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巴西一所私立医学院学生的健康相关生活质量

Health-related quality of life of students from a private medical school in Brazil.

作者信息

Lins Liliane, Carvalho Fernando M, Menezes Marta S, Porto-Silva Larissa, Damasceno Hannah

机构信息

Department of Humanities, Bahiana School of Medicine and Public Health, Brazil.

Department of Social and Preventive Medicine, School of Medicine, Federal University of Bahia, Brazil.

出版信息

Int J Med Educ. 2015 Nov 8;6:149-54. doi: 10.5116/ijme.563a.5dec.

Abstract

OBJECTIVES

To assess health-related quality of life (HRQOL) and to describe factors associated with its variation among undergraduate medical students at a Brazilian private medical school.

METHODS

A cross-sectional study in a sample (n=180) of medical students at a private medical school in Salvador, Brazil, stratified by year of medical course. Data about age, sex, year of course, physical activity, sleepiness, headaches, participation in a student loan program supported by the Brazilian government (FIES) and living arrangements were collected using a self-administered form. HRQOL was assessed by using a Brazilian Portuguese version of the SF-36 form. The eight domains of SF-36 and the Physical Component (PCS) and Mental Component (MCS) Summaries scales were calculated.

RESULTS

The medical students showed poor HRQOL, mainly because of the mental component. Lower mean scores were found among those with FIES support, females, those suffering from sleepiness, headaches and lacking physical activity. No clear trend was observed in the variation of the SF-36 mean scores according to the year of medical school. However, students in the fifth year of the course had the highest HRQOL mean scores.

CONCLUSIONS

Health-related quality of life of students at this private medical school was poor, mainly because of its mental component. Lower HRQOL was associated with FIES support, females, sleepiness, headaches and lack of regular physical activity. Higher scores were found among fifth year students.

摘要

目的

评估健康相关生活质量(HRQOL),并描述巴西一所私立医学院本科医学生中与HRQOL变化相关的因素。

方法

在巴西萨尔瓦多一所私立医学院的医学生样本(n = 180)中进行横断面研究,按医学课程年份分层。使用自填式表格收集有关年龄、性别、课程年份、体育活动、嗜睡、头痛、参与巴西政府支持的学生贷款计划(FIES)以及生活安排的数据。使用巴西葡萄牙语版的SF - 36表格评估HRQOL。计算SF - 36的八个领域以及身体成分(PCS)和心理成分(MCS)总结量表。

结果

医学生的HRQOL较差,主要是由于心理成分。在获得FIES支持的学生、女性、嗜睡者、头痛患者以及缺乏体育活动的学生中,平均得分较低。根据医学院年份,未观察到SF - 36平均得分变化的明显趋势。然而,课程第五年的学生HRQOL平均得分最高。

结论

这所私立医学院学生的健康相关生活质量较差,主要是由于其心理成分。较低的HRQOL与FIES支持、女性、嗜睡、头痛以及缺乏规律体育活动有关。在五年级学生中得分较高。

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