Vaz R F, Mbajiorgu E F, Acuda S W
Department of Anatomy, University of Zimbabwe, Mount Pleasant, Harare, Zimbabwe.
Cent Afr J Med. 1998 Sep;44(9):214-9.
To assess stress levels among first year medical students at the University of Zimbabwe.
A cross sectional study using two questionnaires.
Department of Anatomy, Faculty of Medicine, University of Zimbabwe, Mount Pleasant, harare, Zimbabwe.
First year medical students aged between 18 and 24 years who have spent about seven months in the medical school.
A total of 109 out of 123 first year medical students were used in the study. The two questionnaires produced similar results with an average of about 35.5% normal and an average of 64.5% of the students being at various levels of stress and or depression. About 11% reported very high levels of stress while the majority of the stressed students fell within the middle bracket. The number of affected students decreased as the level of stress and depression increased and demonstrates the differences in the stress threshold of the individual students. Estimation of suicide tendencies from both questionnaires showed that about 12% of the students were at serious risk and about 20% at lesser risk of psychological and emotional depression. The stratification of group 2 of SRQ-20 was valuable in isolating those students seriously stressed and/or depressed.
This study has demonstrated that a number of first year medical students of the University of Zimbabwe were at various levels of stress and/or depression. Those students in the extreme stress or depression group need serious attention. This state of psychological and emotional distress in the subsequent years of medical training and during the professional years may lead to serious social consequences. A system of identifying students with low stress threshold early in their training is recommended as well as a means of helping them to deal with the stress and its causes.
评估津巴布韦大学一年级医学生的压力水平。
使用两份问卷进行的横断面研究。
津巴布韦大学医学院解剖学系，位于津巴布韦哈拉雷芒特普莱森特。
年龄在18至24岁之间、已在医学院学习约七个月的一年级医学生。
该研究共纳入了123名一年级医学生中的109名。两份问卷得出了相似的结果，平均约35.5%的学生状态正常，平均64.5%的学生处于不同程度的压力和/或抑郁状态。约11%的学生报告压力水平非常高，而大多数有压力的学生处于中等水平。随着压力和抑郁程度的增加，受影响学生的数量减少，这表明不同学生的压力阈值存在差异。两份问卷对自杀倾向的评估显示，约12%的学生面临严重风险，约20%的学生面临较低的心理和情绪抑郁风险。SRQ - 20问卷中第2组的分层对于找出那些严重受压和/或抑郁的学生很有价值。
本研究表明，津巴布韦大学的许多一年级医学生处于不同程度的压力和/或抑郁状态。那些处于极端压力或抑郁组的学生需要得到认真关注。在医学培训的后续年份以及职业生涯中，这种心理和情绪困扰状态可能会导致严重的社会后果。建议建立一个在培训早期识别压力阈值较低学生的系统，以及帮助他们应对压力及其成因的方法。
