理疗学生在客观结构化临床考试不同情境下的自主应激反应。
Autonomic stress response of physiotherapy student in the different scenarios of an objective structured clinical examination.
机构信息
Faculty of Sport Sciences, Universidad Europea de Madrid, Tajo street, s/n, Madrid, 28670, Villaviciosa de Odón, Spain.
出版信息
BMC Med Educ. 2022 Nov 24;22(1):811. doi: 10.1186/s12909-022-03903-9.
Abstract
The aim of the present research was to analyse modifications in the autonomic stress response of Physiotherapy students undergoing a 12-scenario Objective Structured Clinical Evaluation (OSCE). A total of 86 last year students of the Physiotherapy bachelor's degree (27.29 years (SD = 6.66); 36 females and 50 males) randomly assigned were monitored during the complete OSCE to measure heart rate variability (HRV) in temporal, frequency, and non-linear domains. The HRV analysed showed a large anticipatory stress response of students maintained during the entire evaluation. The stress response varied regarding OSCE station complexity and demands and the highest sympathetic response was not found in higher emotional scenarios.The autonomic modulation monitoring allows teachers to design OSCE scenarios more adapted to the students, limiting the effect of the stress response to allow a better performance.
摘要
本研究旨在分析接受 12 项客观结构化临床评估 (OSCE) 的物理治疗专业学生自主应激反应的变化。共监测了 86 名物理治疗本科专业的应届毕业生（27.29 岁（SD=6.66）；女性 36 名，男性 50 名），以测量时间、频率和非线性域中的心率变异性 (HRV)。分析表明，学生在整个评估过程中保持了较大的预期应激反应。应激反应因 OSCE 站的复杂性和要求而异，在情绪较高的场景中并未发现最高的交感神经反应。自主调节监测使教师能够设计更适应学生的 OSCE 场景，限制应激反应的影响，以提高学生的表现。
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