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不同口腔医学专业临床训练的牙科学生所经历的压力:一项横断面研究。

Stress experienced by dental students performing clinical training in different dental disciplines: a cross-sectional study.

机构信息

Department of Fixed and Removable Prosthodontics, School of Dentistry, The University of Jordan, Queen Rania Street, Amman 11942, Jordan.

School of Dentistry, The University of Jordan, Queen Rania Street, Amman 11942, Jordan.

出版信息

J Occup Health. 2024 Jan 4;66(1). doi: 10.1093/joccuh/uiae006.

DOI:10.1093/joccuh/uiae006
PMID:38348494
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10899752/
Abstract

OBJECTIVES

To assess the stress level, the impact of stress factors, and discrepancies between fourth- and fifth-year undergraduate clinical students at the University of Jordan.

METHODS

A cross-sectional study was conducted in the academic year 2022/2023. The study group included fourth- and fifth-year dental students at the University of Jordan (n = 382) who were asked to voluntarily fill in an online dental environment stress (DES) questionnaire. Analysis was conducted using Mann-Whitney U test, independent t-test, χ2 test, and Spearman ρ rank correlations. Statistical significance was inferred when P < .05.

RESULTS

Fourth-year students reported higher levels of nervousness before treating patients for the first time. Fifth-year students faced more difficulty, higher stress, and/or fear regarding the amount of assigned work, provided treatment, completed requirements, failing the course, time to finish assignments, patient comprehensive care, and financial expenses of the course. Comparison between groups revealed that the fifth-year students scored higher levels of stress on the total DES score and all partial DES scores. Furthermore, the total DES questionnaire scores were significantly correlated with grade point average (GPA) among the total study sample and the prosthodontics clinical course marks among the fourth-year students' group.

CONCLUSIONS

The stress level among students in clinical courses was influenced by their academic performance, gender, year level, and the type and time needed for the provided treatment. Completing course requirements was among the most commonly faced stressors. Future research endeavors might be considered to study each clinical factor, its impact on students' stress level, and how to manage and positively improve these factors.

摘要

目的

评估约旦大学四年级和五年级临床医学本科生的压力水平、压力因素的影响以及两者之间的差异。

方法

本研究采用横断面研究方法,于 2022/2023 学年进行。研究对象为约旦大学牙科学四年级和五年级的学生(n=382),他们被要求自愿填写在线牙科环境应激(DES)问卷。采用 Mann-Whitney U 检验、独立 t 检验、χ2 检验和 Spearman ρ 秩相关分析进行分析。当 P<0.05 时,推断统计学意义。

结果

四年级学生在首次治疗患者前报告了更高水平的紧张感。五年级学生在完成分配的工作量、提供治疗、完成要求、课程不及格、完成任务的时间、患者全面护理以及课程的财务费用方面面临更大的困难、更高的压力和/或恐惧。组间比较显示,五年级学生在 DES 总分和所有部分 DES 评分上的得分更高。此外,DES 总问卷评分与总研究样本的平均绩点(GPA)以及四年级学生的修复临床课程成绩显著相关。

结论

临床课程学生的压力水平受到其学业成绩、性别、年级以及提供治疗的类型和所需时间的影响。完成课程要求是最常见的压力源之一。未来的研究工作可以考虑研究每个临床因素对学生压力水平的影响,以及如何管理和积极改善这些因素。

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J Family Med Prim Care. 2022 Nov;11(11):6726-6730. doi: 10.4103/jfmpc.jfmpc_1761_21. Epub 2022 Dec 16.
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Evaluation of stress among dental undergraduates and postgraduates using salivary cortisol as a biomarker.以唾液皮质醇作为生物标志物评估牙科本科生和研究生的压力。
Indian J Dent Res. 2022 Jul-Sep;33(3):263-266. doi: 10.4103/ijdr.ijdr_498_21.
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New psychometric evidences on the Dental Environment Stress questionnaire among Romanian students.罗马尼亚学生中牙科环境压力问卷的新心理测量学证据。
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