| BackgroundWith the development of economy and society, people’s pace of life is obviously quickening and social competition getting more and more fierce, which naturally causes social members suffering from even stronger pressure and more cases of psychological diseases emerging. With great expectations from parents and the society, college students shoulders even greater pressure than their peers. According to an investigation by education department, there are 20.33%-25.63% college students with psychological problems to varying degrees. There is also an investigation on China Youth Daily on July of 2004, the results showing 17% college students with symptoms of anxiety and 12% of hostility sentiment. Reiner proposes that about 12% students in each year need help from psychological and health service organizations. Medical students, compared with students from other majors, also has its own characteristics. TANG Jundong and others believe students from medical universities are special from the aspects of academic stress, studying environment and professional self-identity. Medical students, living in a relatively more stressful environment and more curriculum to learn, are easy to suffer from psychological problems. Medical interns, facing various dilemmas, such as internship and study, post-graduate entrance exam and job-hunting, are also easy to be tortured by psychological problems. According to empirical study by CHANG Lirong, judged by SCL-90 scale, about 70.4% interns are found with mid-level stress, and 26.6% with severe-level stress. There are gender variety among medical interns concerning different levels of stress. About 10% of the samples are found psychological ill-being or sub-healthy. Therefore, the status-quo of medical interns’ psychological state is not optimistic and further research on medical interns’ psychological state and its influencing factors is an urgency, which will provide efficient approaches for psychological education.ObjectivesThe study is to discuss the following aspects:the sociological characteristics of clinical interns; the general psychological state of clinical interns; the divergence analysis of clinical interns’ psychological state; a dynamic study of clinical psychological state from different stages of medical internship.With these aspects explored, the study provides some theoretical as well as productive experience for psychological health education, also ensures that clinical interns finish the internship smoothly, therefore, become qualified doctors in the near future.Methodology457 students (with 424 efficient questionnaires) from a medical college, through the method of cluster sampling, were selected to participate in the investigation. The research instrument includes:(1) A Questionnaire aiming to know the general information of the participants (2) Symptom Checklist (SCL-90). The software called SPSS 16.0 was applied to conduct descriptive analysis and t-test which was applied to analyze symptom checklist results.Main Results1.106 clinical interns out of the total were detected psychological problems positive with the detection rate 25.00%. Of the nine indexes of SCL-90 scale, some were detected higher than that of the National College Students Norm and The National Youth Norm.2. Groups were divided according to gender, the-only-child-or-not,native place, family structure,whether to take part in the post-graduate entrance exam or not, family economic state, and all factors except post-graduate entrance exam were found relevant to the psychological state of clinical interns.3.Dynamic research was conducted to explore clinical interns’psychological state. Clinical interns at different stages of the internship were found with higher SCL-90 score than the National College Students Norm and those at the mid to late stage were found with the highest SCL-90 score.Conclusion and RecommendationsThe psychological state of clinical interns is not optimistic.2. Gender of clinical interns, the-only-child-or-not, native place, family structure and family income were found relevant to the psychological state of clinical interns.3. During different stages of the internship, clinical interns suffer from different psychological problems. Therefore, efficient prevention and intervention measures shall be implemented with response to different psychological problems of clinical interns. First of all, multiple measures should be applied to popularize the fundamental knowledge of psychological health. Compared with western developed countries, psychological education in our country is still far from advanced. To popularize psychological common sense is helpful for students to establish correct concepts and realize self-relief when problems appear.Secondly, relevant courses should be opened to realize subject penetration. With view to the current situation that psychologist education during elementary education stage in China is not mature and complete and that of the college education with disadvantages such as limited class hour and unitary category of curricula. Therefore, on one hand, abundant psychological health courses in form and content should be included; on the other hand, more psychological knowledge should be introduced on other courses. Thirdly, students’psychological health record should be established, which is updated with students’ psychological state developing. Especially for aspects of personality, mentality and psychological health, detection should be conducted regularly and instructions should be provided accordingly. Fourthly, quality of staff involved in psychological education should be improved. To realize this, more efforts should be made in aspects of requirements for teacher-recruitment, pre-employment training and continuing education. Last but not least, team-work among students should be encouraged. Students’interaction with teacher on campus is limited for various reasons and most of times students interact with their roommate and classmates. Therefore, the establishment of mutual-help group to find and solve psychological problems is a way to get twofold results with half the effort. |
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