students mental stress state of self-perception and influencing factors
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摘要: 目的 研究医学生压力状态及其影响因素,为缓解医学生压力、促进医学生身心健康和医学院校管理工作提供数据支持。 方法 采用自拟问卷调研上海交通大学医学院院本部及附属教学医学院研究生及本科生共计498名,问卷包括人口学基本信息、压力感受、影响压力的主观因素(包括个人能力和个人习惯)和客观因素。采用焦点组访谈法访谈10名研究生和20名本科生。 结果 人口学基本信息与压力感知差异无统计学意义;压力感知与主观因素中的个人能力、部分个人习惯(就寝时间、睡眠时长)和所有客观因素差异均有统计学意义。采用向后剔除法将压力感受相关因素与压力做线性回归分析,得β系数绝对值最高为学习适应能力(∣β∣=0.383),其次为时间管理能力(∣β∣=0.137)、课程设立(∣β∣=0.107)、课时安排(∣β∣=0.100)和睡眠时长(∣β∣=0.097)。在访谈中,医学生表示压力一方面主要来源为学习和科研,另一方面则突出在人际关系处理上。不少高年级医学生建议应当加强人文素养的培养。 结论 校方应从心理健康教育、提升人文素养、帮助医学生职业规划、塑造良好环境、合理课程设置和创新教学方法等方面提供有效帮助;医学生的家长应共同参与学校的管理工作,助力学生的心理健康教育,共筑合力育人氛围;个人方面,应主动培养良好习惯和提升个人能力并管理好自身的健康水平;三方入手、家校联合共同促进医学生身心健康,提高医学生培养质量。Abstract: Objective The research concerning stress status of medical students and its influencing factors provides a data support for pressure relief and for the promotion in physical and mental health of medical students as well as medical school management. Methods A self-designed questionnaire was used for the research, involving a total of 498 graduate and undergraduate students of Shanghai Jiao Tong University School of Medicine and its affiliated teaching hospital, the content of which includes basic demographic information, pressure feelings and their influencing factors both subjectively (ability and habit) and objectively. Besides, 10 graduate students and 20 undergraduates were interviewed by means of focus group interview. Results Demographic basic information and stress perception have no statistical significance. The stress perception is related to the individual ability of subjective factors and to all the objective factors. The backward regression method was used to analyze the stress sensitivity and the stress. The highest β coefficient absolute value is learning adaptability (0.383), followed by time management ability (0.137), course setup (0.107), course duration schedule (0.100) and length of sleep (0.097). The interview results show that the stress comes along with study and scientific research as well as interpersonal relationships. A number of senior students advocate the cultivation of humanistic quality. Conclusion The promotion of mental health among medical students and the quality of education by medical school should be a joint effort of 3 aspects:effective help and instructions provided by school, nurturing atmosphere created by family members, good habits and abilities developed by students themselves.
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Key words:
- Medical students /
- Stress perception /
- Influencing factors /
- Mental health
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