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某三级甲等教学医院医学生的抑郁症患病率

Prevalence of Depression among Medical Students of a Tertiary Care Teaching Hospital.

作者信息

Shrestha Nikhil, Shrestha Neharika, Khanal Smriti, Dahal Sujata, Lama Roshan, Simkhada Prashant, Pradhan Sudarshan Narsingh

机构信息

Oxford University Clinical Research Unit-Nepal, Lalitpur, Nepal.

Tokha Chandeshwori Primary Health Center, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2019 Nov-Dec;57(220):403-407. doi: 10.31729/jnma.4738.

Abstract

INTRODUCTION

Depression is one of the major problems encountered by medical students. This may cause a negative effect on cognitive functioning and learning of students resulting in poor health care and service delivery in future. The presence of this major problem is necessary to be evaluated. Enough recent data regarding its prevalence is not available in our country. Thus, the main aim of this study is to find the prevalence of depression among medical students of a tertiary care teaching hospital.

METHODS

This is a descriptive cross-sectional study which was conducted among undergraduate medical students of a tertiary teaching hospital over a four-month period (July to October 2019). Ethical clearance was received from the Institutional Review Committee of the same tertiary teaching hospital. Random sampling technique was used to collect data to meet the calculated sample size. Data analysis was done in the Statistical Package for Social Sciences. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.

RESULTS

The prevalence of depression among selected medical students of Kathmandu Medical College and Teaching Hospital is 59 (27.2%) at 95% Confidence Interval (21.28-33.12%). Thirty (14%) of the participants were mildly depressed, 21 (10%) moderately depressed while 8 (4%) were severely depressed according to Beck's Depression Index II.

CONCLUSIONS

Prevalence of depression among medical students is relatively significant as found in similar studies done in other centres. Thus appropriate programs and strategies should be implemented to avoid depression from causing a negative effect on cognitive functioning and learning of students. Favourable environment where students are able to talk about their mental health issues is a must.

摘要

引言

抑郁症是医学生面临的主要问题之一。这可能会对学生的认知功能和学习产生负面影响,导致未来医疗保健和服务质量下降。有必要对这一主要问题的存在情况进行评估。我国目前尚无足够的关于其患病率的最新数据。因此,本研究的主要目的是找出一家三级护理教学医院医学生中抑郁症的患病率。

方法

这是一项描述性横断面研究,在一家三级教学医院的本科医学生中进行,为期四个月(2019年7月至10月)。获得了同一家三级教学医院机构审查委员会的伦理批准。采用随机抽样技术收集数据,以满足计算出的样本量。数据分析在社会科学统计软件包中进行。计算了95%置信区间的点估计值以及二元数据的频率和比例。

结果

根据贝克抑郁量表第二版,加德满都医学院和教学医院选定医学生中抑郁症的患病率在95%置信区间为59例(27.2%)(21.28 - 33.12%)。30名(14%)参与者轻度抑郁,21名(10%)中度抑郁,8名(4%)重度抑郁。

结论

正如在其他中心进行的类似研究中所发现的那样,医学生中抑郁症的患病率相对较高。因此,应实施适当的计划和策略,以避免抑郁症对学生的认知功能和学习产生负面影响。必须营造一个学生能够谈论其心理健康问题的有利环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7df3/7580421/857ed988e077/JNMA-57-220-403-g1.jpg

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