| 翟晓艳
，臧玉芹
，井朋
，梁鹏
，刘敬
，倪爱华.突发公共卫生事件下医学生远程心理危机干预效果评价[J].神经损伤功能重建,2023,(11):640-644 |
| 突发公共卫生事件下医学生远程心理危机干预效果评价 |
| Evaluation of Effectiveness of Online Psychological Crisis Intervention for Medical StudentsDuring Sudden Public Health Emergencies |
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| DOI： |
| 中文关键词: 新型冠状病毒肺炎 医学生 心理状况 远程 心理危机干预 |
| 英文关键词: COVID-19 medical students psychological status online psychological crisis intervention |
| 基金项目:河北省医学科学
研究课题（No. 20
230343） |
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| 中文摘要: |
| 目的：了解突发公共卫生事件（新型冠状病毒肺炎）疫情下医学生的心理状况，探讨远程心理危机干预
疗效。方法：选取826例医学生，采取广泛性焦虑障碍量表（generalized anxiety disorder，GAD-7）、患者健康问
卷（Patient Health Questionnaire，PHQ-9）、患者健康问卷躯体症状量表（Patient Health Questionnaire-15，
PHQ-15）进行问卷调查，根据问题设计远程心理危机干预内容，2周后进行以上量表的复测及干预效果评
价。结果：有效问卷826份，有焦虑症状的占8.4%（69/826），有抑郁症状的17.7%（146/826），有躯体化症状的
13.8%（114/826）。 20～30岁年龄段比31～43岁年龄段医学生躯体化症状评分更高（t=4.532，P=0.033）。对
远程心理危机干预主观评价中，认为对自己有帮助的占92.1%（761/826），干预前后情绪及躯体问题评级有统
计学意义（Z=－6.170，P＜0.001）,干预前后GAD-7评分差异有统计学意义（Z=－3.260，P=0.001），PHQ-15评
分差异有统计学意义（Z=－2.200，P=0.028），PHQ-9评分差异无统计学意义（Z=－1.710，P=0.087）。结论：疫
情期间医学生焦虑、抑郁、躯体化症状明显，及时的远程心理危机干预对医学生焦虑、躯体化症状有效。 |
| 英文摘要: |
| To investigate psychological status of medical students and evaluate effectiveness of
online psychological crisis intervention during the COVID-19 epidemic, a sudden public health emergency.
Methods: A total of 826 medical students were recruited. The psychological status of these students was
evaluated using the Generalized Anxiety Disorder-7 (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), and
the Patient Health Questionnaire-15 (PHQ-15). Online psychological crisis intervention was designed based on the
results of the questionnaires. The effectiveness of the intervention was evaluated by performing a retest of these
questionnaires two weeks after the intervention. Results: Among 826 valid questionnaires, symptoms of anxiety,
depression, and somatization were observed in 8.4% (69/826), 17.7% (146/826), and 13.8% (114/826) of the
students, respectively. Medical students aged 20～30 had higher scores for somatic symptoms than those aged
31～43 (t=4.532, P=0.033). In the subjective evaluation of online psychological crisis intervention, 92.1% (761/
826) of the students found it helpful. There were significant differences in the scores of emotional and somatic
symptoms (Z=－ 6.170, P<0.001), GAD-7 scores (Z=－ 3.260, P=0.001), and PHQ-15 scores (Z=－ 2.200, P=
0.028) before and after the intervention, while the scores of PHQ-9 showed no significant difference (Z=－1.710,
P=0.087). Conclusion: During the COVID-19 pandemic, medical students suffered from anxiety, depression,
and somatic symptoms. Timely online psychological crisis intervention is effective in alleviating anxiety and
somatic symptoms in these students. |
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