The School Living Condition And Anxiety Symptom Among Medical Postgraduates

ObjectiveTo investigate the school living condition and mental anxiety status of medical postgraduates, and to understand the current enrollment motivation and professional identification of medical postgraduate student, independent learning situation, healthy living conditions and mentor evaluation; to analyze the main sources of stress in learning life and the causes of mental anxiety as medical postgraduate students; to discuss the anxiety status and correlation between different grades, different professions, different types, different stages of postgraduate students, respectively provide countermeasures and the suggestions from the aspects of society, school and individual to improve medical postgraduates’ study life, relieve their anxiety emotion and further improve the quality of medical graduates’ cultivation.MethodsThis research was mainly performed in full-time postgraduate students of a medical university in Guangzhou, giving priority to questionnaire survey and adopting the method of multistage and stratified random sampling questionnaire survey.Questionnaire1. Questionnaires of basic information which involve 24 possible factors that may affect the school living conditions and anxiety status of medical graduates, including demographic characteristics, family situation and enrollment etc.;2. Questionnaires of school life, involving 23 questions which can generally reflect the daily living conditions of learning problems among medical graduates, mainly including enrollment motivation, professional satisfaction, stress sources during school life, independent learning, physical exercise circumstances and recreation, satisfaction of school living facilities, interpersonal situations between students, supervisors guidance and assessment of instructors and so on;3. Self-Rating Anxiety Scale (SAS), the scale was made up by ethic Chinese professor Zung in 1971. Using four class score and a total of 20 entries were applied, of which 15 are positive score,5 are reverse score. The scale of 20 items scores are added to give a crude point, to 1.25 rough men traveling to take the integer part, then the standard points is acquired. According to Chinese norm result, SAS standard cut-off points is 50 points, less than 50 were considered as normal, people get higher than (including equal to) 50 is considered as possessing anxiety,50-59 is as mild anxiety, and 60-69 as moderate anxiety,70 points or more as severe anxiety. Survey questionnaires were distributed into 1400 copies and 284 valid questionnaires were received, the effective rate of recovery is 91.71%, among which recovered 559 men and 725 female. All original data was established in Excel and were statistical analyzed by SPSS17.0 software. The analyzed methods mainly include descriptive statistics, univariate analysis, multivariate analysis and correlation analysis.Results1. School life status of medical postgraduatesOn motivation of enrollment and identification of professional, medical students’ choice to read Master/Doctor purpose "diversified trend"." to improve education, increase employment chips "as the most important motivation for (66.20%)," like research and want to continue their studies "accounted for only 22.74%. Most postgraduate medical graduates directly after graduation or Doctor enrollment (85.28%), most of them are like their own professional learning (68.15%); in independent learning situation, they chose the "reading, literature search" (91.9%), "Academic lecture" (54.0%), "classroom lecture" (53.0%) and "lower class free discussion" (21.7%) and other ways to learn professional courses, they will arrange for a certain day, independent study time and internet time; On healthy living conditions, their overall life satisfaction graduate (76.48%), only a small part of the dissatisfied (19.39%) or very dissatisfied (4.13%), they are relatively healthy lifestyle, most students will insist on every day physical exercise (71.65%), and to develop non-smokers (95.87%), no drinking (71.26%) of the good habits; on the sources of stress conditions, mainly from academic pressure from them (82.5%), employment (58.1%), the economy (56.6%), thesis (48.7%), emotional (23.3%), interpersonal (18.5%), etc; in the case of teacher evaluation, they rated the highest of ethics and conduct ideological mentor, the majority felt very satisfied (60.59%), only a handful of dissatisfied (1.4%) or very dissatisfied (1.09%), but they are not satisfied to tutor attitudes subsidies paid (10.9%) or very dissatisfied (7.4%) at a higher proportion.2. Anxiety status of medical graduates(1) Incidence of anxiety among medical postgraduatesThe mean score of SAS among the subjects were 42.16±9.744, with a score of (41.95±10.083) in male and (42.32±9.479) in female. Among all of them,275 had a symptom of anxiety, with an incidence of 21.4%. More specifically,211 (16.4%) had mild anxiety,47 (3.7%) had moderate anxiety, and 17 (1.3%) severe anxiety.