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医学生与健康相关的生活质量——一项比较研究。

Medical students' health-related quality of life--a comparative study.

作者信息

Latas Milan, Stojković Tihomir, Ralić Tijana, Jovanović Svetlana, Spirić Zeljko, Milovanović Srdan

出版信息

Vojnosanit Pregl. 2014 Aug;71(8):751-6. doi: 10.2298/vsp1408751l.

Abstract

BACKGROUND/AIM: Previous studies on medical students' subjective perception of health and health-related quality of life (HRQoL) showed inconclusive results. Moreover, there are no published studies to compare HRQoL of medical students to non-medical university students. The aim of the study was to assess subjective perception of health-related quality of life (HRQoL) in medical students' sample, to compare it with non-medical university students and to ascertain predictors of better perception of HRQoL in medical students.

METHODS

Scores of all domains on the Mental and Physical Component Summary subscales and total score of the Short Form Health Survey (SF-36), used for assessment of HRQoL in samples of 561 medical and 332 non-medical university students were assessed and compared. In addition, linear regression to identify predictors of better perception of mental and physical components of HRQoL and overall HRQoL in the sample of medical students was used. The dependant variables were subscores and total score with the SF-36, and independent variables were certain sociodemographic and academic characteristics of the students.

RESULTS

Medical students had statistically significantly higher scores on the Mental Component Summary and total SF-36 score compared to non-medical students. Linear regression analysis demonstrated that higher scores of Physical Component Summary were associated with age, male sex and the year of studies. The Mental Component Summary were associated with age, male sex, the year of studies and marital status. The total SF-36 score was associated with age, male sex and the year of studies.

CONCLUSION

Medical students perceive their health much better than other university students do, but female, older and second grade medical students have worse perception of their HRQoL. Those points should be potential target areas for specific prevention and treatment in order to achieve better HRQoL.

摘要

背景/目的:先前关于医学生对健康的主观认知以及健康相关生活质量(HRQoL)的研究结果尚无定论。此外,尚无已发表的研究将医学生的健康相关生活质量与非医科大学生进行比较。本研究的目的是评估医学生样本中与健康相关生活质量(HRQoL)的主观认知,将其与非医科大学生进行比较,并确定医学生中对HRQoL有更好认知的预测因素。

方法

对561名医学生和332名非医科大学生样本中用于评估HRQoL的简明健康调查问卷(SF-36)的心理和生理综合汇总分量表所有领域的得分以及总分进行评估和比较。此外,采用线性回归来确定医学生样本中对HRQoL心理和生理成分以及总体HRQoL有更好认知的预测因素。因变量是SF-36的子得分和总分,自变量是学生的某些社会人口统计学和学术特征。

结果

与非医科学生相比,医学生在心理综合汇总量表和SF-36总分上的得分在统计学上显著更高。线性回归分析表明,生理综合汇总量表得分较高与年龄、男性性别和学年有关。心理综合汇总量表得分与年龄、男性性别、学年和婚姻状况有关。SF-36总分与年龄、男性性别和学年有关。

结论

医学生对自身健康的认知比其他大学生好得多,但女性、年龄较大的医学生和二年级医学生对其HRQoL的认知较差。为了实现更好的HRQoL,这些方面应成为特定预防和治疗的潜在目标领域。

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