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.
Song Xinzhi
,
Ding Ning
,
Li Honghe
,
Wen Deliang
. A study on the relationship between time engagement in extracurricular activities and perceived stress of clinical medical students[J]. Chinese Journal of Medical Education, 2020
, 40(1)
: 16
-20
.
DOI: 10.3760/cma.j.issn.1673-677X.2020.01.005
[1] 教育部. 坚持把立德树人作为根本任务——二论学习贯彻习近平总书记全国教育大会重要讲话精神[EB/OL]. (2018-09-14)[2019-05-20].http://www.moe.gov.cn/jyb_xwfb/xw_zt/moe_357/jyzt_2018n/2018_zt18/zt1818_pl/mtpl/201809/t20180914_348688.html.
[2]查奇芬,胡蕾,汪云香. 大学生课外时间分配特征及对学习收获的影响——基于2016年J大学学情数据的调查分析[J]. 高教探索, 2017 (7): 44-49.
[3] Bartkus KR,Nemelka B,Nemalka M, et al. Clarifying the meaning of extracurricular activity:a literature review of definitions[J]. AJBE, 2012, 5(6): 693-704.DOI: 10.19030/ajbe.v5i6.7391.
[4]张婷. H大学本科生各项活动时间投入现状及其对学习效果的影响[D].长沙: 湖南大学, 2015.
[5] Saeed AA,Bahnassy AA,Al-hamdan NA, et al. Perceived stress and associated factors among medical students[J]. J Family Community Med, 2016, 23(3): 166-171.DOI:10.4103/2230-8229.189132.
[6]Zhao FF, Lei XL, He W, et al. The study of perceived stress, coping strategy and self-efficacy of Chinese undergraduate nursing students in clinical practice[J]. Int J Nurs Pract, 2015, 21(4): 401-409. DOI:10.1111/ijn.12273.
[7]National Survey of Student Engagement. Survey instrument 2019 version[EB/OL]. (2018-01-25)[2019-03-27].http://nsse.indiana.edu/html/survey_instruments.cfm.
[8] Cohen S,Kamarck T,Mermelstein R. A global measure of perceived stress[J]. J Health Soc Behav, 1983, 24(4): 385-396. DOI:10.2307/2136404.
[9]杨廷忠. 健康行为理论与研究[M].北京:人民卫生出版社, 2007: 124-156.
[10] Lu W,Bian Q,Wang W, et al. Chinese version of the perceived stress scale-10: a psychometric study in Chinese university students[J]. Plos One, 2017, 12(12) : e0189543 .
[11]刘文. 教育“拼妈”?——父母参与子代教育的程度差异及其影响[J]. 当代教育论坛, 2019 (3): 74-82.
[12] Jacobs JL, Samarasekera DD, Shen L, et al. Encouraging an environment to nurture lifelong learning: an Asian experience[J]. Med Teach,2014,36(2):164-168.DOI:10.3109/0142159X.2013.852168.
[13] Fosnacht K,Mccormick AC,Lerma R. First-year students' time use in college: a latent profile analysis[J]. Res High Educ, 2018, 59(7): 958-978. DOI:10.1007/s11162-018-9497-z.
[14]许碧夏,张斌. 医学院校新生手机依赖性使用情况及其与睡眠质量及焦虑和抑郁关系的调查研究[J]. 中国全科医学, 2019(29):3596-3600. DOI:10.12114/j.issn.1007-9572.2019.00.126.
[15] Fares J,Al TH,Saadeddin Z, et al. Stress,burnout and coping strategies in preclinical medical students[J]. N Am J Med Sci, 2016, 8(2): 75-81. DOI:10.4103/1947-2714.177299.
[16] Berchtold NC,Castello N,Cotman CW. Exercise andtime-dependent benefits to learning and memory[J]. Neuroscience, 2010, 167(3): 588-597. DOI:10.1016/j.neuroscience.2010.02.050.
[17] Fares J,Saadeddin Z,Tabosh HA, et al. Extracurricular activities associated with stress and burnout in preclinical medical students[J]. J Epidemiol Glob Health, 2015, 6(3): 177-185. DOI:10.1016/j.jegh.2015.10.003.
[18] Folse ML,Darosa DA,Folse R. The relationship between stress and attitudes toward leisure among first-year medical students[J]. Acad Med, 1985, 60(8): 610-617.