压力知觉对全科规范化培训医师生活满意度的影响：心理韧性的中介作用

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中图分类号：R192 文献标志码：ADOI：10.7652/jdyxb202504002

ABSTRACT： ObjectiveTo explore the life satisfaction and related factors of general and asistant general standardized training physicians （hereinafter referred to as training physicians），and analyze the efecting path of resilience between stress perception and life satisfaction.MethodsFrom July to October 2024，a self-designed general demographic survey，Satisfaction With Life Scale （SWLS），Connor-Davidson Resilience Scale（CD-RISC）， and Chinese Perceived Stress Scale（CPSS） were used to survey 251 training physicians from two hospitals in Xi'an to understand their life satisfaction，stress perception，and resilience in the past month.Model4in the ProcessV3.3 plugin of SPSS 25.O software and Bootstrap method were used to analyze the effecting path of resilience between stressperception and life satisfaction among the training physicians.ResultsA total of 251 questionnaires were distributed，and 236 valid questionnaires were collected，with an effective response rate of 94.02% . The stress perception of 236 training physicians （24.12±7.02） ）was negatively correlated with life satisfaction （23.24±7.45） （ r=-0.556 ， P<0.01） ，but negatively correlated with resilience （54.88±11.37） r=-0658 ， P<0.01） .Resilience partially mediated the relationship between stress perception and life satisfaction，with a mediation effect value of -0.320 6 ，accounting for 54.39% of the total effect. Conclusion Stress perception has an independent negative impacton the life satisfaction of training physicians，and indirectly afects life satisfaction through resilience. Improving life satisfaction can be achieved by reducing stress perception or enhancing resilience.

KEY WORDS： life satisfaction；stress perception；resilience；general practition

全科及助理全科医师在构建分级诊疗制度、提升基层医疗质量、保障居民健康等方面扮演着重要角色[1-2]， ⋅5+3 ”全科医师规范化培训及“ 3+2⋅ 助理全科医师培训是培养全科医学人才的关键途径[3-4]。（剩余10228字）