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    临床医学研究生焦虑状况及影响因素分析

    The anxiety of clinical medicine postgraduates and its influencing factors

    • 摘要: 目的 探讨临床医学研究生焦虑状况及其相关影响因素,为改善其焦虑状况提供参考依据。方法 以整群抽样的方法对广州某医科大学549名临床医学研究生进行调查,采用一般情况问卷与焦虑自评量表(SAS)、应付方式问卷(CSQ)进行调查。结果 临床医学研究生焦虑总体检出率为16.67%,焦虑评分高于全国常模〔(40.40±9.77)vs(29.78±10.10)〕,差异有统计学意义(P<0.05)。单因素分析显示:每天睡眠时间小于6 h或睡眠无规律者焦虑评分高,科研压力大、临床规培压力大、就业压力大焦虑评分高,与导师关系好焦虑评分低(P<0.05)。在应对方式上,焦虑组在自责、幻想、退避及合理化评分高于非焦虑组,非焦虑组在解决问题、求助评分高于焦虑组,差异均有统计学意义(P<0.05)。二元Logistic回归分析显示:与导师关系(OR=0.338, 0.212~0.537)、临床规培压力(OR=2.045, 1.199~3.486)、就业压力(OR=3.865, 1.548~9.652)是临床医学研究生焦虑的影响因素。结论 临床医学研究生存在一定程度焦虑,应对方式与焦虑存在相关性。管理部门要重视临床医学研究生的焦虑状况,重点从研究生导师、缓解临床规培压力、就业压力等方面改善其焦虑状况。

       

      Abstract: Objective To explore the anxiety of clinical medicine postgraduates and its influencing factors, so as to provide reference for anxiety improvement. Methods A total of 549 postgraduates of clinical medicine in a medical university in Guangzhou were selected by the cluster sampling methods. They were assessed using a general information questionnaire, the Self-rating Anxiety Scale(SAS)and the Coping Style Questionnaire (SCQ). Results The total anxiety rate of clinical medicine postgraduates was 16.67%, with an anxiety score of (40.40±9.77) which was remarkably higher than the domestic average value (29.78±10.10) (P<0.05). The single factor analysis indicated a high anxiety score for those sleeping less than 6 h or irregularly, as well as under heavy pressure in scientific research, clinical training, and employment; and a low anxiety score for those with good relation with their tutors (P<0.05). The anxiety group presented higher scores in self-abuse, fantasy, flinch, and rationalization than the no-anxiety group, while the no-anxiety group presented low scores in problem solving and asking for help (P<0.05). The binary logistic regression analysis indicated that the relationship with tutors (OR=0.338, 0.212-0.537), clinical training pressure (OR=2.045, 1.199-3.486), and employment pressure (OR=3.865, 1.548-9.652) were the influencing factors of anxiety for clinical medicine postgraduates. Conclusions Clinical medicine postgraduates present anxiety to some extents, and anxiety is associated with coping strategies. Therefore, postgraduate administrative departments should pay attention to the anxiety of clinical medicine postgraduates and guide them to cope with it in an active manner, while focusing on tutors, clinical training pressure and employment pressure to improve anxiety.

       

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