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新型冠状病毒肺炎疫情期间某军校医学生健康意识、职业意识及心理健康状况调查
陈恺1,邢晨琦2,张景熙1*,赵立军1,李成忠3,唐云翔4,白冲1
0
(1. 海军军医大学(第二军医大学)第一附属医院呼吸与危重症医学科, 上海 200433;
2. 海军军医大学(第二军医大学)教务处, 上海 200433;
3. 海军军医大学(第二军医大学)第一附属医院感染科, 上海 200433;
4. 海军军医大学(第二军医大学)心理系医学心理学教研室, 上海 200433
*通信作者)
摘要:
目的 了解新型冠状病毒肺炎(COVID-19)疫情期间军校医学生的健康意识、职业意识及心理健康情况。方法 2020年2月17日至2月20日,采用电子问卷调查的方法对COVID-19疫情期间某军校医学生对隔离与延迟开学的态度及应对方式、对网络授课的态度、卫生防护意识、职业意识等进行调查,并采用90项症状自评量表(SCL-90)对其心理健康状况进行评分。结果 共收到有效调查数据2 736份。COVID-19疫情期间学生对隔离、延迟开学措施基本表示理解和赞成,70.83%(1 938/2 736)的学生支持网络授课。隔离期间85.31%(2 334/2 736)的学生选择听音乐、看剧作为放松方式,64.69%(1 770/2 736)的学生坚持学习/看文献/写论文。学生基本做到了勤洗手和戴口罩,卫生防护意识较疫情前提升。疫情期间军校医学生普遍能坚定自己的职业信念和决心,不少学生希望投身抗击疫情行动。调查发现12.94%(354/2 736)的学生出现SCL-90因子阳性,在各因子中排名前3位的分别为强迫症状(78.53%,278/354)、人际关系敏感(64.12%,227/354)、抑郁(44.07%,156/354)。结论 军校医学生能普遍适应COVID-19疫情时期的困难环境,并提升自我。疫情期间军校医学生的心理健康问题有其自身特点,应给予关注,同时还要加强医学生的人文素质教育。
关键词:  新型冠状病毒肺炎  医学生  军事人员  行为  心理健康
DOI:10.16781/j.CN31-2187/R.20200236
投稿时间:2020-02-26修订日期:2020-09-23
基金项目:
Investigation on health and professional consciousness and mental health of military medical students during coronavirus disease 2019 epidemic
CHEN Kai1,XING Chen-qi2,ZHANG Jing-xi1*,ZHAO Li-jun1,LI Cheng-zhong3,TANG Yun-xiang4,BAI Chong1
(1. Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Office of Teaching Affairs, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
3. Department of Infectious Diseases, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
4. Department of Medical Psychology, Faculty of Psychology, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
Objective To understand the health and professional consciousness and mental health of military medical students during coronavirus disease 2019 (COVID-19) epidemic. Methods From Feb. 17 to Feb. 20, 2020, an electronic questionnaire was used to investigate the attitudes and coping styles of military medical students towards quarantine and delay of school opening, their attitudes towards online teaching, and health and professional consciousness during COVID-19 epidemic; and their mental health status was scored by symptom checklist 90 (SCL-90). Results A total of 2 736 valid questionnaires were collected. The students basically understood and agreed with the quarantine and delay of school opening during the epidemic, and 70.83% (1 938/2 736) supported online teaching. During the quarantine period, 85.31% (2 334/2 736) of the students chose to listen to music or watch TV series for relaxation, and 64.69% (1 770/2 736) insisted on learning, reading literatures or writing papers. Students could basically form the habits of washing hands frequently and wearing masks, and their consciousness of health protection was higher than that before the epidemic. For military medical students, their professional beliefs and determination have been strengthened during the epidemic, and many students wanted to join in the fight against the epidemic. The survey found that 12.94% (354/2 736) of the students had mental health symptoms, and the top 3 SCL-90 factors were obsessive-compulsive disorder (78.53%, 278/354), interpersonal sensitivity (64.12%, 227/354), and depression (44.07%, 156/354). Conclusion During the epidemic, military medical students can generally adapt to the difficult environment and improve themselves. The mental health problems of military medical students have their own characteristics, special attention must to be paid, and the humanistic education of medical students should be strengthened.
Key words:  coronavirus disease 2019  medical students  military personnel  behavior  mental health