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Avaliação da qualidade de vida do estudante de medicina e da influência exercida pela formação acadêmica

Bibliographic Data

ID5828023
AuthorsPatrícia Tempski Fiedler (corresponding author)
Year2008
Publication date2008-04-30
Peer ReviewedYes
Open AccessYes
TypeTHESIS
PublisherUniversidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER)
DOI10.11606/t.5.2008.tde-10072008-161825
OpenAlexW1489700342
LanguagePT
Citations received2
References cited5

Introduction: medical course has several factors that generate stress and can influence quality of life of medical students.It is necessary to know better these factors in order to improve the quality of life of students during the medical course.Objective: To study quality of life of medical students in Brazil and the factors that influence quality of life.Methods: the study was developed in two phases.In the first study a qualitative approach was used, with focus groups in six medical schools, with groups that were heterogeneous considering gender and year of medical school.Data obtained in the focus groups was used to develop a questionnaire to evaluate the quality of life of medical student (QOLMS) that was used in the second phase of the study.In the second phase of the study 800 medical students, from 75 medical schools in Brazil, that were present in a medical students meeting (Encontro Científico de Estudantes de Medicina), in 2004, were interviewed.They filled the following questionnaires: self-evaluation of quality of life, WHOQOL -bref, Epworth daytime sleepiness scale and QOLMS.Results: The score attributed to quality of life in medical course was significantly lower than the score attributed to quality of life in general, and was lower in female students and in the students from the third and forth years of medical course.These students had also lower scores in the psychological and social relationship domains of WHOQOL -bref, when compared to students from the other years.Many students presented high scores of daytime sleepiness (>10, 48.1%), and the percentage of female students with high scores of daytime sleepiness (54.9%) was higher than male students (42.5%, p = 0.002).The presence of daytime sleepiness was associated to lower scores of physical health, psychological and environment domains of WHOQOL -bref, considering all medical students.There were no significant differences between students from public and private medical schools concerning self-evaluation of quality of life, domains of WHOQOLbref and daytime sleepiness scores.In the QOLMS questionnaire it was shown that 45.4% medical students are not satisfied with medical course.They said that they did not enjoy life the way they wanted, did not have a healthy diet and did not take care of their health.Feelings of sadness and dissatisfaction with affective and sexual life were present, mainly in females and in students from the third and forth years.Factors that improve quality of life of medical students were the presence of a good supervision in practical activities, participation in projects of social development, good classes, good teachers and the contact with patients.Medial students from the fifth and sixty years have a better relationship with the teachers, see the medical course as very competitive and have better scores in the social relationships domain of WHOQOL -brief.The lack of free time to study, leisure, relationships and rest was considered a major factor in decreasing quality of life in medical course.Factor analysis of QOLMS showed that the following factors are important concerning quality of life in medical course: quality of life in general, management of time, social interaction, satisfaction with medical course, uncertainty concerning professional future and mental health.The group of medical students from the third and forth years showed the lowest scores of quality of life in medical course and in the domains of QOLMS, and these values were lower in females.Conclusion: In order to improve quality of life during medical course it is important to teach medical students how take care of their physical and mental health, establish and maintain relationships and develop resilience.It is also important to make changes in educational environment such as training of teachers, improvement in supervision of practical activities, offer opportunities of engagement in social projects and research and protected time to study, establish programs of health promotion and services of student support.Better learning environment results in an improvement of quality of life of students in medical course and allows the student to learn the medical profession without decreasing his/her physical and mental health

Focus group · Medical education · Medical school · Sociology · Healthcare professionals’ stress and burnout · Medicine · Occupational Health and Burnout · Psychology · Resilience and Mental Health · Gerontology

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Unique citing works2
Citations per year0,2
Citation span2016 - 2020 (5)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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