Guangzhou university of traditional Chinese medicine, Guangzhou, China.
Department of Anesthesiology, The second affiliated hospital of Guangzhou university of traditional Chinese medicine, No. 111 Dade Road, Yuexiu District, Guangzhou, Guangdong, China.
BMC Med Educ. 2024 Jun 5;24(1):624. doi: 10.1186/s12909-024-05603-y.
The incidence of mental health problems among medical graduate students is much higher than among students of other disciplines. This can have adverse consequences for the medical students themselves as well as their future patients. This study aims to understand the pressures faced by Chinese medical students and the current status of mental health education. It also propose recommendations for the current situation and prospects for the future.
The authors conducted in-depth semi-structured interviews with 22 master's students from five medical schools during November 2023. All interview sessions were recorded and transcribed verbatim. The transcriptions were analyzed using the Colaizzi's seven-step method.
Three main themes were extracted from the students' statements: sources of psychological stress, ways to cope with stress, and perspectives on mental health education. The study showed that current mental health education in China is mostly in the form of printed mental health education manuals and mental health lectures, and there is no active tiered intervention for students at different levels. It is suggested that reforms should be made to shift to a model where the school proactively identifies problems and intervenes based on feedback.
This study reveals the widespread psychological stress and shortcomings in current education methods. To address these challenges, institutions should develop tailored interventions, including tiered support systems, open dialogue promotion, and resilience training. Future research should focus on evaluating innovative interventions' effectiveness, ultimately fostering a supportive environment that enhances students' success and contributes to a healthier healthcare workforce.
医学研究生群体的心理健康问题发生率远高于其他学科的学生。这不仅会对医学生自身产生不良影响，也会对他们未来的患者产生影响。本研究旨在了解中国医学生所面临的压力以及心理健康教育的现状，并针对当前情况提出建议和未来展望。
2023 年 11 月，研究人员对来自五所医学院的 22 名硕士研究生进行了深入的半结构式访谈。所有访谈均进行了录音，并逐字转录。使用 Colaizzi 的七步分析法对转录文本进行分析。
从学生的陈述中提取出三个主要主题：心理压力源、应对压力的方式以及对心理健康教育的看法。研究表明，目前中国的心理健康教育大多以心理健康教育手册和心理健康讲座的形式呈现，针对不同层次学生的主动分层干预措施并不完善。建议改革为学校根据反馈主动识别问题并进行干预的模式。
本研究揭示了广泛存在的心理压力和当前教育方法的不足之处。为了应对这些挑战，各机构应制定针对性的干预措施，包括分层支持系统、促进开放对话以及培养韧性训练。未来的研究应侧重于评估创新干预措施的效果，最终营造一个支持性的环境，提高学生的成功率，并为更健康的医疗保健人员队伍做出贡献。
