کیفیت زندگی وابسته به محیط زندگی دانشجویان پزشکی و دندان‌پزشکی و ارتباط آن با استرس

نوع مقاله : مقاله‌های پژوهشی

چکیده

مقدمه: هدف از این مطالعه، بررسی نمره‌ی کیفیت زندگی و استرس، ارتباط بین این دو و عوامل مؤثر بر آن‌ها در دانشجویان پزشکی و دندان‌پزشکی دانشگاه علوم پزشکی اصفهان می‌باشد.
مواد و روش‌ها: این مطالعه‌ی توصیفی- تحلیلی بر روی 235 نفر از دانشجویان دندان‌پزشکی و 488 نفر از دانشجویان پزشکی دانشگاه علوم پزشکی اصفهان از فروردین تا تیرماه ۱۳۹۸ انجام شده است. در این مطالعه، 24 آیتم کیفیت جسمی، کیفیت روانی، کیفیت اجتماعی، کیفیت محیطی و 2 آیتم سلامت عمومی مربوط به کیفیت زندگی و 14 آیتم مربوط به سطح استرس ادراک شده با پرسش‌نامه‌ی الکترونیک WHOQOL-Bref بررسی گردید. اطلاعات پس از جمع‌آوری با آزمون‌های ANOVA، t-test و ضرایب همبستگی و همچنین آزمون رگرسیون خطی آنالیز شد (0/05 = α).
یافته‌ها: میانگین کیفیت زندگی کل 1/14 ± 5/78 (120-26) و میانگین استرس 2/7 ± 6/27 (56-10) بود. در هر دو رشته، رابطه‌ی معنی‌دار و معکوس بین  کیفیت زندگی و استرس کل دیده شد (78/0- = r، 001/0 > p value). در دانشجویان دندان‌پزشکی، نمرات کل و چهار حیطه به طور معنی‌داری بالاتر و استرس، بطور معنی‌داری پایین‌تر از دانشجویان پزشکی بود. در هر دو رشته، بطور معنی‌داری میزان استرس در خانم‌ها بیشتر از آقایان بود (0/03 = p value). بر اساس سال تحصیلی، در دانشجویان پزشکی، میانگین نمره‌ی کیفیت زندگی کل (0/04 = p value) و نمرات کیفیت جسمی (0/001 > p value) و کیفیت روانی (0/07 = p value) تفاوت معنی‌دار داشت و هر چه سال تحصیلی بالاتر رفته، نمره‌ی کیفیت زندگی پایین‌تر آمده است.
نتیجه‌گیری: بین کیفیت زندگی و سطح استرس، ارتباط معنی‌دار و معکوس وجود داشت. سطح استرس در خانم‌ها، همچنین در دانشجویان پزشکی نسبت به دانشجویان دندان‌پزشکی بیشتر بود. نمره‌ی کیفیت زندگی و افزایش سال تحصیلی، ارتباط معکوس داشتند.
کلید واژه‌ها: کیفیت زندگی، استرس روحی، دانشجویان پزشکی، دانشجویان دندان‌پزشکی.

عنوان مقاله [English]

Quality of Life Related to Environment of Dental and Medical Student’s Life and Its Correlation with Stress

چکیده [English]

Introduction: The purpose of this study was to investigate the quality of life (QOL) score based on stress scale, the relationship between the two and their influencing factors in medical and dental students of Isfahan University of Medical Sciences.
Materials and Methods: This cross sectional study was carried out on 235 dental students and 488 medical students between April-June 2020. In this study 24 items of physical quality, psychological quality, social quality, environmental quality and 2 general health items related to quality of life and 14 items related to stress level were assessed using the electronic questionnaire of WHOQOL-BREF. The collected data was fed into SPSS and analyzed by ANOVA, T-test, correlation coefficients and linear regression test (α = 0.05).
Results: The mean for total quality of life was 78.5 ± 14.1 (26-120) and 27.6 ± 7.2 (10-56), respectively. In both professions, the relationship between QOL and total stress showed a significant and inverse relationship (p value < 0.001, r = -0.78). In dental students, four domains and the total score were significantly higher and stress levels were significantly lower compared to medical students. In both professions, women had significantly higher levels of stress than men (p value = 0.03). Based on academic year, in medical students mean for total QOL scores (p value = 0.04), physical (p value < 0.001) and emotional quality (p value = 0.07) were significantly different and while the academic year increased, the QOL scores decreased.
Conclusion: There is a significant and inverse relationship between QOL and stress level. The level of stress in females is higher than in males and also in medical students than in dental students. The score of quality of life and academic year were inversely correlated.
Key word: Quality of life, Psychological stressor, Dental students, Medical students.

