Antoniadou Maria, Manta Georgia, Kanellopoulou Antonia, Kalogerakou Theodora, Satta Alessandra, Mangoulia Polyxeni
Department of Dentistry, School of Health Sciences, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Certified Systemic Analyst Program (CSAP), Systemic Management, University of Piraeus, 18435 Piraeus, Greece.
Healthcare (Basel). 2024 Dec 13;12(24):2522. doi: 10.3390/healthcare12242522.
Stress is a common concern among healthcare students, due to the demands of their coursework and the elevated expectations they face. Especially among dentistry and nursing students, the phenomenon, although well-documented, covers psychosocial and physiological dimensions, with somatization symptoms being less explored. These manifestations are crucial to identify discipline-specific stressors and health impacts that can lead to targeted interventions for both disciplines.
This study investigates stress perceptions, somatization, and coping strategies among 271 nursing and dentistry students at the National and Kapodistrian University of Athens.
An e-questionnaire was open for submissions during February and March 2024.
Females reported higher stress somatization (M = 10.22, SD = 5.23) than males (M = 7.94, SD = 6.14; Cohen's d = 0.412, < 0.05). The interpretation of stress as "restlessness and psychological pressure" was more prevalent in dentistry students compared to nursing students. Moreover, nursing students who perceived stress as the "inability to manage unexpected or difficult situations, insecurity, panic" were more likely to experience stress somatization symptoms, while for dentistry students, stress somatization was related to "pressure to meet daily obligations/long-term goals". Physical symptoms for all students included chest discomfort, digestive issues, and headaches/nausea. Also, dentistry students reported more teeth clenching or grinding than nursing students. Short-term coping strategies included emotional balance, managing stressors, situation analysis, and breathing techniques. Long-term strategies involved distraction and entertainment, physical exercise, and patience. A higher willingness to seek coaching support correlated with higher stress somatization among dental students. Nursing students favored psychological support, while dentistry students suggested curriculum revision and improved infrastructure.
DISCUSSION/CONCLUSIONS: Females exhibited higher stress somatization levels, with themes of insecurity and physical symptoms. Nursing students reported higher somatization linked to insecurity, while dental students associated stress with daily obligations and goals. The study highlights the need for improved support systems, flexible academic procedures, and better communication to address stress in healthcare academia.
由于课程作业的要求以及面临的更高期望，压力是医学生普遍关注的问题。尤其是在牙科和护理专业的学生中，这种现象虽然有充分的文献记载，但涵盖了心理社会和生理层面，躯体化症状的研究较少。识别这些表现对于确定特定学科的压力源和健康影响至关重要，这可以为两个学科带来有针对性的干预措施。
本研究调查了雅典国立与卡波迪斯特里亚大学271名护理和牙科专业学生的压力认知、躯体化和应对策略。
2024年2月和3月期间开放电子问卷以供提交。
女性报告的压力躯体化程度（M = 10.22，SD = 5.23）高于男性（M = 7.94，SD = 6.14；科恩d值 = 0.412，<0.05）。与护理专业学生相比，牙科专业学生将压力解释为“坐立不安和心理压力”更为普遍。此外，将压力视为“无法处理意外或困难情况、不安全感、恐慌”的护理专业学生更有可能出现压力躯体化症状，而对于牙科专业学生来说，压力躯体化与“履行日常义务/长期目标的压力”有关。所有学生的身体症状包括胸部不适、消化问题以及头痛/恶心。此外，牙科专业学生报告的咬牙或磨牙情况比护理专业学生更多。短期应对策略包括情绪平衡、管理压力源、情况分析和呼吸技巧。长期策略包括分散注意力和娱乐、体育锻炼以及耐心。寻求辅导支持的意愿较高与牙科专业学生较高的压力躯体化程度相关。护理专业学生倾向于心理支持，而牙科专业学生建议修订课程和改善基础设施。
讨论/结论：女性表现出更高的压力躯体化水平，存在不安全感和身体症状等主题。护理专业学生报告的与不安全感相关的躯体化程度更高，而牙科专业学生将压力与日常义务和目标联系起来。该研究强调需要改进支持系统、灵活的学术程序以及更好的沟通，以应对医学教育领域的压力。
