无声的挣扎：一项探索本科医护专业学生心理健康挑战的定性研究
Silent struggles: a qualitative study exploring mental health challenges of undergraduate healthcare students.
作者信息
Al-Najdi Shahd, Mansoor Abdulla, Al Hayk Ola, Al-Hashimi Najah, Ali Kamran, Daud Alaa
机构信息
College of Dental Medicine, QU-Health, Qatar University, Doha, Qatar.
Unit and Divisional Chief, Orthodontics Department of Dentistry, Hamad Medical Corporation, Doha, Qatar.
出版信息
BMC Med Educ. 2025 Jan 31;25(1):157. doi: 10.1186/s12909-025-06740-8.
BACKGROUND
Mental health is a critical aspect of overall well-being, influencing how individuals think, feel, and perform. Mental health among healthcare students has become a major concern, drawing attention due to its profound impact on their welfare, academic performance, and ability to effectively interact with patients. This paper aimed to explore the experiences of undergraduate healthcare students facing mental health challenges at Qatar University. With a focus on understanding the factors contributing to mental health issues and exploring their coping mechanisms, the research also sought to identify students' recommendations for institutional support to improve their mental well-being.
METHODS
A qualitative approach using semi-structured face-to-face interviews was employed to collect data. A purposive sampling method was used to recruit students from five healthcare disciplines- Medicine, Dentistry, Pharmacy, Health Sciences and Nursing- who had self-reported mild to moderate depressive symptoms based on the Patient Health Questionnaire (PHQ-9) and Depression Anxiety and Stress Scale (DASS21). A total of 15 interviews were conducted, recorded, and transcribed verbatim, with thematic analysis used to identify key themes.
RESULTS
Several themes emerged from the interviews, including academic pressure, social isolation, anxiety, coping mechanisms, fear of failure, and stigma surrounding mental health support. Academic pressure was consistently reported as a major stressor, contributing to anxiety and emotional strain. Social isolation further exacerbated mental health challenges, while many students highlighted a lack of well-established coping strategies. Stigma related to seeking mental health support was a significant barrier, preventing students from accessing available services.
CONCLUSION
The study highlights the mental health challenges faced by healthcare students, emphasizing the need for effective institutional mental health support. Addressing academic pressures, enhancing self-coping mechanisms and social support systems, and reducing the stigma around mental health care are essential steps toward improving student well-being.
CLINICAL TRIAL NUMBER
Not applicable.
背景
心理健康是整体幸福感的关键方面，影响着个体的思维、感受和行为表现。医学生的心理健康已成为一个主要关注点，因其对他们的福祉、学业成绩以及与患者有效互动的能力产生深远影响而备受关注。本文旨在探讨卡塔尔大学面临心理健康挑战的本科医学生的经历。该研究聚焦于理解导致心理健康问题的因素并探索他们的应对机制，同时还试图确定学生对机构支持的建议，以改善他们的心理健康状况。
方法
采用半结构化面对面访谈的定性方法收集数据。采用目的抽样法从医学、牙医学、药学、健康科学和护理学这五个医疗学科中招募学生，这些学生根据患者健康问卷（PHQ - 9）和抑郁、焦虑和压力量表（DASS21）自我报告有轻度至中度抑郁症状。共进行了15次访谈，进行了录音并逐字转录，采用主题分析法确定关键主题。
结果
访谈中出现了几个主题，包括学业压力、社交孤立、焦虑、应对机制、对失败的恐惧以及围绕心理健康支持的污名化。学业压力一直被报告为主要压力源，导致焦虑和情绪紧张。社交孤立进一步加剧了心理健康挑战，而许多学生强调缺乏成熟的应对策略。与寻求心理健康支持相关的污名化是一个重大障碍，阻碍学生获得现有的服务。
结论
该研究突出了医学生面临的心理健康挑战，强调了有效的机构心理健康支持的必要性。解决学业压力、增强自我应对机制和社会支持系统以及减少围绕心理健康护理的污名化是改善学生福祉的重要步骤。
临床试验编号
不适用。
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