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2010 - 2011年伊朗住院医师焦虑水平调查。

Investigating the anxiety level in Iranian medical residents in 2010-2011.

作者信息

Khorvash Fariborz, Askari Gholamreza, Vesal Sahar, Mehrbod Noshin, Ghasemi Hamid, Fatehizade Maryam, Ghasemi Gholamreza, Iraj Bijan, Ebneshahidi Alireza

机构信息

Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Prev Med. 2013 May;4(Suppl 2):S318-22.

Abstract

BACKGROUND

University entrance is accompanied by major changes in social relationship, rules, and expectations that lead to psychological disorders in susceptible students. The goal of this research is to study the anxiety rate in Iranian medical residents in 2010-2011.

METHODS

This study is a cross-sectional, descriptive study. It contains 370 medical residents from the 1(st) year to the 4(th) year of medical universities in Isfahan, Gilan, Zahedan, Sanandaj, and Kashan. The stratified sampling method proportionate to volume of participants is used in this study. The information is collected based on researchers' questioners and Zung self-rating anxiety scale and analyzed with the use of spss software version 16, addition to descriptive and analytic tests (Pearson, one-way analysis of variance, t-test). Meaningful level is regarded as P ≤ 0.05.

RESULTS

The study showed that more than 92% of residents participated in the study did not demonstrate anxiety. Among 370 subjects 5.5% presented with mild symptoms of anxiety and no one had symptom of severe anxiety. A meaningful statistical relationship was observed between anxiety and sex, major of study and the city of study (P < 0.05). The results showed a positive meaningful relationship between the number of visits and the score of anxiety. On average the number of night floats were two in 1 week and the number of patient visit was 19 in the past 24 h. A meaningful statistical relationship between anxiety score and number of patient visits was observed.

CONCLUSIONS

The anxiety rate in medical students in this study compared to the findings of previous studies reveled very low anxiety in medical residents. The low rate of anxiety could be attributed to the sense of job security and the hope for a better future among residents. The high percentage of anxiolytics abuse and absence of anxiety producing factors among residents in addition to inaccurate response to the questionnaire may all contribute to the low rate of anxiety in this study.

摘要

背景

大学入学伴随着社会关系、规则和期望的重大变化,这些变化会导致易感学生出现心理障碍。本研究的目的是调查2010 - 2011年伊朗医学住院医师的焦虑率。

方法

本研究为横断面描述性研究。研究对象包括来自伊斯法罕、吉兰、扎黑丹、萨南达杰和卡尚等地医科大学1年级至4年级的370名医学住院医师。本研究采用与参与者数量成比例的分层抽样方法。信息通过研究人员的问卷和zung自评焦虑量表收集,并使用spss软件16版进行分析,同时进行描述性和分析性测试(Pearson检验、单因素方差分析、t检验)。显著性水平设定为P≤0.05。

结果

研究表明,参与研究的住院医师中超过92%未表现出焦虑。在370名受试者中,5.5%表现出轻度焦虑症状,无人有严重焦虑症状。焦虑与性别、专业和所在城市之间存在显著的统计学关系(P < 0.05)。结果显示就诊次数与焦虑评分之间存在显著的正相关关系。平均每周值夜班次数为2次,过去24小时内患者就诊次数为19次。焦虑评分与患者就诊次数之间存在显著的统计学关系。

结论

与以往研究结果相比,本研究中医学生的焦虑率显示医学住院医师的焦虑水平非常低。焦虑率低可能归因于住院医师的工作安全感和对美好未来的期望。住院医师中抗焦虑药滥用率高、缺乏焦虑产生因素以及对问卷回答不准确等因素都可能导致本研究中焦虑率较低。

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