某医专大学生的心理健康状况及相关因素研究

发布时间：2018-01-09 20:25

本文关键词：某医专大学生的心理健康状况及相关因素研究　出处：《郑州大学》2006年硕士论文　论文类型：学位论文

【摘要】： 目前，国际社会对健康的统一认识是：健康不仅是人体的生理健康，而且必须包含该人体当时的心理状态和社会环境都处在一个完美的状态。大学时期是人生生理和心理发展趋于成熟的关键时期，在当代这个竞争激烈的社会，更容易产生心理困扰与引发心理问题，大学生的心理健康状况直接影响着社会的发展。围绕着大学生心理健康，国内外许多学者进行了相关研究，，研究结果大多显示当代大学生的心理健康状况不容乐观，影响大学生心理健康的因素也有很多，诸如性别因素、经济状况、家庭状况、学业压力等等。这些研究较多关注本科院校的大学生，针对专科大学生的相关研究甚少，然而，对于那些比本科大学生又降低了一个学历层次的大专生而言，他们要面对的就业压力、社会竞争环境应该是更为复杂的，而对于医学院校的学生来说，由于医学本身的特点，医学生们的学习压力也是相当大的，其心理健康的状况应该更加值得研究者的关注。某医学高等专科学校，位于河南省东部某一发展中城市，该医专是一所于2004年由中专卫生学校升格成为医学大专的院校，各方面的条件发展还不甚完善。虽然该医专是面对全国招生，但是学生来源仍旧相对集中，较多来自该地区本地。目前，该医专还缺乏大学生心理方面的相关研究，因此，为了了解该医专大学生心理健康的基本状况及特点，针对该医专的大学生开展了这次调查研究工作，希望能够据此找出行之有效的改善大学生心理健康状况的干预对策，为将来该医专心理健康教育工作的有效开展提供可参考的依据。材料与方法采用随机整群抽样的方法，抽取该医学高等专科学校在校学生419人，用《SCL-90问卷》和的《大学生心理健康相关因素调查问卷》进行测查，原始数据应用SPSS13.0软件进行统计学处理与分析。用(?)±S描述各因子得分，采用重复测量数据的方差分析比较各因子得分的差异，对各个因子得分进行相关距阵研究采用pearson相关分析，两样本均数的比较采用t检验，三组及以上样本均数的比较应用单因素方差分析，多元线性回归分析用于综合因子得分影响因素分析。检验水准α=0.05(双侧检验)。结果 1．该医专大学生SCL-90总均分最小值1.13分，最大值2.44分，平均1.69分。心理问题阳性检出率为15.3％。 2．该医专学生SCL-90所有因子分与大学生历年综合样本相比，除敌对因子无统计学意义外，其它因子分都有统计学意义。其中偏执因子分是该医专学生低于大学生综合样本，其它因子分都是高于大学生综合样本的。 3．10个因子得分差异有统计学意义(F=133.429，P=0.001，Huynh-Feldt校正，df=6.517)，该医专大学生最突出的心理症状是强迫，其次是人际关系敏感，第三位的是恐怖。 4．各因子得分相关距阵分析结果为SCL-90各因子得分呈中等正相关。 5．单因素分析结果显示性别(t=3.190，P=0.002)、家庭来源(t=2.95，P=0.03)、经济状况(t=5.168，P=0.001)、单亲家庭(t=30.835，P=0.001)、自身健康担忧(t=3.735，P=0.001)、恋爱状态(t=2.041，P=0.043)、恋爱态度(F=18.495，P=0.001)、学习压力(t=7.884，P=0.001)、同学相处状态(t=2.207，P=0.001)以及家庭的和睦状态(F=6.881，P=0.001)是影响SCL-90总均分的主要因素。多元线性回归分析结果表明，影响SCL-90总均分的因素依次是学习压力、和同学相处的关系、家庭来源、恋爱态度、恋爱状态、来自单亲家庭。结论 1．该医专大学生的心理健康状况低于全国大学生的平均水平。 2．该医专大学生最突出的心理症状是强迫、人际关系敏感、恐怖。 3．对该医专大学生的心理健康影响较大的因素主要是学习压力、和同学相处的关系、家庭来源、恋爱态度、恋爱状态、来自单亲家庭。 4．建议该医专大学生的心理卫生工作的重点放在农村来源的学生，对学生进行人际关系、学习压力、恋爱观等一系列影响因素的综合教育。
[Abstract]:At present, the international community on the health of the unified understanding is: health is not only the physical health of the human body, but also must include the human mental state at the time and social environment are in a perfect state. During the period of university life is a critical period of physical and psychological development tends to mature, in the modern competitive society, more prone to psychological distress and lead to psychological problems, mental health status of college students directly affects the development of the society.
On the mental health of college students, many scholars at home and abroad were analyzed. The results showed most of the mental health of college students is not optimistic, there are many factors affecting the mental health of college students, factors such as gender, economic status, family status, academic pressure and so on. These studies focused on college students, based on related research college students understood, however, for those undergraduate students and lower than a level of college students, they have to face the pressure of employment, social competition environment should be more complex, and for medical college students, because of the characteristics of their own medicine, medical students are learning pressure is quite the status of mental health should be more worthy of the attention of researchers. A medical college, located in the east of Henan Province in the development of a City, the medical college is a secondary health school in 2004 by becoming a medical college school, the conditions of development is not very perfect. Although the medical college is facing the national enrollment, but students still relatively concentrated, more from the local area. Currently, the medical college is a lack of relevant research, College Students therefore, in order to understand the basic situation and characteristics of mental health of the students in the medical college, the medical students to carry out the investigation and research, hoping to find out the effective intervention measures on Improving College Students' psychological health, for the future of the college mental health education work provides a basis for reference.
