感知压力,耐力和自我护理行为在第一年医学学生
Alan Boyd1, Kyle Mealand1, Kathaleen Briggs Early1
1College of Osteopathic Medicine, Pacific Northwest University of Health Sciences, Yakima, WA, USA (AB, KM, KBE, EO).
医学学生在第一年面临的压力增加,体力活动减少,睡眠质量下降. 建议专注于身体活动和睡眠卫生的干预措施,以减轻医学教育中的压力.
科学领域:
- 医学教育 医学教育
- 学生福利 学生福利
- 心理压力 心理压力
背景情况:
- 医学学生报告的压力水平高于一般人群,可能导致倦怠和疾病.
- 在医疗培训中早期识别压力因素对于开发有效的管理策略至关重要.
- 压力影响可以持续从学术培训到临床实践.
研究的目的:
- 评估早期医学培训对第一年骨科医学学生的压力,坚,睡眠质量,体力活动和营养的影响.
- 确定影响医学院初始阶段感知压力的关键因素.
- 为提供有针对性的干预措施提供证据,以支持学生的福祉.
主要方法:
- 一组238名第一年骨科医学学生在学校的前两周内进行了调查,并在10周后再次进行了调查.
- 使用了经过验证的仪器:感知压力量表 (PSS),匹兹堡睡眠质量指数 (PSQI),戈丁-谢德休时间身体活动得分 (LTPA) 和参与者的快速进食评估 (REAP).
- 统计分析包括相关性和多变量线性回归来确定变量和压力预测因子之间的关系.
主要成果:
- 观察到感知压力 (∆PSS = 34.5%) 和睡眠质量差 (∆PSQI% = 19.9%) 的统计学显著增加.
- 显著降低了性 (∆grit = -2.2%) 和身体活动 (∆LTPA = -22.1%) 的情况.
- 睡眠质量差 (∆PSQI) 和体力活动减少 (∆LTPA) 是增加感知压力 (∆PSS) 的显著预测因素.
结论:
- 一年级医学培训与学生压力增加和睡眠质量降低,以及体力活动减少有关.
- 身体活动和睡眠质量是影响医学学生感知压力的关键可修改因素.
- 专注于体育活动和睡眠卫生的课程干预措施应在早期和反复实施,以支持学生的福祉.
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