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新冠疫情对研究生医学教学、研究及心理压力的全国性影响:一项基于在线问卷调查的横断面研究。

Nationwide impact of COVID-19 pandemic on postgraduate medical teaching, research, and mental stress: A cross-sectional online questionnaire-based survey.

作者信息

Gupta Anju, Haritha Damarla, Ramachandran Rashmi, Subramaniam Rajeshwari, Sai Gudela Mohan, Chikoti Geetanjali, Gupta Nishkarsh, Malhotra Rajeev Kumar, Kaloiya G S, Trikha Anjan

机构信息

Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, NDDTC, AIIMS, New Delhi, India.

Anesthesiology, GTB and UCMS, NDDTC, AIIMS, New Delhi, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2022 Jul;38(Suppl 1):S34-S45. doi: 10.4103/joacp.JOACP_673_20. Epub 2021 Nov 18.

DOI:10.4103/joacp.JOACP_673_20
PMID:36060181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9438838/
Abstract

BACKGROUND AND AIMS

Coronavirus disease-2019 (COVID-19) pandemic has affected postgraduate medical education, training, and ongoing research work across specialties. Our survey aimed to analyze the effect of COVID-19 on challenges in pursuing research and academics and ascertain the stressors on residents across medical specialties.

MATERIAL AND METHODS

The questionnaire was validated by 10 experts and following ethical approval, this google form-based survey was circulated to postgraduates across specialties across the country through social media platforms over 1 month (22 August 2020 to 21 September 2020). On clicking the link, the participants received brief information regarding the survey followed by the questionnaire. Weekly reminders were sent to the nonresponders till the desired sample size was attained, after which the survey was closed, and responses were analyzed.

RESULTS

Four hundred and nineteen of 900 residents completed the survey (46.6% response rate). Majority (88.8%) admitted that the inability to conduct the thesis and break in academics caused a significant amount of mental stress upon them. Though classes had resumed through online platforms for most residents (75.4%), the residents reported that lack of bedside learning (65.4%), inadequate progress tests (26.4%), and delay in thesis topic allotment (84.6% among those not allotted thesis) correlated with increased stress. Fear of extension of the course (53%; P = 0.019) and getting infected with COVID-19 (46.6%; P = 0.019) were most cited reasons for significant stress in most of the residents. Many residents (26%) were unable to sleep properly and 22.1% were unable to concentrate on academics. Majority believed that extension of the submission deadline, reduction in sample size, and change in topic would help to complete thesis.

CONCLUSION

The present survey revealed that there is a major impediment to research and academics of medical postgraduates during COVID-19 pandemic which has markedly increased their stress levels.

摘要

背景与目的

2019年冠状病毒病(COVID-19)大流行影响了各专业的研究生医学教育、培训及正在进行的研究工作。我们的调查旨在分析COVID-19对从事研究和学术工作所面临挑战的影响,并确定各医学专业住院医师的压力源。

材料与方法

问卷经10位专家验证,在获得伦理批准后,通过社交媒体平台在1个月内(2020年8月22日至2020年9月21日)向全国各专业的研究生发放基于谷歌表单的调查问卷。点击链接后,参与者会收到关于该调查的简要信息,随后是问卷。每周都会向未回复者发送提醒,直至达到所需样本量,之后调查结束并对回复进行分析。

结果

900名住院医师中有419人完成了调查(回复率为46.6%)。大多数人(88.8%)承认无法开展论文研究以及学术中断给他们带来了很大的精神压力。尽管大多数住院医师(75.4%)已通过在线平台恢复上课,但住院医师们表示,缺乏床边学习(65.4%)、进度测试不足(26.4%)以及论文题目分配延迟(未分配论文者中占84.6%)与压力增加相关。担心课程延长(53%;P = 0.019)和感染COVID-19(46.6%;P = 0.019)是大多数住院医师压力显著增加的最主要原因。许多住院医师(26%)睡眠不佳,22.1%无法集中精力学习。大多数人认为延长提交期限、减少样本量和更改题目将有助于完成论文。

结论

本次调查显示,在COVID-19大流行期间,医学研究生的研究和学术工作存在重大障碍,这显著增加了他们的压力水平。

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