Mental health status and associated contributing factors among the medical students pursuing a professional master’s degree under the “dual-track integration” training systems_West China Medical Journal

Authors：

WANG Bo ¹ ,  LAI Weijing ^1,2 , LIU Xinyi ¹ , JIN Mengyan ³ , LIU Mengyuan ⁴ , YAN Qianqian ⁵ , TAN Zhouke ⁶ , FU Ping ¹

1. Department of Nephrology and Institute of Kidney Diseases, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Nephrology, Clinical Medical College and the First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan 610500, P. R. China;
3. Administrative Office of Department of Internal Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. Department of Anesthesiology, Air Force Hospital of Western Theater Command, PLA, Chengdu, Sichuan 610011, P. R. China;
5. Collage of Medicine, Zhengzhou University, Zhengzhou, Henan 450052, P. R. China;
6. Organ Transplant Center, Department of Nephrology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563003, P. R. China;

Corresponding?author：

LAI Weijing, Email: yylaiweijing@163.com

Keywords：

Clinical medical students pursuing a professional master’s degree; residency standardized training; dual-track integration; mental health; influencing factors

DOI：

10.7507/1002-0179.202406090

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Objective To explore the mental health status and influencing factors of clinical medical students pursuing a professional master’s degree under the “dual-track integration” training systems. Methods Clinical medical students pursuing a professional master’s degree who underwent residency standardized training in 123 hospitals from different areas of China were selected as the research objects from May 28th to June 4th, 2024, and the mental health and stress were investigated by questionnaire. Results A total of 1195 clinical medical students pursuing a professional master’s degree were included. Symptom Checklist-90 analysis showed that 582 (48.7%) master students had mental health problems. The two-group students (with and without psychological problems) had statistical differences in exercise frequency, sleep quality, extent of staying up late, interpersonal communication, and average number of night shifts per month (P<0.001). The subjective scores of interpersonal pressure, economic pressure, love and marriage pressure, schoolwork pressure, scientific research pressure, clinical work pressure, entering higher education pressure and employment pressure, and the proportion of graduating from 985/211 university of the master students with psychological problems were significantly higher than those of the master students without psychological problems (P<0.001). Logistic regression analysis showed that poor sleep quality [odds ratio (OR)=1.626, 95% confidence interval (CI) (1.085, 2.438), P=0.019], 985/211 university degree [OR=1.448, 95%CI (1.097, 1.910), P=0.009], interpersonal pressure [OR=1.194, 95%CI (1.121, 1.272), P<0.001], love and marriage pressure [OR=1.067, 95%CI (1.014, 1.122), P=0.012] and entering higher education pressure [OR=1.110, 95%CI (1.055, 1.167), P<0.001] were independent risk factors, while the male sex [OR=0.621, 95%CI (0.472, 0.817), P=0.001] were protective factor for psychological problems of these medical students. Conclusions Under the “dual-track integration” training systems, the clinical medical students pursuing a professional master’s degree have a higher prevalence of psychological problems, especially the females and the 985/211 bachelor’s degree scholars. It is important to improve sleep quality, strengthen interpersonal interaction and reduce pressure load to improve the mental health level of these clinical medical students.

Citation： WANG Bo, LAI Weijing, LIU Xinyi, JIN Mengyan, LIU Mengyuan, YAN Qianqian, TAN Zhouke, FU Ping. Mental health status and associated contributing factors among the medical students pursuing a professional master’s degree under the “dual-track integration” training systems. West China Medical Journal, 2024, 39(7): 1114-1120. doi: 10.7507/1002-0179.202406090 Copy

1.	劉曉梅. 臨床醫學專業學位碩士培養結合住院醫師規范化培訓的實施機制探討. 中國衛生產業, 2018, 15(26): 39-40.
2.	黃東平, 何合勝, 韋中玲. “雙軌合一”培養模式對血液內科專業型碩士研究生影響的分析. 中國臨床藥理學與治療學, 2022, 27(5): 558-561.
3.	朱小艷, 謝明萱, 祖雄兵, 等. “雙軌合一”培訓模式下住院醫師的抑郁癥狀和知覺壓力. 中南大學學報(醫學版), 2020, 45(12): 1450-1456.
4.	楊迎春, 隋海靜, 遲來婷, 等. “雙軌合一”模式下醫學研究生心理健康現狀及對策探討. 哈爾濱醫科大學學報, 2023, 57(4): 446-450.
5.	劉曉鵬. 住院醫師規范化培訓協同基地學員心理壓力現狀分析. 中華醫學教育探索雜志, 2019, 18(7): 727-732.
6.	張培, 王宇, 張亞松. 住院醫師規范化培訓壓力影響因素的研究. 人力資源管理, 2017, 6: 269-270.
7.	王桂萍, 李永躍, 祖木拉提·達吾來提. 開放教育大學生心理健康與社會支持調查研究——以新疆開放大學為例. 新疆開放大學學報, 2023, 27(2): 1-6.
8.	高玉強, 李媛, 戰淑慧, 等. 醫學專業研究生心理健康教育及職業規劃的研究. 中國醫藥指南, 2019, 17(28): 294-295.
9.	張帆, 鄧莎, 趙勇, 等. 醫學專業學位碩士研究生功能失調現狀及對幸福感影響的調查. 檢驗醫學與臨床, 2016, 13(2): 276-278.
10.	汪旸, 田潤平, 楊洋. “雙軌合一”下臨床醫學專業學位研究生壓力現狀與發展因素的實證研究——以北京中醫藥大學附屬東直門醫院為例. 中醫教育, 2015, 34(5): 49-52.
11.	王莉, 閆瑾, 孫輝. 2022 年某高職學校實習醫學生心理健康狀況調查. 安徽預防醫學雜志, 2023, 29(3): 217-221, 232.
12.	景永昇, 陳雪蓮. 后疫情時代中醫藥院校大學生積極應對方式對生活滿意度的影響: 網絡社會支持和現實社會支持的鏈式中介作用. 心理月刊, 2023, 18(2): 77-79.
13.	張敏, 牛志穎, 李英琦, 等. 某醫學院校研究生新生心理健康調查分析. 山西醫科大學學報, 2019, 50(6): 813-816.
14.	San Lazaro Campillo I, Meaney S, McNamara K, et al. Psychological and support interventions to reduce levels of stress, anxiety or depression on women’s subsequent pregnancy with a history of miscarriage: an empty systematic review. BMJ Open, 2017, 7(9): e017802.
15.	侯廣彥, 吳川香, 譚小蝶. 健康青海戰略背景下大學生心理健康狀況及調適策略研究. 青海師范大學學報(社會科學版), 2022, 44(3): 138-144.
16.	西真真, 肖書申, 馮興香. 非器質性失眠患者睡眠質量與心理健康狀況的相關性研究. 心理月刊, 2023, 18(24): 198-200.
17.	王國領, 牟婧祎, 孔棟, 等. 醫學研究生導師心理健康教育關鍵績效指標的構建. 河南醫學研究, 2021, 30(13): 2320-2324.
18.	李冬梅, 楊迎春, 張瑞芹, 等. 新形勢下導師對醫學研究生心理健康的作用探討. 中國繼續醫學教育, 2019, 11(5): 43-45.
19.	吳昊, 胡黎園, 張若, 等. 新冠疫情下兒科研究生心理健康狀況及其影響因素. 中國高等醫學教育, 2024, 4: 131-134.

