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2019冠状病毒病大流行与本科医学生感知压力及应对方式的关联

Association of COVID-19 Pandemic with undergraduate Medical Students' Perceived Stress and Coping.

作者信息

Abdulghani Hamza Mohammad, Sattar Kamran, Ahmad Tauseef, Akram Ashfaq

机构信息

Department of Medical Education, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.

出版信息

Psychol Res Behav Manag. 2020 Oct 30;13:871-881. doi: 10.2147/PRBM.S276938. eCollection 2020.

Abstract

PURPOSE

The COVID-19 pandemic poses a major challenge for medical students' learning and has become a potential stressor, with a profound influence on their psychological well-being. We aimed to determine the effect of the current pandemic on undergraduate medical students' learning. We also explored the association of their stress level with coping strategies, educational, and psychological variables.

MATERIALS AND METHODS

This is a cross-sectional design study, and participants were the 1st to 5th year medical students. A self-administered questionnaire (18 items) and a well-known Kessler 10 Psychological Distress questionnaire (10 items) were used to collect the data related to perceived stress with an association of educational, psychological, and coping variables.

RESULTS

The prevalence of overall stress was significantly higher ( = 16.3; =0.000) in female medical students, ie, (40%) as compared to the male students (16.6%), and was highest (48.8%) during the 3rd medical year. It was also noted that the most effective strategy, embraced by students to cope with the severe stress, was "indulging in religious activities" (OR= 1.08; =0.81). Furthermore, 22.3% of students had perceived severe stress as they did not prefer online learning. Similarly, those students who have not believed or refused the online learning or disagree in "there is pleasure in the study due to COVID" they have significantly higher stress ( =39.7; =0.000) 21.5% mild, 17.8% of moderate, and 21.2% severe.

CONCLUSION

We found that the COVID-19 pandemic has induced stress and changes in medical students' educational attitudes and strategies. The results exhibited that the predominance of stress is higher in females than males, and also more stress was perceived by the students during their transitional year, ie, 3rd medical year (from pre-clinical to clinical) and also the respondents who regularly did religious meditation were at lower levels of stress. COVID-19's influence on medical education and students' well-being will be felt at an extended level, which necessitates an appropriate plan for preparedness.

摘要

目的

新冠疫情给医学生的学习带来了重大挑战,并已成为一个潜在的压力源,对他们的心理健康产生了深远影响。我们旨在确定当前疫情对本科医学生学习的影响。我们还探讨了他们的压力水平与应对策略、教育及心理变量之间的关联。

材料与方法

这是一项横断面设计研究,参与者为一至五年级的医学生。使用一份自填式问卷(18项)和一份著名的凯斯勒10项心理困扰问卷(10项)来收集与感知压力相关的数据,以及教育、心理和应对变量之间的关联。

结果

女医学生的总体压力患病率显著更高(χ² = 16.3;P = 0.000),即40%,而男学生为16.6%,且在医学三年级时最高(48.8%)。还注意到,学生应对严重压力最有效的策略是“参加宗教活动”(OR = 1.08;P = 0.81)。此外,22.3%的学生因不喜欢在线学习而感到严重压力。同样,那些不相信或拒绝在线学习或不同意“由于新冠疫情学习中有乐趣”的学生压力显著更高(χ² = 39.7;P = 0.000),其中轻度压力占21.5%,中度压力占17.8%,重度压力占21.2%。

结论

我们发现新冠疫情引发了医学生教育态度和策略的压力及变化。结果表明,女性的压力优势高于男性,且学生在过渡年即医学三年级(从临床前到临床)时感受到的压力更大,此外,经常进行宗教冥想的受访者压力水平较低。新冠疫情对医学教育和学生幸福感的影响将在更广泛的层面上显现,这需要制定适当的应对计划。

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