【作者】 刘斌；

【导师】 梅松丽；

【作者基本信息】 吉林大学 ， 妇幼保健和人口健康（专业学位）， 2015， 硕士

【摘要】 目的:本研究在调查了解高职医专学生自伤行为的发生情况的基础上,进一步研究有无自伤行为的医学生在心理评估和生命态度上差异性。深入探讨自伤行为与心理健康和在生命态度的形成中的影响作用,正确引导医学生促进心理健康,完善生命态度,提高其生活指数。方法:本研究以问卷的方式进行调查某高职医专2013年及2014年9月入学的大专学生720名为研究对象,回收有效问卷687份。调查问卷由一般情况、青少年自我伤害行为调查表、青少年生活事件量表、应付方式问卷和生命态度量表组成。结果:1.高职医专687名学生,有144人发生过自伤行为,发生自伤行为的学生比例可达20.96%。高职医专学生发生自伤行为时采取不同方式的比例,其中故意掐自己和故意拽头发的发生率高。2.不同人口学变量的自伤行为分析中,二年级的自伤行为发生率高于一年级学生;学习成绩优异的学生自伤行为发生率高于其他组的学生;家庭经济环境差的学生自伤行为发生率高于其他组学生。3.高职医专学生有自伤行为的生活事件影响在学习压力方面有显著性差异(P=0.003)。4.高职医专学生有自伤行为的应对方式在解决问题、自责、求助、幻想、退避、合理化方面均具有显著性差异(P<0.001)。5.在存在充盈、生命控制、死亡接纳、意义意志、生命目的、苦难接纳上,高职医专学生有自伤行为的生命意义感均具有显著性差异(P<0.001)。结论:1.高职医专学生自伤行为检出率较高,可达20.96%,以掐自己、拽头发等自伤行为较为普遍,有必要引起家庭、学校和社会的关注。2.高职医专学生二年级和家庭经济不好的,自伤行为发生的可能性高。3.高职医专学生学习压力越小反而发生自伤行为的可能性高。4.高职医专学生解决问题能力强善于求助的发生自伤行为的可能性低;容易自责、爱幻想、遇到困难和挫折喜欢退避和合理化的发生自伤行为的可能性高。5.高职医专学生中缺乏生命的意义、人生目的以及感受精神空虚、焦虑并漠视生命的发生自伤行为的可能性高。更多还原

【Abstract】 Objective:The study is aim to understand the occurrence of vocational medical students self-injury behavior and know psychological assessment and life attitude differences between students with self-injury behavior or not. We also want to know the effect of self-injury behavior on mental health and life attitude, correctly guide medical students to promote mental health, to improve life attitude and life quality. Methods:A sample of 720 high vocational college students in 2013 and 2014 for admission in September,recycling effective questionnaire 687 copies. Completed the Questionnaires of Teenagers self-injury behavior questionnaire,Adolescents Self-Rating Life Events Checklist,Coping Style Questionnaire and life attitude Questionnaire. Results:1. Among 687 high vocational medical college students, 144 occurred self-injury behavior. The proportion is 20.96%. Dragging pinched deliberately is the highest incidence rate and pulling hair.2.We analyze the difference of the self-injury behavior between the demographic variables. The occurrence rate of self-injury behavior in second grade students is higher than that of grade one students; the occurrence rate of self-injury behavior in good academic achievement is higher than that of other students; the occurrence rate of self-injury behavior in family economic environment is higher than that of other students.3.There are significant difference in self-injury behavior between high study pressure and low study pressure of medical students life events(P = 0.003).4.There are significant difference in self-injury behavior among coping style of self-injury behavior in problem solving, self-blame, help, fantasy, avoidance, rationalization.(P < 0.001).5. There are significant difference in self-injury behavior among the meaning of life sense of self-injury behavior in the will to meaning, filling, purpose in life, life control, adoption of suffering, death acceptance(P < 0.001). Conclusions:1. Vocational medical college students self-injury behavior detection rate is high( 20.96%). pinched deliberately, Pulling hair are more common. It is necessary to cause the attention of family, school and society.2. Students in high grade students, from poor family have the high possibility of self-injury behavior.3. Students with low learning pressure has high possibility of self-injury behavior.4. The occurrence of the possibility of self-injury behavior in vocational medical college students with high problem solving ability is lower than others. The occurrence of the possibility of self-injury behavior in vocational medical college students with self-blame, fantasy, withdrawal encountered difficulties are higher than others.5. The possibility of self-injury behavior is high which students are the lack of life meaning and purpose of life and feel the spiritual emptiness, anxiety and ignore the life更多还原