Materials and methods
Using random cluster sampling method, students from the Medical College of 419 people, with a survey of College Students' psychological health related factors questionnaire and questionnaire of the < > were measured, the original data using SPSS13.0 software for statistical processing and analysis. (?) + S description of each factor score, analysis the difference between the two the factor scores of variance of repeated measurement data, each factor score correlation matrix using Pearson correlation analysis, two samples were used to compare the number of t test, compared with single factor analysis of variance for three groups of samples, multiple linear regression analysis for factors influencing comprehensive factor score analysis. Test level a =0.05 (two-sided).
Result
The total average of 1. of the students in the medical college SCL-90 minimum 1.13, maximum 2.44 points, an average of 1.69. The positive rate of psychological problems was 15.3%.
The medical students compared to 2. SCL-90 all factor scores and comprehensive college students over the sample, except hostility was not statistically significant, other factors were statistically significant. The paranoia is the medical students than college students' comprehensive sample, other factors were higher than that of the sample comprehensive university.
The 3.10 factor scores was statistically significant difference (F=133.429, P=0.001, Huynh-Feldt correction, df=6.517), the most prominent psychological symptoms in the medical students is forced, followed by interpersonal sensitivity, third is a terrorist.
4. the results of correlation distance matrix analysis of each factor score showed a moderate positive correlation in the scores of SCL-90 factors.
5. single factor analysis showed that gender (t=3.190, P=0.002), family sources (t=2.95, P=0.03), economy (t=5.168, P=0.001), single parent families (t=30.835, P=0.001), their health concerns (t=3.735, P=0.001), the state of love (t=2.041, P=0.043), (F=18.495, P=0.001) love attitude, learning pressure (t=7.884, P=0.001), classmates state (t=2.207, P=0.001) and family harmony status (F=6.881, P=0.001) are the main factors influencing the total score of SCL-90. Multivariate linear regression analysis showed that factors affecting the total scores of SCL-90 are learning pressure, relationship, family and classmates, love attitude. Love, from single parent families.
conclusion
1. the mental health status of college students is lower than the national average level of college students.
2. of the most prominent psychological symptoms of college students is forced, interpersonal sensitivity and terror.
3. of the students in the medical college mental health influence factors is the main learning pressure, relationship, family and classmates, love attitude, love, from single parent families.
The focus of college students mental health work 4. suggestions on rural students, the students interpersonal relationship, learning pressure, comprehensive education view of love and a series of factors.

【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R-4;R395

【引证文献】