Centre for Medical Education, School of Medicine, Cardiff University, Cardiff, United Kingdom.
College of Medicine and Dentistry, Fatima Memorial College Lahore, Lahore, Pakistan.
PLoS One. 2022 Oct 5;17(10):e0275319. doi: 10.1371/journal.pone.0275319. eCollection 2022.
Life satisfaction influences well-being. Medical students often experience more stress as compared to their counterparts in other disciplines as they are required to meet the demands of both academic workload and clinical responsibilities. However, during the current pandemic, in addition to academic changes, inability to complete clinical placements, loss of peer interaction and social connectedness and, deployment to areas in times of crisis could exacerbate their stress. This would impact their ability to cope with stress and eventually influence their life satisfaction. Students approach these challenges in various ways, either positively, religiously, or by avoiding. This study aimed to explore the association between resilience, coping mechanisms and life satisfaction in medical students during the pandemic.
A cross-sectional web-based survey was conducted from undergraduate medical students from year 1 to year 5. Three instruments were used to measure life satisfaction, resilience, and coping, namely The Brief Resilience Scale, The Satisfaction with Life Scale and the COPE inventory. Mean and standard deviation were calculated for all continuous variables. Robust linear regression model was used for analysis. Hierarchical (forward) stepwise model building technique was used for final model. Alpha cut off was kept at 0.05.
A total of 351 students (out of 500 students) completed the questionnaires. A moderately negative, slightly linear correlation between life satisfaction and avoidant coping was reported. Life satisfaction showed moderately positive, slightly linear correlation with resilience score. Three variables stayed significant in the final model: Resilience, avoidant coping, and religion coping.
Life satisfaction can be improved among medical students by focusing on strategies which enhance resilience. Religion is identified as a significant coping strategy among medical students. Students coping mechanism can vary and more research is needed to assess which types of coping strategies could contribute positively to the quality of their personal and professional lives.
生活满意度会影响幸福感。与其他学科的学生相比，医学生通常承受着更大的压力，因为他们既要完成学业任务，又要承担临床责任。然而，在当前的大流行期间，除了学术上的变化，无法完成临床实习、失去同伴互动和社交联系，以及在危机时期被部署到某些地区，这些都可能加剧他们的压力。这将影响他们应对压力的能力，最终影响他们的生活满意度。学生以各种方式应对这些挑战，无论是积极的、宗教的还是回避的。本研究旨在探讨大流行期间医学生的韧性、应对机制和生活满意度之间的关系。
采用横断面网络问卷调查的方式，对 1 至 5 年级的本科医学生进行调查。使用三种工具来衡量生活满意度、韧性和应对方式，即《简要韧性量表》、《生活满意度量表》和《应对方式量表》。对所有连续变量进行均值和标准差计算。采用稳健线性回归模型进行分析。采用分层（向前）逐步模型构建技术建立最终模型。α 值截取值设为 0.05。
共有 351 名学生（500 名学生中）完成了问卷。生活满意度与回避应对之间呈中度负相关，略有线性关系。生活满意度与韧性评分呈中度正相关，略有线性关系。最终模型中仍有三个变量具有统计学意义：韧性、回避应对和宗教应对。
通过关注增强韧性的策略，可以提高医学生的生活满意度。宗教被确定为医学生的一种重要应对策略。学生的应对机制可能会有所不同，需要更多的研究来评估哪种应对策略可以积极促进他们的个人和职业生活质量。
