CAJ | 학술논문

目的：了解医学实习生的心理健康状况，为学校开展心理健康教育提供依据。方法对82名医学实习生于实习前中后采用症状自评量表评定心理健康状况，并与中国成人常模进行对比分析。同期通过访谈了解实习生存在的心理问题。结果不同实习阶段实习生症状自评量表总分比较差异有显著性（P＜0．05或0．01），实习前及实习中与常模比较差异无显著性（P＞0．05），实习后显著高于常模（P＜0．05）。随着实习时间的延长，本组实习生症状自评量表总分＞160分检出率呈升高趋势，男生检出率高于女生。结论随着实习时间的延长，医学实习生心理健康水平不断下降，应对其予以有针对性的心理干预。
목적：료해의학실습생적심리건강상황，위학교개전심리건강교육제공의거。방법대82명의학실습생우실습전중후채용증상자평량표평정심리건강상황，병여중국성인상모진행대비분석。동기통과방담료해실습생존재적심리문제。결과불동실습계단실습생증상자평량표총분비교차이유현저성（P＜0．05혹0．01），실습전급실습중여상모비교차이무현저성（P＞0．05），실습후현저고우상모（P＜0．05）。수착실습시간적연장，본조실습생증상자평량표총분＞160분검출솔정승고추세，남생검출솔고우녀생。결론수착실습시간적연장，의학실습생심리건강수평불단하강，응대기여이유침대성적심리간예。
Objective To investigate the psychological health status of medical trainees in order to provide basis for developing mental health education .Methods Assessmentswere carried out using the Symptom Checklist‐90 (SCL‐90) in 82 medical trainees before ,during and after practice and compared with Chinese a‐dult norm .Trainees’ psycho‐problems were surveyed via interview in the corre‐sponding period .Results There were significant differences in the total scores of the SCL‐90 in different stages of practice (P<0 .05 or 0 .01) ,those before and during practice had no significant differences from norm (P>0 .05) ,that was significantly higher after practice compared with norm (P<0 .05) .As the ex‐tension of practice time the detection rate of SCL‐90 total score > 160 resented a rising tend ,that was higher in male than in female students .Conclusion As the extension of practice time mental health levels of medical trainees lower unceasingly ,and purposeful psychological intervention should be given to them .