Applied Psychophysiological Research Group, European University of Madrid, Madrid, Spain.
Department of Basic Psychology, Psychobiology and Methodology of Behavioural Sciences, University of Salamanca, Salamanca, Spain.
J Med Syst. 2019 Feb 8;43(3):68. doi: 10.1007/s10916-019-1187-7.
The aim of this study was to analyze the psychophysiological response of Physiotherapy degree students during a complete clinical practice as well as their psychological profile in relation to coping style in stressful situations, and its impact on academic performance. We analysed in 15 students heart rate variability (HRV) to analyse autonomic modulation in three moments during the entire clinical practices of 3 months (4 h per day, 3 days per week), first session, middle session and last session; perceived stress, personality, life engagement, cognitive flexibility before starting the clinical practice the academic performance after the clinical practice. Results based on HRV and related indexes parameters fail to indicate the expected autonomic adaptation during the practice. A complete clinical practice of Physiotherapy degree students did not produce an habituation process since a high sympathetic autonomic nervous system modulation was measured in the beginning, at the middle and at the final of the clinical practice. Below-average scores are presented in a personality factor associated with traditional and non-adaptive coping styles that could explain the non-habituation of the students. Finally, none of the analyzed indexes has been able to relate to academic performance.
本研究旨在分析物理治疗专业学生在完整临床实习期间的心理生理反应，以及他们在应对压力情境时的心理特征与应对方式，分析其对学业成绩的影响。我们分析了 15 名学生的心率变异性（HRV），以在整个 3 个月的临床实习期间（每天 4 小时，每周 3 天）的三个时间点分析自主调节，即第一阶段、中间阶段和最后阶段；在开始临床实习前的感知压力、人格、生活投入和认知灵活性，以及临床实习后的学业成绩。基于 HRV 和相关指标参数的结果未能表明在实践过程中预期的自主适应。物理治疗专业学生的完整临床实习并未产生习惯化过程，因为在临床实习的开始、中间和结束时都测量到了高度的交感神经系统调节。在与传统和非适应性应对方式相关的人格因素中呈现出低于平均水平的分数，这可以解释学生的非习惯化。最后，分析的指标都未能与学业成绩相关。