(2) The differences of the scores of anxiety among medical postgraduates with different backgroundsStatistical differences were found among medical postgraduates in different grades, different kinds of majors, different periods of study, and different family income (P<0.05), while no statistical differences were found among them in gender, age, political attitudes, if only child, emotional state, source regions, education types, if regulatory enrollment etc.(P>0.05).3. The relationship between anxiety and both academic and life status among medical postgraduates(1) The relation between anxiety and both academic and life statusThe correlation test showed that a positive correlation was found between anxiety status and the motion of enrollment, the intention of major chosen, the time of physical exercise, enjoyment of major, stress status, and graduate life satisfaction, as well as that a negative correlation was found between anxiety status and daily smoking (P<0.05).(2) Comparison of academic status, life status and supervisor evaluation between the anxiety group and the normal groupChi-square test was used for analysis and found that the normal group and anxiety group in the "select graduate/Doctor aim", "select the professional mind science", "whether you like the profession", "self-study time every day", "daily Sports "Being on the six factors, such as a significant difference (P<0.05), while in the" exercise time "and" daily smoking status on Internet time"," the Internet to do most things "and" daily drinking situation "and other three factors the differences are not statistically significant (P>0.05).Using non-parametric tests to analyze and found normal group and the anxiety group "is satisfied Graduate Life", "whether you like the profession", "to the profession levels of employment optimistic", "the usual pressure level", "interpersonal own research capabilities and academic exchanges and communication skills level of satisfaction", "moral mentors and conduct evaluation", "teacher evaluation", "mentoring graduate studies research capacity assessment" and "mentor focus on graduate study daily life". There were significant differences (P on nine factors, such as<0.05), while in the "evaluation of the extent related to subsidies paid tutor attitude" the difference was not statistically significant (P>0.05).4. Medical Graduate multivariate regression analysis of anxiety conditionsLogistic regression analysis showed that the "grade", "daily physical exercise", "graduate life satisfaction", "interpersonal pressure comes mainly from", "to learn the extent of professional employment outlook" and other factors and medical anxiety of graduate a definite link.Conclusion1. Generally speaking, medical postgraduates have a good academic and life statement. Specifically, they can learn by themselves, have high major identities, have clear study goals; only a small part of them study for academic goal; they have severe stress, resulting from study, employment, and money; they are satisfied with their postgraduate life; they think highly of their supervisors’moral conduct, research ability, and guide ability; they are not much satisfied about their supervisors’ attitudes of pension layoff.2. Anxiety symptom is found among some medical postgraduates. Statistical differences are found among medical postgraduates in different grades, different kinds of majors, different periods of study, and different family income, while no statistical differences are found among them in gender, age, political attitudes, if only child, emotional state, source regions, education types, if regulatory enrollment etc..3. Some certain correlations are found between anxiety status and both academic and life state among medical postgraduates. More specifically, a positive relationship is found between anxiety status and the motion of enrollment, the intention of major chosen, the time of physical exercise, enjoyment of major, stress status, and graduate life satisfaction, as well as that a negative relation is found between anxiety status and daily smoking.4. Anxiety status among medical postgraduates is an interaction of many factors. There are statistical differences in the motion of enrollment, the intention of major chosen, enjoyment of major, time of autonomic learning, time of daily physical exercises, and daily smoking. But there are no statistical differences in time of daily surfing, things on the internet, and daily drinking between the two groups. 5. "Daily physical activity", "graduate life satisfaction", "pressure mainly from interpersonal relationships," "professional employment outlook extent" and other factors on the anxiety state medical graduates have a significant predictor, is a risk factor for anxiety.