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巴西医学生的睡眠医学与生物钟学教育

Sleep medicine and chronobiology education among Brazilian medical students.

作者信息

Novais Y C, Borges J, Ferreira-Moraes F A, Tamura E K

机构信息

Grupo de Pesquisa em Cronobiologia, Departamento de Ciências da Saúde, Universidade Estadual de Santa Cruz, Ilhéus, BA, Brasil.

出版信息

Braz J Med Biol Res. 2024 Dec 13;57:e14147. doi: 10.1590/1414-431X2024e14147. eCollection 2024.

DOI:10.1590/1414-431X2024e14147
PMID:39699376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11653483/
Abstract

Chronobiology and sleep medicine are pivotal disciplines for understanding human health. Additionally, the lack of training in medical schools exacerbates the underdiagnosis and undertreatment of sleep disorders. This study investigated the exposure of Brazilian medical students to chronobiology and sleep medicine during their undergraduate education and assessed their knowledge in these areas. The study was conducted between December 2021 and June 2022 through the administration of an online questionnaire (Google Forms) to medical students in the final two years of undergraduate studies. The questionnaire gathered student data (i.e., sex, age, and educational institution), research data (stage in the medical program with exposure to chronobiology or sleep medicine), and responses to a questionnaire on basic knowledge of sleep medicine and chronobiology (adapted from Assessing Sleep Knowledge in Medical Education - ASKME). A total of 240 students from medical schools in Brazil participated, 4.6% of whom reported no exposure to either subject, with exposure declining as students progressed through the curriculum. Only 3.7% reported specific disciplines covering these topics. Over half of the students encountered learning barriers, such as limited curriculum time. Despite these challenges, the accuracy rate in responses regarding chronobiology and sleep medicine was 79.75%, positively correlating with exposure level and knowledge retention. This study underscores the urgent need for enhanced education in sleep medicine and chronobiology within Brazilian medical schools. It offers insights into the current landscape of sleep medicine education in Brazil and lays groundwork for future efforts to integrate these essential subjects into medical school curricula.

摘要

时间生物学和睡眠医学是理解人类健康的关键学科。此外,医学院校缺乏相关培训加剧了睡眠障碍的诊断不足和治疗不足。本研究调查了巴西医学生在本科教育期间对时间生物学和睡眠医学的接触情况,并评估了他们在这些领域的知识水平。该研究于2021年12月至2022年6月期间进行,通过向本科最后两年的医学生发放在线问卷(谷歌表单)展开。问卷收集了学生数据(即性别、年龄和教育机构)、研究数据(医学课程中接触时间生物学或睡眠医学的阶段),以及对一份关于睡眠医学和时间生物学基础知识问卷的回答(改编自《医学教育中睡眠知识评估——ASKME》)。巴西医学院校共有240名学生参与,其中4.6%的学生表示未接触过这两个学科中的任何一个,且随着课程推进,接触机会减少。只有3.7%的学生报告有涵盖这些主题的特定学科。超过一半的学生遇到学习障碍,如课程时间有限。尽管存在这些挑战,但关于时间生物学和睡眠医学的回答准确率为79.75%,与接触水平和知识保留呈正相关。本研究强调巴西医学院校迫切需要加强睡眠医学和时间生物学教育。它深入了解了巴西睡眠医学教育的现状,并为未来将这些重要学科纳入医学院课程的努力奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ff/11653483/ac4a8b952c77/1414-431X-bjmbr-57-e14147-gf004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ff/11653483/ac08cac2a0a3/1414-431X-bjmbr-57-e14147-gf001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ff/11653483/994de0bc080b/1414-431X-bjmbr-57-e14147-gf002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ff/11653483/00798f59dae1/1414-431X-bjmbr-57-e14147-gf003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ff/11653483/ac4a8b952c77/1414-431X-bjmbr-57-e14147-gf004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ff/11653483/ac08cac2a0a3/1414-431X-bjmbr-57-e14147-gf001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ff/11653483/994de0bc080b/1414-431X-bjmbr-57-e14147-gf002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ff/11653483/00798f59dae1/1414-431X-bjmbr-57-e14147-gf003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58ff/11653483/ac4a8b952c77/1414-431X-bjmbr-57-e14147-gf004.jpg

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Sleep Sci. 2023 Sep 11;16(3):e300-e309. doi: 10.1055/s-0043-1772828. eCollection 2023 Sep.
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Sleep and circadian hygiene practices association with sleep quality among Brazilian adults.巴西成年人的睡眠及昼夜节律卫生习惯与睡眠质量的关联
Sleep Med X. 2023 Oct 7;6:100088. doi: 10.1016/j.sleepx.2023.100088. eCollection 2023 Dec 15.
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Familiarity of Brazilian psychologists with basic concepts in sleep science and chronobiology.
巴西心理学家对睡眠科学和时间生物学基本概念的熟悉程度。
Chronobiol Int. 2023 Aug;40(8):1072-1083. doi: 10.1080/07420528.2023.2250870. Epub 2023 Sep 4.
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Genetics of circadian rhythms and sleep in human health and disease.昼夜节律和睡眠的遗传学及其在人类健康和疾病中的作用。
Nat Rev Genet. 2023 Jan;24(1):4-20. doi: 10.1038/s41576-022-00519-z. Epub 2022 Aug 26.
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Sleep, Circadian Rhythmicity and Response to Chronotherapy in University Students: Tips from Chronobiology Practicals.大学生的睡眠、昼夜节律与时间疗法反应:时间生物学实践的小贴士
J Circadian Rhythms. 2021 Jan 21;19:1. doi: 10.5334/jcr.202.
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Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies.睡眠障碍作为自杀意念和行为的风险因素:纵向研究的荟萃分析。
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