Ye Wan, Ye Xinxin, Liu Yuanyuan, Liu Qixi, Vafaei Somayeh, Gao Yuzhen, Yu Huiqin, Zhong Yanxia, Zhan Chenju
Department of Nursing, Xiamen Medical College, Xiamen, China.
School of Public Health, Zhejiang University School of Medicine, Hangzhou, China.
Front Psychol. 2020 Oct 14;11:548506. doi: 10.3389/fpsyg.2020.548506. eCollection 2020.
In December 2019, an outbreak of the novel coronavirus pneumonia infection occurred in Wuhan City, Hubei Province, China, and it has received substantial attention globally. Few studies have investigated the psychological stress of students in Health University during the COVID-19 outbreak, and almost no work has attended to the influencing factors that may cause their psychological stress risk. This cross-sectional, survey-based, region-stratified study collected demographic data and mental measurement from 2,498 medical students and 1,177 non-medical students in 31 provinces from March 5, 2020, to March 10, 2020, in China. The psychological stress was measured using the Chinese Perceived Stress Scales (CPSS) under a self-design questionnaire. Sociodemographic, major characteristics, and knowledge of the novel coronavirus pneumonia were also identified as potential influencing factors of stress. The study revealed that medical students are suffering from more stress than non-medical students almost in all provinces of China. Four influencing factors including level of familiarity with the novel coronavirus, family income, major of students, and status of the intern student can be significantly related to students' stress in the medical group by using the univariate and multivariate analysis. Further analysis showed that students with low stress had a greater number of positive psychological emotions and a lower number of negative psychological emotions than with medical students with high stress. In addition, high stress caused low enthusiasm for learning in these medical students and lead to little/no willingness to do professional medical work in the future. In conclusion, we need to increase the level of our knowledge related to the novel coronavirus pneumonia to reduce stress and strongly focus on the special populations in medical students with certain features, such as intern students, clinical nursing students, and low-income families, to improve their learning attitudes and establish positive professional mental outlooks.
2019年12月，中国湖北省武汉市爆发新型冠状病毒肺炎疫情，受到全球广泛关注。很少有研究调查过新冠疫情期间医科大学学生的心理压力，几乎没有研究关注过可能导致他们心理压力风险的影响因素。这项基于调查的横断面区域分层研究，于2020年3月5日至3月10日在中国31个省份收集了2498名医学生和1177名非医学生的人口统计学数据和心理测量数据。心理压力通过自行设计的问卷，采用中国感知压力量表（CPSS）进行测量。社会人口统计学、专业特征以及对新型冠状病毒肺炎的了解也被确定为压力的潜在影响因素。研究表明，在中国几乎所有省份，医学生承受的压力都比非医学生更大。通过单因素和多因素分析发现，包括对新型冠状病毒的熟悉程度、家庭收入、学生专业和实习学生身份在内的四个影响因素，与医学组学生的压力显著相关。进一步分析表明，与高压力医学生相比，低压力学生的积极心理情绪更多，消极心理情绪更少。此外，高压力导致这些医学生学习积极性降低，未来从事专业医疗工作的意愿很小或没有。总之，我们需要提高对新型冠状病毒肺炎的认知水平以减轻压力，并特别关注医学生中的特殊群体，如实习学生、临床护理专业学生和低收入家庭学生，以改善他们的学习态度，树立积极的职业心态。
