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评估新冠疫情对印度本科医学生的心理影响。

Assessment of the psychological impact of COVID-19 pandemic on undergraduate medical students in India.

作者信息

Shreevastava Amit Kumar, Mavai Manisha, Mittal Pragati Sheel, Verma Ranjana, Kaur Daljit, Bhandari Bharti

机构信息

Department of Anatomy, All India Institute of Medical Sciences, Raibareilly, Uttar Pradesh, India.

Department of Physiology, Government Medical College, Bharatpur, Rajasthan, Uttar Pradesh, India.

出版信息

J Educ Health Promot. 2022 Jul 29;11:214. doi: 10.4103/jehp.jehp_1273_21. eCollection 2022.

DOI:10.4103/jehp.jehp_1273_21
PMID:36177404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9514277/
Abstract

BACKGROUND

Medical students who are prone to psychological stress due to their overburdened curriculum, are at an increased risk of getting adversely affected by the pandemic. The present study was planned to assess the anxiety level among undergraduate medical students across the country using generalized anxiety disorder scale (GAD-7).

MATERIALS AND METHODS

In this online survey, anonymous data was collected through Google forms from undergraduate students from all the phases of MBBS course across the country from August 15, 2020, to October 15, 2020. Section I collected various demographic information, section II included GAD-7 questionnaire for assessing anxiety and section III had open- ended questions about their impending fear, uncertainties, and apprehensions. The data was expressed in percentage and association among the variables was determined using Chi-square test. Thematic analysis of the open-ended responses was done.

RESULTS

Among the sample of 1208 students, 81% were from urban areas. During the pandemic, 77% were residing with their parents and 71% parents having stable jobs. Eighty percent students had no relative diagnosed with COVID-19, whereas 52% students had family members with comorbidity. The GAP score showed mild, moderate, and severe anxiety in 27, 24, and 16% students, respectively. Anxiety was significantly associated with rural setting and with COVID-19 positive or comorbid family member ( < 0.05). Open ended responses revealed that majority of the students were finding it difficult to cope with the academic stress at home but still did not want to join back.

CONCLUSION

With such a high incidence of anxiety among medical students, it is pertinent to safeguard the mental health and implement efficient approaches to upkeep the scholastic, physical, emotional, and professional well-being of medical students during such vulnerable times.

摘要

背景

医学生由于课程负担过重而容易产生心理压力,在疫情期间受到不利影响的风险增加。本研究旨在使用广泛性焦虑障碍量表(GAD - 7)评估全国本科医学生的焦虑水平。

材料与方法

在这项在线调查中,于2020年8月15日至2020年10月15日通过谷歌表单从全国所有医学学士课程阶段的本科生中收集匿名数据。第一部分收集各种人口统计学信息,第二部分包括用于评估焦虑的GAD - 7问卷,第三部分有关于他们即将到来的恐惧、不确定性和担忧的开放式问题。数据以百分比表示,并使用卡方检验确定变量之间的关联。对开放式回答进行了主题分析。

结果

在1208名学生的样本中,81%来自城市地区。在疫情期间,77%与父母同住,71%的父母有稳定工作。80%的学生没有亲属被诊断出感染新冠病毒,而52%的学生有患有合并症的家庭成员。GAP评分显示分别有27%、24%和16%的学生存在轻度、中度和重度焦虑。焦虑与农村环境以及新冠病毒检测呈阳性或患有合并症的家庭成员显著相关(<0.05)。开放式回答显示,大多数学生发现难以应对家中的学业压力,但仍不想返校。

结论

鉴于医学生中焦虑发生率如此之高,在这种脆弱时期,保障医学生的心理健康并实施有效的方法来维护他们的学业、身体、情感和职业幸福感是很有必要的。

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