1.Department of Child and Maternal Health, School of Public Health, Xinjiang Medical University, Key Laboratory of Specical Environment and Health Research in Xinjiang, Urumqi 830011, Xinjiang Uygur Autonomous Region, China; 2.School of Pediatrics, Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China; 3.Department of Students' Affairs, School of Public Health, Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China; 4. School of Public Health, Anhui Medical University, Hefei 230032, Anhui Province, China
摘要目的 了解医学生对COVID-19疫情的认知、相应防护行为以及心理健康的动态变化情况，为特殊时期对医学生群体进行心理疏导提供依据。方法 分别于2020年2月4—5日（疫情防控应急阶段）和4月25—26日（疫情防控常态化阶段），采用自制问卷、9条目患者健康问卷（patient health questionnaire-9, PHQ-9)和7项广泛性焦虑障碍量表(generalized anxiety disorde-7, GAD-7)，对新疆某医学院校595名全日制本科生进行追踪调查。结果 疫情防控不同阶段医学生抑郁症状（22.7％ vs 23.9％）和焦虑症状(15.3％ vs 19.8％)发生率的差异无统计学意义（P＞0.05）。与应急阶段相比，常态化阶段医学生对COVID-19传播途径、病死率、易感人群的认知有所提升（P＜0.05）；更加注意居家消毒并尽量不走访亲友，但洗手行为表现仍较差；低年级学生和女生的生活更规律（P＜0.05）。多元线性回归分析显示，年龄、隔离天数、认知和行为评分可以解释抑郁或焦虑症状的33.1％和32.8％。结论 与疫情防控应急阶段相比，在常态化阶段，医学生仍存在较高的抑郁和焦虑症状发生率；其认知有所提升，却出现不准确的个人防护行为和不规律的生活节律。医学生心理健康与其年龄、认知、行为和生活节律有关。
Abstract：Objective To understand the dynamic changes of cognition, corresponding protective behavior, and emotional status of medical undergraduates during COVID-19 epidemic, and provide reference for psychological counseling of students. Methods A questionnaire survey was conducted on 595 undergraduates of one medical college in Xinjiang on February 4-5, 2020 (emergency stage) and May 25-26, 2020 (normalization stage), respectively. Self-made questionnaire, patient health questionnaire-9 (PHQ-9), and generalized anxiety disorder-7 (GAD-7) were used to evaluate the recognition of COVID-19 and behavior and mental health status of the students. Results In the two stages of epidemic prevention and control, symptoms of depression were observed in 22.7% and 23.9% of the medical students, while anxiety was observed in 15.3% and 19.8% of the medical students(P>0.05). Compared to the emergency stage, the students' cognition of transmission route, mortality rate, vulnerable population of COVID-19 epidemic was improved (P<0.05); students paid more attention to disinfection at home and avoided visiting relatives and friends, but their performance of hand washing was poor; lower grade students and female students showed better performance (P<0.05) in the normalization stage. Multiple linear regression analysis showed that age, isolation days, and cognitive and behavioral scores could explain 33.1% and 32.8% of symptoms of depression or anxiety. Conclusion Compared to the emergency stage, the incidence of depression and anxiety symptoms of medical students was still higher in the normalization stage. Their cognition of COVID-19 epidemic was improved, but inaccurate protective behavior and irregular living rhythm appeared. The mental health status of medical students is related to age, cognition, behavior, and living rhythm.
阿斯木古丽·克力木，阿迪拉·阿不来提，阿比达·阿不来提，木尼热·努尔买卖提，伍晓艳，陶芳标. COVID-19疫情防控不同阶段医学生认知、行为和心理健康调查[J]. 教育生物学杂志, 2021, 9(6): 449-.
Asimuguli KELIMU, Adila ABULAITI, Abida ABULAITI, Munire NUERMAIMAITI, WU Xiaoyan, TAO Fangbiao. Investigation in cognition, behavior and mental health status of medical students at different stages of COVID-19 epidemic prevention and control. JOURNAL OF BIO-EDUCATION, 2021, 9(6): 449-.