Postgraduate Program in Health Promotion and Violence Prevention, Medicine School, Federal University of Minas Gerais, Minas Gerais, Brazil.
Department of Preventive and Social Medicine, Medicine School, Federal University of Minas Gerais, Minas Gerais, Brazil.
Psychol Health Med. 2022 Aug;27(7):1544-1552. doi: 10.1080/13548506.2021.1898650. Epub 2021 Mar 9.
This study evaluates Brazilians medical students' Quality of Life and verified associated factors, according to graduation medical cycles: basic (two first years), theoretical-practical (third and fourth years) and clinical (fifth and sixth years). Data were obtained from QualiMed study, conducted at Medical School of Federal University of Minas Gerais, Brazil, using WHOQOL-Bref. Analyses were performed using ANOVA and multiple logistic regressions. A total of 1470 medical students participated and were more satisfied than dissatisfied with their quality of life. Psychological Domain obtained the worst assessment (60.64) and Environment Domain the best one (68.14). The perception of quality of life improved over the course, being worse in the basic cycle and better in the clinical cycle, statistically different for all domains (p-value<0.05). Most variables were negatively associated with quality of life, indicating that their absence reduces the chances of a better perception. Absence of regular physical activity and having depression symptoms were negatively associated with all WHOQOL-Bref Domains. Individual, behavioral and psychological aspects negatively impact the quality of life of evaluated students. Psychological support strategies, encouraging resilience and carrying out physical activities are recommended to improve quality of life, mainly in first years of medical school.
本研究评估了巴西医学生的生活质量,并根据毕业医学周期(基础阶段[前两年]、理论实践阶段[第三和第四年]和临床阶段[第五和第六年])确定了相关因素。数据来自巴西联邦米纳斯吉拉斯州联邦大学医学院开展的 QualiMed 研究,使用了 WHOQOL-Bref 量表。分析采用方差分析和多元逻辑回归进行。共有 1470 名医学生参与了研究,他们对自己的生活质量的满意度高于不满意。心理领域的评估最差(60.64),环境领域的评估最好(68.14)。生活质量的感知随着课程的进行而提高,基础阶段最差,临床阶段最好,所有领域的差异均具有统计学意义(p 值<0.05)。大多数变量与生活质量呈负相关,表明这些变量的缺失降低了对生活质量的更好感知的可能性。缺乏定期的体育锻炼和存在抑郁症状与 WHOQOL-Bref 所有领域均呈负相关。个人、行为和心理方面对评估学生的生活质量产生负面影响。建议采取心理支持策略,鼓励韧性和开展体育活动,以提高生活质量,特别是在医学院的头几年。