Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia.
Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia.
Int J Environ Res Public Health. 2022 Oct 11;19(20):13010. doi: 10.3390/ijerph192013010.
This study aimed to determine the prevalence of anxiety and burnout, and the coping mechanisms among clinical year undergraduate medical students in Universiti Kebangsaan Malaysia (UKM) during the coronavirus disease 2019 (COVID-19) pandemic. In total, 378 clinical year undergraduate medical students in UKM participated in this cross-sectional study from May to July 2021. A self-administered questionnaire consisting of questions on the participant's sociodemographic data and items from the DASS-21, CBI, and Brief-COPE was distributed. Chi-square and Spearman's correlation tests were used to calculate the correlation coefficient between both anxiety and burnout, and coping mechanisms. The prevalence of anxiety and burnout were 44.2% and 22.2%, respectively. There was a significant difference in the percentage of students with extremely severe anxiety in the presence and absence of burnout, 23.8% vs. 4.8% ( < 0.001). Among the three coping mechanisms, avoidant coping had a significant positive moderate correlation with both the presence of anxiety ( = 0.3966, < 0.001) and the presence of burnout ( = 0.341, < 0.001). Meanwhile, coping that was neither approach nor avoidant had a positive weak correlation with the presence of burnout ( = 0.176, = 0.001). The prevalence of anxiety and burnout was concerning. Increased anxiety and burnout among students may negatively impact aspects of their personal, professional, and academic lives. Early recognition and preventive measures should be emphasised to prevent negative ramifications.
本研究旨在确定在 2019 年冠状病毒病（COVID-19）大流行期间，马来西亚国民大学（UKM）临床学年医学生中焦虑和倦怠的流行率，以及应对机制。共有 378 名 UKM 的临床学年医学生参加了这项横断面研究，研究时间为 2021 年 5 月至 7 月。研究采用自填式问卷，内容包括参与者的社会人口统计学数据以及 DASS-21、CBI 和 Brief-COPE 的项目。采用卡方检验和斯皮尔曼相关系数检验来计算焦虑和倦怠与应对机制之间的相关系数。焦虑和倦怠的患病率分别为 44.2%和 22.2%。存在和不存在倦怠的学生中，极度严重焦虑的比例存在显著差异，分别为 23.8%和 4.8%（<0.001）。在三种应对机制中，回避应对与焦虑的存在（=0.3966，<0.001）和倦怠的存在（=0.341，<0.001）均呈显著正中度相关。同时，非回避的应对方式与倦怠的存在呈正弱相关（=0.176，=0.001）。焦虑和倦怠的患病率令人担忧。学生中焦虑和倦怠的增加可能会对他们的个人、专业和学术生活产生负面影响。应强调早期识别和预防措施，以防止产生负面影响。
