Depression In Medical Residents And Availability Of Exercise Prescription And Balint Group Service

Objective:to study the overall situation of Self-evaluation of depression in current medical residents,explore the related influencing factors,provide references to improve the mental health of residents,intervene by the exercise prescription and Balint Group service and evaluate their effect for depression residents.Methed:with the way of questionnaire survey,test 238 medical residents of a large comprehensive hospital in Shandong Province.The survey scale includes Self-rating scale SDS and self-made general scale.Make service with exercise prescription and Balint Group,evaluate the intervention effect.Results: the average total score of SDS among the 238 residents was 35.81±6.354,the average standard score was 44.91±8.037,both were higher than the norm in china(33.46±8.55,41.88±10.57),P < 0.01.53 residents showed depression symptoms(P=23.14%),44 residents(P=19.21%)with light depression,occupied 83.02% in the 53 residents.The chi-square test showed that the years of residents worked(?2=7.05,P=0.029),eating delay because of heave work(?2=21.458,P=0.0002),Doctor-patient communication(?2=4.495,P=0.034),attitude to medical business(?2=11.302,P=0.004)were the related risks.Logistic regressive showed the notable risk factors to depression were the years of residents worked(P=0.001,OR=2.232,95%CI= 0.417~1.672),eating delay because of heave work P<0.001,OR=4.636 95%CI= 1.054~2.263),attitude to medical business(P<0.001,OR=4.671,95%CI= 0.968~2.444).After the intervention with exercise prescription and Balint Group,each average total score was significantly lower than those before the intervene(t1= 5.94,P1<0.05;t2= 6.29,P2<0.05).Conclusion: 1.The mental health status of the medical residents is not optimistic,depression is commom stay,.Compared with the general population in society,they may have higher depression,which mainly focus on light depression.2.The risk factors of depression include the increase of working years,high frequency of meal delay because of heavy work,and pessimistic medical attitude,doctor-patient communication obstacles,the first three were the notable risk factors.3.Through the exercise prescription intervention and new Balint Group intervention,it may improve the existing depression symptoms even eliminate it and reduce the detection rate of depressive symptoms.