Medical Student, School of Medicine, University of Nottingham, B Floor, Medical School, Queen's Medical Centre, NG7 2UH, Nottingham, UK.
Medical Student, College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
BMC Med Educ. 2022 Nov 9;22(1):770. doi: 10.1186/s12909-022-03803-y.
BACKGROUND: The goal of this study was to identify the nature and extent of the available published research on the impact of social isolation, on the psychological wellbeing of medical students, who had to quarantine due to the COVID-19 pandemic. METHODS: Design. Scoping review. SEARCH STRATEGY: The PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews), guideline, was used to structure this study. A search strategy was carried out across six bibliographic databases. PubMed, Embase, ERIC, Scopus, Cochrane Database of Systematic Reviews and Web of Science. The following search terms were used, "medical student*" AND "impact" AND "quarantine" AND "COVID-19". Searches were initially confined to articles published (excluding conference abstracts) between 1 January 2019- 21 August 2021 but updated in September 2022 with the original search terms expanded to include "isolation" or "lockdown" as well as "quarantine" and the period of search extended to 21 August 2022. A search of secondary references was conducted. Data from the selected studies were extracted, and the following variables recorded; first author and year of publication, country of study, study design, sample size, participants, mode of analysing impact of quarantine from COVID-19 on mental health and results of the studies. RESULTS: A total of 223 articles were identified in the original search in 2021 and 387 articles, in the updated search in 2022. Following the exclusion of duplicates and application of the agreed inclusion and exclusion criteria, 31 full-text articles were identified for the final review, most of which were cross sectional studies. Sample sizes ranged from 13 to 4193 students and most studies used a variety of self-administered questionnaires to measure psychological wellbeing. Overall, 26 of the 31 articles showed that quarantine had a negative impact on the psychological well-being of medical students. However, two studies showed no impact, and three studies showed an improvement. CONCLUSION: The evidence is growing. Quarantine because of the COVID-19 pandemic may have had a negative impact on the psychological wellbeing of medical students, but this is not certain. There is therefore a need for more studies to further evaluate this research question.
背景：本研究的目的是确定已发表的关于因 COVID-19 大流行而隔离的医学生社会隔离对其心理健康影响的研究的性质和范围。
方法：设计。范围综述。
检索策略：采用 PRISMA-ScR（系统评价和荟萃分析扩展的首选报告项目）指南来组织本研究。在六个书目数据库中进行了检索策略。PubMed、Embase、ERIC、Scopus、Cochrane 系统评价数据库和 Web of Science。使用了以下搜索词：“医学生*”和“影响”和“隔离”和“COVID-19”。最初的搜索仅限于 2019 年 1 月 1 日至 2021 年 8 月 21 日发表的文章（不包括会议摘要），但在 2022 年 9 月更新时，原始搜索词扩展到包括“隔离”或“封锁”以及“隔离”，并将搜索时间延长至 2022 年 8 月 21 日。进行了二次参考文献的检索。从选定的研究中提取数据，并记录以下变量：第一作者和发表年份、研究国家、研究设计、样本量、参与者、分析 COVID-19 隔离对心理健康影响的模式以及研究结果。
结果：在 2021 年的原始搜索中，共确定了 223 篇文章，在 2022 年的更新搜索中，共确定了 387 篇文章。排除重复项并应用商定的纳入和排除标准后，确定了 31 篇全文文章进行最终审查，其中大多数为横断面研究。样本量范围从 13 到 4193 名学生，大多数研究使用各种自我管理问卷来衡量心理健康。总体而言，31 篇文章中的 26 篇表明隔离对医学生的心理健康有负面影响。然而，有两项研究表明没有影响，三项研究表明有所改善。
结论：证据越来越多。由于 COVID-19 大流行而进行的隔离可能对医学生的心理健康产生了负面影响，但这并不确定。因此，需要进一步开展更多研究来评估这个研究问题。
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