Thomas K Roma, Reddy B Venkatashiva
MBBS, Department of Community Medicine, NRI Medical College and General Hospital, Guntur, Andhra Pradesh, India.
Department of Community and Family Medicine, All India Institute of Medical Sciences Mangalagiri, Andhra Pradesh, India.
J Educ Health Promot. 2023 Nov 27;12:390. doi: 10.4103/jehp.jehp_321_23. eCollection 2023.
The psychological state of medical students gaining concern on the part of medical institutions in several countries. Numerous studies are being conducted to study stress, burnout, and depression in medical students in India and globally. However, little is known about medical student resilience, particularly in India. The objectives of this study were to study the resilience, self-perceptions of stress coping skills, and burnout among medical students in clinical training in a tertiary care health center, to study factors associated with resilience among medical students in clinical training in a tertiary care health center and to study the relationship between resilience and self-perceptions of stress coping skills and symptoms of burnout.
This cross-sectional study was conducted in a tertiary healthcare hospital in district Guntur, Andhra Pradesh from November 2020 to December 2020, among 186 adult male and female medical students, aged more than 20 years, enrolled in the regular degree course and part of patient care or at least last three months. Participants were randomly selected and a structured questionnaire with Connor Davidson Resilience Scale 10 was used for interviewing. Descriptive and inferential statistics were conducted to measure associations between outcome and explanatory variables. We used multiple linear regression to examine the association between dependent and independent variables. A value less than. 05 was considered significant.
In the present study, 109 (58.0%) were females. The mean age of the study participants was 25.4 years (standard deviation 2.78). The mean score resilience score of the study participants using Connor Davidson Resilience Scale 10 was 25.1 (standard deviation 7.97). Of the total 44 (23.7%) of the study, participants reported the presence of burnout. A significant positive correlation was between resilience and self-perceptions of stress-coping skills with a Pearson Correlation coefficient of 0.393. Among the study participants, the mean resilience score was higher among those not having any symptoms of burnout. In the hierarchical stepwise multiple linear regression analysis, male gender ( value = .014), financial independence ( value = .044), and absence of burnout symptoms ( value = .004) were significantly associated with higher resilience scores. Psychiatric medicine usage was significantly associated with a lower resilience score with < .05.
Our study samples had higher resilience and lower burnout prevalence compared to the West. The stressful clinical event experienced by medical students demands training and innovative strategies to foster communication and teamwork skills among medical teams.
医学生的心理状态在多个国家受到医疗机构的关注。印度和全球范围内正在进行大量研究，以探讨医学生的压力、职业倦怠和抑郁情况。然而，对于医学生的心理韧性，尤其是在印度，人们了解甚少。本研究的目的是研究三级医疗保健中心临床培训中医学生的心理韧性、对应激技能的自我认知和职业倦怠情况；研究三级医疗保健中心临床培训中医学生心理韧性的相关因素；研究心理韧性与对应激技能的自我认知以及职业倦怠症状之间的关系。
本横断面研究于2020年11月至2020年12月在安得拉邦贡图尔区的一家三级医疗医院进行，研究对象为186名年龄超过20岁、参加正规学位课程且参与患者护理至少三个月的成年男女医学生。参与者通过随机抽样选取，并使用包含康纳 - 戴维森心理韧性量表10的结构化问卷进行访谈。进行描述性和推断性统计以测量结果变量与解释变量之间的关联。我们使用多元线性回归来检验因变量和自变量之间的关联。P值小于0.05被认为具有统计学意义。
在本研究中，109名（58.0%）为女性。研究参与者的平均年龄为25.4岁（标准差2.78）。使用康纳 - 戴维森心理韧性量表10，研究参与者的平均心理韧性得分为25.1（标准差7.97）。在总共44名（23.7%）的研究参与者中，报告存在职业倦怠。心理韧性与对应激技能的自我认知之间存在显著正相关，皮尔逊相关系数为0.393。在研究参与者中，没有任何职业倦怠症状的人平均心理韧性得分更高。在分层逐步多元线性回归分析中，男性（P值 = 0.014）、经济独立（P值 = 0.044）以及没有职业倦怠症状（P值 = 0.004）与较高的心理韧性得分显著相关。使用精神科药物与较低的心理韧性得分显著相关，P < 0.05。
与西方相比，我们的研究样本具有更高的心理韧性和更低的职业倦怠患病率。医学生所经历的压力性临床事件需要培训和创新策略，以培养医疗团队之间的沟通和团队合作技能。
