评估新冠疫情期间卫生专业研究生的心理韧性和痛苦程度。

Assessing Psychological Resilience and Distress Among Graduate Health Profession Students During the COVID-19 Pandemic.

作者信息

Clark Shane, Loe Emily, Merlo Lisa J, Estores Irene M

机构信息

Internal Medicine-Pediatrics Program, , Durham, NC, USADuke University.

Pediatrics-Psychiatry-Child Psychiatry Program, , Providence, Rhode IslandBrown University.

出版信息

Glob Adv Integr Med Health. 2023 Jun 23;12:27536130231185072. doi: 10.1177/27536130231185072. eCollection 2023 Jan-Dec.

Abstract

BACKGROUND

Resilience, a person's ability to adapt to adverse events, is associated with positive outcomes, especially in the field of healthcare. Research into the effects of the COVID-19 pandemic may help to understand and combat the long-term mental health burden for trainees in health care.

OBJECTIVE

This cross-sectional study aimed to assess the impact of the pandemic on health profession students' educational experiences, determine the association between their self-reported resilience and psychological distress and assess group differences between students from different graduate health profession programs in an academic medical center.

METHODS

Graduate health profession students completed a 44-question online survey and the 10-item Connor Davidson Resilience Scale (CD-RISC-10) during the COVID-19 pandemic period between January-March 2021. We used descriptive statistics, independent samples test, Related-samples Wilcoxon signed rank test, Pearson correlations test and Analysis of variance (ANOVA) to analyze the data.

RESULTS

Majority of respondents reported that COVID-19 had a negative impact on their education and caused a reduction in educational opportunities (76.6% and 73% respectively). Majority also reported feeling burned out, lonely/isolated, or frustrated by COVID-19 restrictions (70.0%, 67.4%, and 61.8% respectively). Students reported increased use of both avoidant and adaptive coping strategies during the pandemic. Higher resilience scores were associated with higher self-reported stress, fewer burnout symptoms, and better overall well-being.

CONCLUSION

The COVID-19 pandemic significantly affected students in graduate health profession programs. Instructional quality, educational opportunities, institutional trust, peer socialization, and personal health and wellbeing were perceived to be negatively impacted. Students may require additional support and resources from their training programs to mitigate these concerns. Future studies should evaluate the long-term impact of the COVID-19 pandemic among pandemic-era graduate health profession students.

摘要

背景

心理韧性是指一个人适应不良事件的能力,与积极结果相关,尤其是在医疗保健领域。对新冠疫情影响的研究可能有助于理解和应对医疗保健专业学员的长期心理健康负担。

目的

这项横断面研究旨在评估疫情对卫生专业学生教育经历的影响,确定他们自我报告的心理韧性与心理困扰之间的关联,并评估学术医疗中心不同研究生卫生专业项目学生之间的群体差异。

方法

2021年1月至3月新冠疫情期间,研究生卫生专业学生完成了一项包含44个问题的在线调查以及10项康纳·戴维森心理韧性量表(CD-RISC-10)。我们使用描述性统计、独立样本t检验、相关样本威尔科克森符号秩检验、皮尔逊相关性检验和方差分析(ANOVA)来分析数据。

结果

大多数受访者表示,新冠疫情对他们的教育产生了负面影响,并导致教育机会减少(分别为76.6%和73%)。大多数人还表示因新冠疫情限制而感到倦怠、孤独/孤立或沮丧(分别为70.0%、67.4%和61.8%)。学生们报告在疫情期间更多地使用了回避和适应性应对策略。心理韧性得分越高,自我报告的压力越高、倦怠症状越少、总体幸福感越好。

结论

新冠疫情对研究生卫生专业项目的学生产生了重大影响。教学质量、教育机会、机构信任、同伴社交以及个人健康和幸福感被认为受到了负面影响。学生可能需要其培训项目提供额外的支持和资源来缓解这些问题。未来的研究应评估新冠疫情对疫情时期研究生卫生专业学生的长期影响。

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