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.	刘晓梅. 临床医学专业学位硕士培养结合住院医师规范化培训的实施机制探讨. 中国卫生产业, 2018, 15(26): 39-40.
2.	黄东平, 何合胜, 韦中玲. “双轨合一”培养模式对血液内科专业型硕士研究生影响的分析. 中国临床药理学与治疗学, 2022, 27(5): 558-561.
3.	朱小艳, 谢明萱, 祖雄兵, 等. “双轨合一”培训模式下住院医师的抑郁症状和知觉压力. 中南大学学报(医学版), 2020, 45(12): 1450-1456.
4.	杨迎春, 隋海静, 迟来婷, 等. “双轨合一”模式下医学研究生心理健康现状及对策探讨. 哈尔滨医科大学学报, 2023, 57(4): 446-450.
5.	刘晓鹏. 住院医师规范化培训协同基地学员心理压力现状分析. 中华医学教育探索杂志, 2019, 18(7): 727-732.
6.	张培, 王宇, 张亚松. 住院医师规范化培训压力影响因素的研究. 人力资源管理, 2017, 6: 269-270.
7.	王桂萍, 李永跃, 祖木拉提·达吾来提. 开放教育大学生心理健康与社会支持调查研究——以新疆开放大学为例. 新疆开放大学学报, 2023, 27(2): 1-6.
8.	高玉强, 李媛, 战淑慧, 等. 医学专业研究生心理健康教育及职业规划的研究. 中国医药指南, 2019, 17(28): 294-295.
9.	张帆, 邓莎, 赵勇, 等. 医学专业学位硕士研究生功能失调现状及对幸福感影响的调查. 检验医学与临床, 2016, 13(2): 276-278.
10.	汪旸, 田润平, 杨洋. “双轨合一”下临床医学专业学位研究生压力现状与发展因素的实证研究——以北京中医药大学附属东直门医院为例. 中医教育, 2015, 34(5): 49-52.
11.	王莉, 闫瑾, 孙辉. 2022 年某高职学校实习医学生心理健康状况调查. 安徽预防医学杂志, 2023, 29(3): 217-221, 232.
12.	景永昇, 陈雪莲. 后疫情时代中医药院校大学生积极应对方式对生活满意度的影响: 网络社会支持和现实社会支持的链式中介作用. 心理月刊, 2023, 18(2): 77-79.
13.	张敏, 牛志颖, 李英琦, 等. 某医学院校研究生新生心理健康调查分析. 山西医科大学学报, 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.	侯广彦, 吴川香, 谭小蝶. 健康青海战略背景下大学生心理健康状况及调适策略研究. 青海师范大学学报(社会科学版), 2022, 44(3): 138-144.
16.	西真真, 肖书申, 冯兴香. 非器质性失眠患者睡眠质量与心理健康状况的相关性研究. 心理月刊, 2023, 18(24): 198-200.
17.	王国领, 牟婧祎, 孔栋, 等. 医学研究生导师心理健康教育关键绩效指标的构建. 河南医学研究, 2021, 30(13): 2320-2324.
18.	李冬梅, 杨迎春, 张瑞芹, 等. 新形势下导师对医学研究生心理健康的作用探讨. 中国继续医学教育, 2019, 11(5): 43-45.
19.	吴昊, 胡黎园, 张若, 等. 新冠疫情下儿科研究生心理健康状况及其影响因素. 中国高等医学教育, 2024, 4: 131-134.

1. 刘晓梅. 临床医学专业学位硕士培养结合住院医师规范化培训的实施机制探讨. 中国卫生产业, 2018, 15(26): 39-40.
2. 黄东平, 何合胜, 韦中玲. “双轨合一”培养模式对血液内科专业型硕士研究生影响的分析. 中国临床药理学与治疗学, 2022, 27(5): 558-561.
3. 朱小艳, 谢明萱, 祖雄兵, 等. “双轨合一”培训模式下住院医师的抑郁症状和知觉压力. 中南大学学报(医学版), 2020, 45(12): 1450-1456.
4. 杨迎春, 隋海静, 迟来婷, 等. “双轨合一”模式下医学研究生心理健康现状及对策探讨. 哈尔滨医科大学学报, 2023, 57(4): 446-450.
5. 刘晓鹏. 住院医师规范化培训协同基地学员心理压力现状分析. 中华医学教育探索杂志, 2019, 18(7): 727-732.
6. 张培, 王宇, 张亚松. 住院医师规范化培训压力影响因素的研究. 人力资源管理, 2017, 6: 269-270.
7. 王桂萍, 李永跃, 祖木拉提·达吾来提. 开放教育大学生心理健康与社会支持调查研究——以新疆开放大学为例. 新疆开放大学学报, 2023, 27(2): 1-6.
8. 高玉强, 李媛, 战淑慧, 等. 医学专业研究生心理健康教育及职业规划的研究. 中国医药指南, 2019, 17(28): 294-295.
9. 张帆, 邓莎, 赵勇, 等. 医学专业学位硕士研究生功能失调现状及对幸福感影响的调查. 检验医学与临床, 2016, 13(2): 276-278.
10. 汪旸, 田润平, 杨洋. “双轨合一”下临床医学专业学位研究生压力现状与发展因素的实证研究——以北京中医药大学附属东直门医院为例. 中医教育, 2015, 34(5): 49-52.
11. 王莉, 闫瑾, 孙辉. 2022 年某高职学校实习医学生心理健康状况调查. 安徽预防医学杂志, 2023, 29(3): 217-221, 232.
12. 景永昇, 陈雪莲. 后疫情时代中医药院校大学生积极应对方式对生活满意度的影响: 网络社会支持和现实社会支持的链式中介作用. 心理月刊, 2023, 18(2): 77-79.
13. 张敏, 牛志颖, 李英琦, 等. 某医学院校研究生新生心理健康调查分析. 山西医科大学学报, 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. 侯广彦, 吴川香, 谭小蝶. 健康青海战略背景下大学生心理健康状况及调适策略研究. 青海师范大学学报(社会科学版), 2022, 44(3): 138-144.
16. 西真真, 肖书申, 冯兴香. 非器质性失眠患者睡眠质量与心理健康状况的相关性研究. 心理月刊, 2023, 18(24): 198-200.
17. 王国领, 牟婧祎, 孔栋, 等. 医学研究生导师心理健康教育关键绩效指标的构建. 河南医学研究, 2021, 30(13): 2320-2324.
18. 李冬梅, 杨迎春, 张瑞芹, 等. 新形势下导师对医学研究生心理健康的作用探讨. 中国继续医学教育, 2019, 11(5): 43-45.
19. 吴昊, 胡黎园, 张若, 等. 新冠疫情下儿科研究生心理健康状况及其影响因素. 中国高等医学教育, 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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