1. 劉曉梅. 臨床醫學專業學位碩士培養結合住院醫師規范化培訓的實施機制探討. 中國衛生產業, 2018, 15(26): 39-40.
2. 黃東平, 何合勝, 韋中玲. “雙軌合一”培養模式對血液內科專業型碩士研究生影響的分析. 中國臨床藥理學與治療學, 2022, 27(5): 558-561.
3. 朱小艷, 謝明萱, 祖雄兵, 等. “雙軌合一”培訓模式下住院醫師的抑郁癥狀和知覺壓力. 中南大學學報(醫學版), 2020, 45(12): 1450-1456.
4. 楊迎春, 隋海靜, 遲來婷, 等. “雙軌合一”模式下醫學研究生心理健康現狀及對策探討. 哈爾濱醫科大學學報, 2023, 57(4): 446-450.
5. 劉曉鵬. 住院醫師規范化培訓協同基地學員心理壓力現狀分析. 中華醫學教育探索雜志, 2019, 18(7): 727-732.
6. 張培, 王宇, 張亞松. 住院醫師規范化培訓壓力影響因素的研究. 人力資源管理, 2017, 6: 269-270.
7. 王桂萍, 李永躍, 祖木拉提·達吾來提. 開放教育大學生心理健康與社會支持調查研究——以新疆開放大學為例. 新疆開放大學學報, 2023, 27(2): 1-6.
8. 高玉強, 李媛, 戰淑慧, 等. 醫學專業研究生心理健康教育及職業規劃的研究. 中國醫藥指南, 2019, 17(28): 294-295.
9. 張帆, 鄧莎, 趙勇, 等. 醫學專業學位碩士研究生功能失調現狀及對幸福感影響的調查. 檢驗醫學與臨床, 2016, 13(2): 276-278.
10. 汪旸, 田潤平, 楊洋. “雙軌合一”下臨床醫學專業學位研究生壓力現狀與發展因素的實證研究——以北京中醫藥大學附屬東直門醫院為例. 中醫教育, 2015, 34(5): 49-52.
11. 王莉, 閆瑾, 孫輝. 2022 年某高職學校實習醫學生心理健康狀況調查. 安徽預防醫學雜志, 2023, 29(3): 217-221, 232.
12. 景永昇, 陳雪蓮. 后疫情時代中醫藥院校大學生積極應對方式對生活滿意度的影響: 網絡社會支持和現實社會支持的鏈式中介作用. 心理月刊, 2023, 18(2): 77-79.
13. 張敏, 牛志穎, 李英琦, 等. 某醫學院校研究生新生心理健康調查分析. 山西醫科大學學報, 2019, 50(6): 813-816.
14. San Lazaro Campillo I, Meaney S, McNamara K, et al. Psychological and support interventions to reduce levels of stress, anxiety or depression on women’s subsequent pregnancy with a history of miscarriage: an empty systematic review. BMJ Open, 2017, 7(9): e017802.
15. 侯廣彥, 吳川香, 譚小蝶. 健康青海戰略背景下大學生心理健康狀況及調適策略研究. 青海師范大學學報(社會科學版), 2022, 44(3): 138-144.
16. 西真真, 肖書申, 馮興香. 非器質性失眠患者睡眠質量與心理健康狀況的相關性研究. 心理月刊, 2023, 18(24): 198-200.
17. 王國領, 牟婧祎, 孔棟, 等. 醫學研究生導師心理健康教育關鍵績效指標的構建. 河南醫學研究, 2021, 30(13): 2320-2324.
18. 李冬梅, 楊迎春, 張瑞芹, 等. 新形勢下導師對醫學研究生心理健康的作用探討. 中國繼續醫學教育, 2019, 11(5): 43-45.
19. 吳昊, 胡黎園, 張若, 等. 新冠疫情下兒科研究生心理健康狀況及其影響因素. 中國高等醫學教育, 2024, 4: 131-134.

West China Medical Journal

Mental health status and associated contributing factors among the medical students pursuing a professional master’s degree under the “dual-track integration” training systems

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