School of Clinical and Basic Medical Sciences, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Department of Statistics, Institute of Shandong Evidence-Based Medicine, Jinan, China.
Front Public Health. 2023 Mar 8;11:1081360. doi: 10.3389/fpubh.2023.1081360. eCollection 2023.
To unearth superior countermeasures that improve psychological health and upgrade the quality of employment for medical students in China in post-epidemic era, this study was designed to determine the possible factors affecting psychological status and future career choice of this population.
A cross-sectional observational study was carried out. Depression Anxiety Stress Scale-21 (DASS-21) and Insomnia Severity Index (ISI) were applied to measure psychological state. Chi-square and logistic regression analyses were adopted to filtrate related factors for psychological health and employment intention.
A total of 936 medical students, including 522 from eastern universities and 414 from western universities, were enrolled in the study. Anxiety among students in China's western universities was higher than that in China's eastern universities (30.4% vs. 22.0%), but no differences in the occurrences of stress (11.4% vs. 13.4%), depression (28.7% vs. 24.5%) and insomnia (30.7% vs. 25.7%). Grades, academic ranking, household income, attitudes about COVID-19 were associated with the occurrence of psychological problems. In addition, major, education level, academic ranking, family income, and clinical experience may affect the choice of future employment location and employment income. Notably, household income affected by COVID-19 and the perception of epidemic prevention and control resulted in changes in future employment region and income. COVID-19 can lead medical students with psychological problems to have a negative attitude toward future employment. Encouragingly, multiple activities, namely, proactive consideration of employment, taking part in career planning training lectures and timely adjustment of career planning, were beneficial to the professional identity of medical students.
This study suggests that medical student psychology is influenced by COVID-19 and academic and financial pressures; actively coping with COVID-19 and making career planning in advance will contribute to optimizing future employment. Our findings provide a potent guideline for relevant departments to accurately adjust job deployment and for medical students to actively choose a career in the future.
为了挖掘出能够改善中国医学生在后疫情时代心理健康和提升就业质量的卓越对策，本研究旨在确定影响这一人群心理状态和未来职业选择的可能因素。
采用横断面观察性研究。使用抑郁焦虑压力量表 21 项（DASS-21）和失眠严重程度指数（ISI）来衡量心理状态。采用卡方检验和逻辑回归分析来筛选与心理健康和就业意向相关的因素。
共纳入 936 名医学生，其中 522 名来自东部大学，414 名来自西部大学。中国西部大学学生的焦虑程度高于东部大学（30.4%比 22.0%），但压力（11.4%比 13.4%）、抑郁（28.7%比 24.5%）和失眠（30.7%比 25.7%）的发生率无差异。成绩、学业排名、家庭收入、对 COVID-19 的态度与心理问题的发生有关。此外，专业、教育水平、学业排名、家庭收入和临床经验可能影响未来就业地点和就业收入的选择。值得注意的是，COVID-19 影响的家庭收入和对防疫的认知导致未来就业区域和收入的变化。COVID-19 可能使患有心理问题的医学生对未来就业持消极态度。令人鼓舞的是，多项活动，即积极考虑就业、参加职业规划培训讲座和及时调整职业规划，有利于医学生的专业认同。
本研究表明，医学生的心理受 COVID-19 和学业及经济压力的影响；积极应对 COVID-19 并提前进行职业规划有助于优化未来就业。我们的研究结果为相关部门准确调整工作部署和医学生积极选择未来职业提供了有力指导。