1. Fairclough DL. Design and analysis of quality of life studies in clinical trials. 2nd ed. New York, NY: Chapman and Hall; 2010. p. 4-15.
2. Rakizadeh E, Hafezi F. Sense of coherence as a predictor of quality of life among Iranian students living in Ahvaz. Oman Med J 2015; 30(6): 447-54.
3. Bohnke P. Does society matter? Life satisfaction in the enlarged Europe. Soc Indic Res 2007; 87(2): 189-210.
4. World Health Organization. Division of mental health and prevention of substance abuse. WHOQOL: Measuring quality of life. Geneva, Switzerland: World Health Organization; 1997.
5. Elani HW, Allison PJ, Kumar RA, Mancini L, Lambrou A, Bedos C. A Systematic review of stress in dental student. J Dent Educ 2013; 78(2): 226-42.
6. Alzahem AM, van der Molen HT, Alaujan AH, Schmidt HG, Zamakhshary MH. Stress amongst dental student: a systematic review. Eur J Dent Educ 2011; 15(1): 8-18.
7. Alzahem Am, van der Molen HT, Alaujan AH, de Boer BJ. Stress management in dental students: A systematic review. Adv Med Educ Pract 2014; 5: 167-76.
8. Galan F, Rios-Santos JV, Polo J, Rios-Carrasco B, Bullon P. Burenout, depression and suicidal ideation in dental student. Med Oral Patol Oral Cir Bacul 2014; 19(3): e206-11.
9. Muirhead V, Locker D. Canadian dental students' perceptions of stress and social support. Eur J Dent Educ 2008; 12(3): 144-8.
10. Jurkat H, Höfer S, Richter L, Cramer M, Vetter A. Quality of life, stress management, and health promotion in medical and dental students: a comparative study. Dtsch Med Wochenschr 2011; 136(23): 1245-50. [In German].
11. Gorter RC, Freeman R. Burnout and engagement in relation with job demands and resources among dental staff in Northern Ireland. Community Dent Oral Epidemiol 2011; 39(1): 87-95.
12. World Health Organization. Quality of life group: Measuring quality of life; development of the World Health Organization Quality of Life Instrument (WHOQOL); 1992.
13. Nedjat S, Montazeri A, Holakouie K, Mohammad K, Majdzadeh R. Psychometric properties of the Iranian interview-administered version of the World Health Organization's Quality of Life Questionnaire (WHOQOL-BREF): a population-based study. BMC Health Serv Res 2008; 8: 61.
14. World Health Organization's Quality of Life group: WHOQOLBREF Introduction, Administration and Scoring, Field Trial version; 1996.
15. Quick KK. A humanistic environment for dental schools: what are dental students experiencing? J Dent Educ 2014; 78(12): 1629-35.
16. Çiçek G. Quality of life and physical activity among university students. Universal J Edu Research 2018; 6(6): 1141-8.
17. Naseem S, Orooj F, Ghazanfar H, Ghazanfar A. Quality of life of Pakistani medical students studying in a private institution. J Pak Med Assoc 2016; 66(5): 579-83.
18. Safaei M, Shokri O. Assessing stress in cancer patients: Factorial validity of the perceived stress scale in Iran. IJPN 2014; 2(1): 13-22.
19. Gan GG, Ling HY. Anxiety, depression and quality of life of medical students in Malaysia. Med J Malaysia 2019; 74(1): 57-61.
20. Messina G, Quercioli C, Troiano G, Russo C, Barbini E, Nistico F, et al. Italian medical students quality of life: years 2005-2015. Ann Ig 2016; 28(4): 245-51.
21. Neveu D, Doron J, Visier L, Boiche´ J, Trouillet R, Dujols P, et al. Students perceived stress in academic programs: Consequences for its management. Rev Epidemiol Sante Publique 2012; 60(4): 255-64.
22. Aboalshamat KH, Hou X, Strod E. Psychological well-being status among medical and dental students in Makkah, Saudi Arabia: A cross-sectional study. Med Teach 2015; 37(Suppl 1): S75-81.
23. Ayala EE, Winseman JS, Johnsen RY, Mason HR. U.S. medical students who engage in self-care report less stress and higher quality of life. BMC Med Educ 2018; 18(1): 189.
24. Zhang Y, Qu B, Lun S, Wang D, Guo Y, Liu L. Quality of life of medical students in China: A study using the WHOQOL-BREF. PLoS One 2012; 7(11): e49714.
25. Heidari M, Majdzadeh R, Pasalar P, Nedjat S. Quality of life of medical students in Tehran University of Medical Sciences. Acta Med Iran 2014; 52(5): 390-9.
26. Andre A, Pierre GC, McAndrew M. Quality of life among dental students: A survey study. J Dent Educ 2017; 16(1): 35-42.
27. Henning K, Ey S, Shaw D. Perfectionism, the imposter phenomenon, and psychological adjustment in medical, dental, nursing, and pharmacy students. Med Educ 1998; 32(5): 456-64.
28. Thoits PA. Multiple identities: examining gender and marital status differences in distress. Am Sociol Rev1986; 51(2): 259-72.
29. Musser LA, Lioyd C. The relationship of marital status and living arrangement to stress among dental students. J Dent Educ 1985; 49(8): 573-8.