Tahir Sania Mumtaz, Imran Nazish, Haider Imran Ijaz, Mustafa Ali Burhan, Rehman Aqeeb Ur, Azeem Muhammad Waqar, Javed Afzal
Sania Mumtaz Tahir, MBBS. Post Graduate Resident, Academic Department of Psychiatry and Behavioral Sciences, King Edward Medical University/Mayo Hospital, Lahore, Pakistan.
Nazish Imran, MBBS; FRCPsych (London); MRCPsych (London); MHPE. Professor, Department of Child and Family Psychiatry, King Edward Medical University/Mayo Hospital, Lahore, Pakistan. Member World Psychiatric Association Presidential Working Group on Medical Students.
Pak J Med Sci. 2022 Sep-Oct;38(7):1730-1737. doi: 10.12669/pjms.38.7.6031.
BACKGROUND: Stressful situations are often linked with poor health and lifestyle behaviors (e.g., unhealthy diet, limited physical activity, poor sleep quality etc.). Subsequent to the nationwide lockdown in Pakistan due to COVID-19 pandemic, medical students experienced substantial lifestyle changes along with academic stresses. The goal of this study was to measure the impact that the COVID-19 lockdown had on lifestyle like sleep, physical activity and nutrition, substance abuse, dealing with finances, spirituality and family life, with respect to a sample of Pakistani medical students. METHODS: This cross- sectional online study involving 1100 medical students (68.7% females) from five medical colleges in Pakistan, used self-administered questionnaire to evaluate the impact of pandemic related restrictions on lifestyle of medical students in Pakistan from August- September 2020. Parameters such as physical activity, sleep, nutrition, smoking and substance abuse, family life, finances, internet use and spirituality were studied. RESULTS: Fifty-nine percent of medical students reported a significant effect of lockdown on their physical activity. Only 5.8% people clearly followed or adhered to a routine during the pandemic. About 54.6% students have found that physical activity and exercise significantly reduced their anxiety. More than half of respondents reported increase in screen time, weight gain and poor sleep with 3.1% of students stating an increased use of sleeping pills to fall asleep Another 18.3% students had an increased worry regarding COVID19 based on the information they received on internet. No significant increase in substance uses and alcohol use or family conflicts among students post pandemic was noted. CONCLUSION: Our findings underscore that COVID-19 pandemic has led to undesired changes in health and lifestyle habits of medical students, which may, to some extent, be responsible for higher negative impact. Hence it is important for medical colleges to start awareness campaigns to tackle challenges for medical students physical and emotional well-being.
背景：压力情境通常与健康状况不佳和不良生活方式行为（如不健康饮食、体育活动有限、睡眠质量差等）有关。在巴基斯坦因新冠疫情实施全国封锁之后，医科学生经历了生活方式的重大改变以及学业压力。本研究的目的是就巴基斯坦医科学生样本，衡量新冠疫情封锁对睡眠、体育活动、营养、药物滥用、财务处理、精神生活和家庭生活等生活方式的影响。 方法：这项横断面在线研究涉及来自巴基斯坦五所医学院的1100名医科学生（68.7%为女性），使用自填式问卷评估2020年8月至9月期间疫情相关限制对巴基斯坦医科学生生活方式的影响。研究了体育活动、睡眠、营养、吸烟和药物滥用、家庭生活、财务、互联网使用和精神生活等参数。 结果：59%的医科学生报告封锁对其体育活动有显著影响。在疫情期间，只有5.8%的人明确遵循或坚持某种日常作息。约54.6%的学生发现体育活动和锻炼显著减轻了他们的焦虑。超过一半的受访者报告屏幕使用时间增加、体重增加和睡眠质量差，3.1%的学生表示使用安眠药助眠的情况增多。另外，18.3%的学生基于在互联网上获取的信息，对新冠疫情的担忧增加。未发现疫情后学生药物使用、酒精使用或家庭冲突有显著增加。 结论：我们的研究结果强调，新冠疫情导致医科学生的健康和生活习惯出现了不良变化，这在一定程度上可能是造成更大负面影响的原因。因此，医学院开展提高认识活动以应对医科学生身心健康方面的挑战很重要。
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