Research On The Correlation Between Standardized Training Of Resident Physicians’ Mental Health,Coping Styles,and Traditional Chinese Medicine Constitution

Objective:Study the correlation between standardized training of resident physicians’ mental health,coping styles,and traditional Chinese medicine constitution;Clarify the main psychological issues of resident training physicians,provide guidance data for actively adjusting their mental health,and provide theoretical support for achieving individual mental health interventions,thereby optimizing the standardized training mode and improving the standardized training system.Method:Using an online questionnaire survey method,a total of 171 valid samples were collected from all resident training physicians at the affiliated hospital of Tianjin Institute of Traditional Chinese Medicine from 2020 to 2022.The research subjects completed the General Situation Questionnaire(self compiled),Symptom Checklist 90(SCL-90),Coping Style Questionnaire,Nine kinds of constitution identification scales,and Five State Personality Scale within the specified time.Establish a database using Excel software to collect data and conduct statistical analysis using SPSS 26.0.Result:1.Standardized training of resident physicians on mental health,coping styles,and current status of traditional Chinese medicine constitution: Among the 171 collected research subjects,39(22.8%)were positive for symptom checklist 90(SCL-90)screening,while 132(77.1%)were negative.The top three positive screening factors were obsessive-compulsive disorder(17.5%),interpersonal sensitivity(12.2%),and depression(9.9%),followed by paranoia,anxiety,hostility,diet and sleep,somatization,psychoticism,and phobia;The number of people who tend to solve problems in the choice of coping styles is the highest,accounting for 64.3% of the total number,16.3% are inclined to seek help,5.8% are inclined to multiple coping styles,and the proportion of people who tend to retreat,fantasize,and blame is the same,accounting for 4.0%.The number of people who tend to rationalize is the lowest,accounting for 1.1%.The most common type of constitution in traditional Chinese medicine is mild constitution,with 65 people(38.0%).In addition,there are 43 people(25.1%)with qi deficiency constitution,17 people(9.9%)with yang deficiency constitution,11 people(6.4%)with damp heat constitution,10 people(5.8%)with qi stagnation constitution,9people(5.2%)with blood stasis constitution,9 people(5.2%)with concurrent constitution,3people(1.7%)with yin deficiency constitution,3 people(1.7%)with phlegm dampness constitution,and 1 person(0.6%)with intrinsic constitution;Distribution of Five State Personality Types: Taiyin type personality accounts for the largest number of people,with 44people(25.7),followed by Yin Yang Peace type personality with 37 people(21.6%),and the remaining 32 people(18.7%)are Sun type personality,30 people(17.5%)are Shaoyin type personality,and 28 people(16.3%)are Shaoyang type personality.2.The differences in psychological health,coping styles,and traditional Chinese medicine constitution of resident physicians in standardized training under different general circumstances: There are differences in nine kinds of constitution and five state personality among different genders(p<0.05),with more males having a peaceful and blood stasis constitution than females,more females having a yang deficiency constitution and qi stagnation constitution than males,and more males having a yin yang peaceful personality than females;There are differences in personality types among different student categories(p<0.05),with Sun and Shaoyang personality traits being higher among students with a single residency and training status;There were differences in personality types among different gestational conditions(p<0.05),and the sun type personality was higher in those who had not been nurtured than those who had already been nurtured.No significant differences were found in gender,student category,marital status,and pregnancy status on mental health and coping styles.3.The correlation between standardized training of resident physicians’ mental health,coping styles,and traditional Chinese medicine constitution3.1 Correlation between Mental Health and Traditional Chinese Medicine Constitution:In the Symptom Checklist 90(SCL-90),all other factors except somatization and phobia were significantly negatively correlated with calmness,while Yin deficiency was significantly positively correlated with factors other than anxiety.Blood stasis was significantly positively correlated with somatization,hostility,phobia,diet and sleep factors.Qi stagnation was significantly negatively correlated with compulsion,interpersonal sensitivity,depression,anxiety,hostility,phobia Paranoia shows a significant positive correlation,while qi deficiency,yang deficiency,phlegm dampness,dampness heat,and intrinsic quality are not significantly correlated with the 10 factors;In the five state personality,the sun type personality is negatively correlated with depression and obsessive-compulsive factors,while the shaoyang type personality is significantly negatively correlated with obsessive-compulsive,interpersonal sensitivity,and depression.The yin yang balance type personality is significantly negatively correlated with other factors except for somatization and hostility.The shaoyin type personality is not significantly correlated with 10 factors,while the taiyin type personality is significantly positively correlated with other factors except for somatization.3.2 Correlation between coping styles and traditional Chinese medicine constitution:Blood stasis is more inclined towards immature coping styles(p<0.05),while Qi deficiency is more inclined towards mature and mixed coping styles(p<0.05);There is no significant correlation between the five state personality and various factors of coping style.Conclusion:1.There are problems with the psychological health status of resident physicians in standardized training;Mature coping style;The nine kinds of constitution type is mainly composed of peaceful constitution,while the personality type is mainly Taiyin type.2.There are differences in the standardized training of resident physicians under different backgrounds in terms of traditional Chinese medicine constitution,mental health,and coping styles.3.There is a correlation between standardized training of resident physicians’ mental health,coping styles,and traditional Chinese medicine constitution.