参与住院医师规范化培训的医师抑郁现状及与自我效能感的关系

发布时间：2018-06-22 08:47

本文选题：住培医师 + 抑郁　；参考：《中南大学学报(医学版)》2017年01期

【摘要】：目的:调查参与住院医师规范化培训(住培)医师在高压力环境下的抑郁及自我效能感状况,并探讨抑郁与自我效能感之间的关系。方法:选取湖南某三甲医院新入住培医师223例,采用自制一般情况问卷、患者健康问卷、一般自我效能感量表分别测评住培医师的一般情况、抑郁、自我效能感水平;采用Pearson相关分析和多元逐步回归分析探究住培医师抑郁与自我效能的关系及抑郁相关影响因素。结果:被调查的住培医师无抑郁症状68人(30.5%),轻度抑郁症状115人(51.6%),中度抑郁29人(13.0%),中重度抑郁7人(3.1%),重度抑郁4人(1.8%);抑郁阳性检出率为69.5%。一般自我效能感得分男性住培医师[(28.11±5.37)分]与女性住培医师[(26.19±4.86)分]比较差异无统计学意义(P0.05)。相关分析提示抑郁状况与自我效能感呈负相关(r= 0.384,P0.01),多元线性回归提示自我效能感为住培医师抑郁发生的主要影响因素之一;影响抑郁的其他因素有管理制度是否合理、对自身发展有无信心;性别、年龄、情感状态、学历、是否职业医师证、月收入与抑郁之间不存在相关关系。结论:本次调查住培医师抑郁症状检出率较高,是抑郁的高危人群。住培医师自我效能感可能是影响住培医师抑郁的重要因素。
[Abstract]:Objective: to investigate the depression and self-efficacy of resident doctors in high stress environment and to explore the relationship between depression and self-efficacy. Methods: 223 new doctors were selected from a hospital in Hunan province. The general condition, depression and self-efficacy were measured by self-made general situation questionnaire, patient health questionnaire and general self-efficacy scale. Pearson correlation analysis and multiple stepwise regression analysis were used to investigate the relationship between depression and self efficacy and the influencing factors of depression. Results: there were 68 (30.5%) patients without depression, 115 (51.6%) mild depression, 29 (13.0%) moderate depression, 7 (3.1%) moderate depression and 4 (1.8%) severe depression, and the positive rate of depression was 69.5%. There was no significant difference in general self-efficacy score between male resident doctor [(28.11 卤5.37) and female resident doctor [(26.19 卤4.86)] (P0.05). Correlation analysis showed that depression was negatively correlated with self-efficacy (r = 0.384P 0.01), multiple linear regression suggested that self-efficacy was one of the main factors influencing depression among resident physicians, and other factors affecting depression were whether the management system was reasonable or not. There was no correlation between gender, age, emotional status, educational background, professional doctor's certificate, monthly income and depression. Conclusion: the prevalence rate of depressive symptoms of resident physicians is high, and it is a high-risk group of depression. The self-efficacy of resident physician may be an important factor influencing depression.
【作者单位】：中南大学湘雅护理学院;中南大学湘雅二医院精神卫生研究所;
【基金】：国家自然科学基金(81671353) 中南大学大学生创新创业项目(201510533114)~~
【分类号】：R749.4

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