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新冠肺炎疫情期間醫學生抗疫心態與創傷后應激障礙的關系

黃千 李月 薛云珍

黃千, 李月, 薛云珍. 新冠肺炎疫情期間醫學生抗疫心態與創傷后應激障礙的關系[J]. 中國學校衛生, 2021, 42(10): 1508-1511. doi: 10.16835/j.cnki.1000-9817.2021.10.015
引用本文: 黃千, 李月, 薛云珍. 新冠肺炎疫情期間醫學生抗疫心態與創傷后應激障礙的關系[J]. 中國學校衛生, 2021, 42(10): 1508-1511. doi: 10.16835/j.cnki.1000-9817.2021.10.015
HUANG Qian, LI Yue, XUE Yunzhen. The relationship between anti-epidemic mentality and post-traumatic stress disorder in medical college students during the COVID-19 pandemic[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(10): 1508-1511. doi: 10.16835/j.cnki.1000-9817.2021.10.015
Citation: HUANG Qian, LI Yue, XUE Yunzhen. The relationship between anti-epidemic mentality and post-traumatic stress disorder in medical college students during the COVID-19 pandemic[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(10): 1508-1511. doi: 10.16835/j.cnki.1000-9817.2021.10.015

新冠肺炎疫情期間醫學生抗疫心態與創傷后應激障礙的關系

doi: 10.16835/j.cnki.1000-9817.2021.10.015
基金項目: 

山西醫科大學校級基金項目 04201804

詳細信息
    作者簡介:

    黃千(1994-),女,山西長治人,在讀碩士,主要從事醫務社會研究工作

    通訊作者:

    薛云珍, E-mail:xueyunzhen@sxmu.edu.cn

  • 中圖分類號: R179??G444??B844.2

The relationship between anti-epidemic mentality and post-traumatic stress disorder in medical college students during the COVID-19 pandemic

  • 摘要:   目的  探討新冠肺炎疫情期間醫學院校大學生抗疫心態與創傷后應激障礙的關系,為預防大學生再次經歷突發危機事件時可能出現創傷后應激障礙提供科學依據。  方法  采用創傷后應激障礙自評量表(PCL-C)與公眾抗疫心態自檢自助表,對山西醫科大學9 399名在校本科生進行線上問卷調查。  結果  新冠肺炎疫情期間大學生PCL-C總分(22.74±7.78)分,PTSD癥狀陽性率為5.3%,創傷再體驗癥狀、回避麻木癥狀、警覺性增高癥狀檢出率分別為27.0%,16.6%,8.6%,3個癥狀群中回避麻木癥狀均分最高,為(9.21±3.39)分,得分最高的2個條目為反復回憶創傷性事件(1.57±0.71)分、難以集中注意力(1.47±0.71)分。女生警覺性增高維度得分(6.82±2.61)高于男生(6.67±2.72)(t=-6.49,P < 0.05);農村地區學生PCL-C總分及各維度得分均高于城市地區,非醫學生高于醫學生,非獨生子女高于獨生子女(P值均 < 0.05)??挂咝膽B和創傷后應激障礙自評量表的總分呈正相關(r=0.51,P < 0.01)。多元線性回歸分析 < 結果顯示,生源地、專業、抗疫心態是大學生PTSD癥狀的相關因素(P值均 < 0.01)。  結論  抗疫心態是大學生出現PTSD癥狀的重要相關因素。
  • 表  1  不同人口學特征大學生PTSD得分比較(x±s)

    Table  1.   Comarison of college student PTSD scores for different demographic indicators(x±s)

    人口學指標 選項 人數 統計值 PCL-C總分 創傷再體驗 回避麻木 警覺性增高
    性別 2 725 22.68±8.29 6.75±2.60 9.27±3.65 6.67±2.72
    6 674 22.76±7.56 6.75±2.39 9.19±3.27 6.82±2.61
    t -0.18 0.01 1.16 -6.49
    P 0.67 0.92 0.28 0.01
    生源地 農村 5 570 23.19±7.97 6.88±2.51 9.40±3.47 6.91±2.71
    城市 3 829 22.07±7.44 6.57±2.35 8.93±3.22 6.57±2.53
    t 47.48 37.64 43.81 37.54
    P < 0.01 < 0.01 < 0.01 < 0.01
    專業 醫學 7 350 22.60±7.76 6.70±2.44 9.16±3.39 6.74±2.63
    非醫學 2 049 23.24±7.82 6.95±2.47 9.38±3.34 6.91±2.66
    t -11.09 -16.78 -6.66 -7.33
    P < 0.01 < 0.01 < 0.01 < 0.01
    是否獨生子女 2 482 22.21±7.77 6.57±2.43 8.98±3.34 6.65±2.65
    6 917 22.93±7.77 6.82±2.45 9.29±3.39 6.82±2.64
    t -15.59 -18.11 -15.37 -7.10
    P < 0.01 < 0.01 < 0.01 < 0.01
    下載: 導出CSV

    表  2  大學生PTSD影響因素多元線性回歸分析(n=9 399)

    Table  2.   Multivariate regression analysis of influencing factors of PTSD among college students(n=9 399)

    因變量 自變量 β 標準誤 β'值 t P R2 R2 F
    創傷再體驗 生源地 -0.16 0.05 -0.03 -3.01 < 0.01 0.18 0.18 525.08**
    專業 0.15 0.06 0.02 2.63 < 0.01
    抗疫心態得分 0.19 0.01 0.42 45.09 < 0.01
    回避麻木 生源地 -0.27 0.07 -0.04 -3.83 <0.01 0.21 0.21 624.11**
    抗疫心態得分 0.28 0.01 0.45 49.32 <0.01
    警覺性增高 生源地 -0.19 0.05 -0.04 -3.71 <0.01 0.27 0.27 848.21**
    抗疫心態得分 0.25 0.01 0.51 57.74 <0.01
    注:**P < 0.01。
    下載: 導出CSV
    客厅的yin乱A片
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  • 收稿日期:  2021-03-11
  • 修回日期:  2021-05-19
  • 網絡出版日期:  2021-10-25
  • 刊出日期:  2021-10-25

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