目的 探讨分析临床医学专业学生课外活动时间投入现状及其与感知压力的关系,为促进临床医学专业学生德智体全面发展和推进我国医学院校课外活动组织工作的专业化水平提供参考。方法 2018年12月,对某医科大学2017级临床医学专业940名学生进行调查,采用一般资料调查表、医学生课外活动时间投入调查表和10条目压力知觉量表进行问卷调查,并采用有序logistic回归分析医学生各项课外活动时间投入与感知压力的关系。结果 26.4%(181/686)和18.2%(125/686)的医学生每周平均投入到课外学习、休闲娱乐活动的时间超过20小时;73.0%(501/686)的医学生每周平均参与体育锻炼的时间投入低于5小时;54.1%(371/686)的医学生在志愿服务活动方面没有时间投入。医学生感知压力总评分为17.00(13.00, 20.00)分。在控制了个人特征和家庭特征后,高感知压力水平医学生的课外学习(OR=0.55,95%CI=0.36~0.85)、志愿服务(OR=0.42, 95%CI=0.25~0.68)、体育锻炼(OR=0.61, 95%CI=0.38~0.99)平均投入时间更少。结论 临床医学专业学生整体呈现出较低的感知压力水平。医学生在课外学习、志愿服务和体育锻炼的时间投入与感知压力呈显著负相关,医学院校应当注重维持临床医学专业学生的低感知压力水平。
Objective To investigate the current status of clinical medical students' time engagement in extracurricular activities and its association with perceived stress, so to provide reference for promoting the moral, intellectual and physical development of clinical medical students as well as promoting the professional level of extracurricular activities in medical universities in China. Methods In December 2018, altogether 940 students of clinical medicine major in a medical university enrolled in 2017 were investigated. General information questionnaire, extracurricular activities time engagement questionnaire of medical students and 10-items perceived stress scale were used to conduct questionnaire survey. The relationship between time engagement of extracurricular activities and perceived stress of medical students was analyzed by orderly logistic regression. Results The medical students, 26.4% (181/686) and 18.2% (125/686) of them, spent more than 20 hours per week on extracurricular study and leisure and recreation, 73.0% (501/686) of the students spent less than 5 hours per week on physical exercise, 54.1% (371/686) of the students did not devote their time to volunteering. The perceived stress score of students was 17.00 (13.00, 20.00). After controlling personal and family characteristics, the results of ordinal logistic regression analysis indicated that the ones with high perceived stress devoted less time to extracurricular learning (OR=0.55, 95%CI=0.36~0.85), volunteering (OR=0.42, 95%CI=0.25~0.68) and exercising (OR=0.61, 95%CI=0.38~0.99). Conclusions Clinical medical students showed a low level of perceived stress. Perceived stress has a significant negative impact on students' time engagement in extracurricular learning, volunteering and physical exercise. Medical schools should focus on maintaining low level of perceived stress among clinical medical students.
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