麻醉学住院医师规范化培训学员身心健康状况的调查分析

程舟; 陈烨; 余奇劲

doi:10.3760/cma.j.cn116021-20220509-01541

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麻醉学住院医师规范化培训学员身心健康状况的调查分析

住院医师规范化培训 | 更新时间：2023-12-26

- 麻醉学住院医师规范化培训学员身心健康状况的调查分析
- An investigation of the physical and mental health of trainees receiving standardized residency training of anesthesiology in four large teaching hospitals in Wuhan, China
- 中华医学教育探索杂志 2023年22卷第12期页码：1886-1891
- 作者机构：
  
  武汉大学人民医院麻醉科，武汉　430060
- 作者简介：
  
  余奇劲，Email：yqj721103@sina.com
- 基金信息：
  
  武汉大学医学部教学研究项目(2019016)
- DOI：10.3760/cma.j.cn116021-20220509-01541
  中图分类号： R192.3
- 纸质出版日期：2023-12-20，
  
  收稿日期：2022-05-09，
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程舟, 陈烨, 余奇劲. 麻醉学住院医师规范化培训学员身心健康状况的调查分析[J]. 中华医学教育探索杂志, 2023, 22(12): 1886-1891.

Cheng Zhou, Chen Ye, Yu Qijin. An investigation of the physical and mental health of trainees receiving standardized residency training of anesthesiology in four large teaching hospitals in Wuhan, China[J]. Chinese Journal of Medical Education Research, 2023,22(12):1886-1891.
程舟, 陈烨, 余奇劲. 麻醉学住院医师规范化培训学员身心健康状况的调查分析[J]. 中华医学教育探索杂志, 2023, 22(12): 1886-1891. DOI： 10.3760/cma.j.cn116021-20220509-01541.

Cheng Zhou, Chen Ye, Yu Qijin. An investigation of the physical and mental health of trainees receiving standardized residency training of anesthesiology in four large teaching hospitals in Wuhan, China[J]. Chinese Journal of Medical Education Research, 2023,22(12):1886-1891. DOI： 10.3760/cma.j.cn116021-20220509-01541.

摘要

目的

初步调查武汉地区四家大型教学医院麻醉学住院医师规范化培训学员的身心健康状态，并分析其危险因素。

方法

选取武汉市4家大型综合性教学医院麻醉学住院医师规范化培训学员作为研究对象，借助SCL-90症状自评量表（symptom checklist-90，SCL-90）、艾森克人格量表（Eysenck personality questionnaire，EPQ）对麻醉学员展开心理健康和人格状态调查。采用SPSS 22.0进行独立样本

检验或者单因素方差分析及卡方检验。采用Logistic回归对SCL-90结果影响因素进行分析。

结果

本次调查共发放问卷328份，有效回收326份（回收率99.39%），其中68人（20.86%）显示心理状况异常（SCL-90总分大于160），其中强迫症状、忧郁较高。心理异常学员表现倾向型神经质、倾向型精神质人格特征，且异常人格特征比例比心理正常学员高。单因素分析显示，住培年级、科研压力、月值班次数、人格特征与学员心理异常相关。多因素分析显示，月值班5次以上（

=0.997，

=0.039，

=2.709，95%CI：1.051~6.986），科研压力极其严重（

=3.235，

=0.002，

=25.412，95%CI：3.239~199.363），情绪不稳定（

=2.015，

0.001，

=7.504，95%CI：3.529~15.954），精神质异常（

=1.640，

0.001，

=5.154，95%CI：2.510~10.581）是学员心理异常的危险因素；外向型人格（

=-2.758，

0.001，

=0.063，95%CI：0.019~0.215）是学员心理异常的保护因素。

结论

武汉地区4家大型教学医院麻醉住培学员心理异常阳性率为20.86%，其可能影响因素与月值班次数、科研压力、工作压力、不同人格特征有关。

Abstract

Objective

To investigate the physical and mental health of trainees receiving standardized residency training of anesthesiology in four large teaching hospitals in Wuhan

China

as well as related risk factors.

Methods

The trainees who received standardized residency training of anesthesiology in four large general teaching hospitals in Wuhan were selected as subjects

and Symptom Checklist-90 (SCL-90) and Eysenck Personality Questionnaire were used to investigate mental health and personality state. SPSS 22.0 was used to perform the independent samples

-test

a one-way analysis of variance

and the chi-square test

and Logistic regression was used to analyze the influencing factors for SCL-90.

Results

A total of 328 questionnaires were distributed and 326 valid questionnaires were collected

with a recovery rate of 99.39%. Among these trainees

68 (20.86%) were found to have abnormal mental status (SCL-90 score

160)

with a relatively high proportion of the trainees with obsessive-compulsive symptoms or depression. The trainees with abnormal mental status showed the personality characteristics of tendency neuroticism and tendency psychoticism

and compared with the trainees with normal mental status

the trainees with abnormal mental status showed a higher proportion of trainees with abnormal personality characteristics. The univariate analysis showed that the grade of residency training

scientific research pressure

monthly on-duty frequency

and personality characteristics were associated with abnormal mental status

and the multivariate analysis showed that a monthly on-duty frequency of

5 times (

=0.997

odds ratio [

]=2.709

95%CI: 1.051-6.986

=0.039)

great pressure of scientific research (

=3.235

=25.412

95%CI: 3.239-199.363

=0.002)

emotional instability (

=2.015

=7.504

95%CI: 3.529-15.954

0.001)

and psychosomatic abnormalities (

=1.640

=5.154

95%CI: 2.510-10.581

0.001) were risk factors for psychological abnormality in trainees

while extroversion personality (

=-2.758

=0.063

95%CI: 0.019-0.215

0.001) was a protective factor against abnormal mental status.

Conclusions

The positive rate of psychological abnormality is 20.86% among trainees receiving standardized residency training of anesthesiology in four large teaching hospitals in Wuhan

and possible influencing factors include monthly on-duty frequency

scientific research pressure

work pressure

and different personality characteristics.

关键词

心理健康SCL-90艾森克人格量表麻醉学住院医师规范化培训

Keywords

Mental healthSymptom checklist-90Eysenck personality questionnaireStandardized residency training of anesthesiology

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