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目的分析维吾尔族医学生心理健康状况及其影响因素。方法随机抽取329名新疆医科大学在校少数民族医学生(其中维吾尔族273名,哈萨克族51名,柯尔克孜族5名),采用症状自评量表(SCL-90)进行测评,比较不同性别、不同族别及不同生源地医学生SCL-90各因子之间的差异。结果维吾尔族医学生SCL-90因子测评结果与国内常模比较,除人际关系敏感、抑郁、敌意因素外,其余差异均有统计学意义(P<0.01);男生和女生在躯体化、强迫症状、抑郁、焦虑、恐怖其他因子得分间的差异有统计学意义(P<0.01);维吾尔族与哈萨克族、柯尔克孜族医学生在人际敏感、偏执、恐怖因子得分上差异有统计学意义(P<0.05~0.01);来自城市的少数民族医学生各因子的得分均低于来自农村的学生,人际关系敏感、偏执和精神病性因子得分间的差异有统计学意义(P<0.05)。结论维吾尔族医学生心理健康水平与其他少数民族医学生相比存在差距,心理健康状况不容乐观,迫切需要进一步加强和改进维吾尔族医学生的心理健康教育。
Objective To analyze the mental health of Uyghur medical students and its influential factors. Methods A total of 329 minority medical students (including 273 Uighurs, 51 Kazakhs and 5 Kirgiz women) were selected randomly from Xinjiang Medical University. Symptom Checklist 90 (SCL-90) was used to evaluate the effects of different ethnic groups, Differences among SCL-90 factors in medical students of different ethnic groups and different origins. Results The results of SCL-90 in Uyghur medical students were significantly different from those in domestic norm (P <0.01), except for the sensitivity, depression and hostility of interpersonal relationship (P <0.01). There was a significant difference in somatization and obsessive-compulsive symptoms (P <0.01). There was significant difference between Uygur, Kazak and Kirgiz medical students in scores of interpersonal sensitivity, paranoid and terrorist factors (P < 0.05 ~ 0.01). The score of each factor of minority medical students from cities was lower than that of students from rural areas. There was significant difference between the score of interpersonal sensitivity, paranoid and psychotic factors (P <0.05). Conclusions There is a gap between the mental health level of Uyghur medical students and other ethnic minority medical students, and the mental health status is not optimistic. It is urgent to further strengthen and improve the mental health education of Uyghur medical students.