Résumé
Resumen Objetivo: Buscar el efecto que tiene el estrés académico en los procesos cognitivos de los discentes de sexto año pertenecientes a Escuela Militar de Medicina durante su internado pregrado. Materiales y métodos: El proceso de investigación se llevó a cabo en tres fases, donde la obtención de mediciones de la onda P300 y la evaluación del estrés académico en preguardia y postguardia abarcan las dos primeras fases y la recolección y comparación de los datos obtenidos en las fases uno y dos consistió en la última fase. Resultados: Al realizar la obtención de medias de latencia de la onda P300 preguardia 286.36 ms y en posguardia de 331.98, se identificó una prolongación en dicho parámetro, con una p= <0.0001, altamente significativa. Respecto a la amplitud de la onda en la preguardia se obtuvo una media de 13.050 µV y en post guardia de 7.784 µV. Se encontró una asociación directamente proporcional entre la puntuación de la prueba de estrés obtenido en la preguardia y la latencia de P300 obtenida en ese mismo momento, al utilizar la correlación de Spearman (r=0.996, p=<0.001). La comparación reveló una asociación inversamente proporcional (r=0.998, p=<0.001). Existió una relación inversamente proporcional entre la amplitud de P300 obtenida en posguardia y el puntaje de la prueba de estrés obtenido en la posguardia (r=0.998, p=0.001). Con tales resultados podemos afirmar la asociación de los cambios morfológicos de P300 con los puntajes obtenidos en las pruebas de estrés aplicados.
Abstract Objective: Look for the effect that academic stress has on the cognitive processes of sixth-year students belonging to the Military School of Medicine during their undergraduate internship. Materials and methods: The research process was carried out in three phases, where the obtaining of measurements of the P300 wave and the evaluation of academic stress in pre-guard and post-guard cover the first two phases and the collection and comparison of the data obtained in phases one and two consisted of the last phase. Results: When obtaining the mean latency of the P300 wave pre-guard 286.36 ms and at the rear of 331.98, a prolongation in said parameter was identified, with a p=<0.0001, highly significant. Regarding the amplitude of the wave in the pre-guard, an average of 13,050 µV was obtained and in post-guard of 7,784 µV. A directly proportional association was found between the stress test score obtained in the foreguard and the P300 latency obtained at the same time, when using the Spearman correlation (r=0.996, p=<0.001). The comparison revealed an inversely proportional association (r=0.998, p=<0.001). There was an inversely proportional relationship between the amplitude of P300 obtained in the rearguard and the stress test score obtained in the rearguard (r=0.998, p=0.001). With these results we can affirm the association of the morphological changes of P300 with the scores obtained in the applied stress tests.
Résumé
Objective:To investigate the status of occupational stress and its influencing factors among undergraduate interns.Methods:Three hundred and seventeen interns in Subei People's Hospital of Jiangsu Province were collected as research objects. In this study, the Job Content Questionnaire (JCQ), Effort-Reward Imbalance (ERI) Questionnaire and self-compiled general information questionnaire were used to evaluate the status of occupational stress and its influencing factors, and the regression analysis was carried out.Results:The results showed that 101 (31.9%) and 115 (36.3%) undergraduate interns were in significantly higher level occupational stress according to the JCQ and the ERI questionnaire respectively. Logistic regression analysis showed that the risk factors of the included occupational stress included the planning of further studies, more than 40 hours per week for internship, high score of intrinsic engagement and low score of social support. Exercise of more than three times a week was a protective factor for interns' occupational stress.Conclusion:The occupational stress of the undergraduate interns is at a high level and affected by many factors. Schools and hospitals should provide targeted mental health education for interns and improve relevant management policies.
Résumé
OBJECTIVE:To explore the teaching method for clinical pharmacy undergraduate interns,and provide reference for improving graduation practice effect. METHODS:Starting from the actual teaching work of clinical pharmacy undergraduate in-terns,the teaching work situation was emphatically introduced,development of teaching plan,determinationof teaching duties and development of management practices were described in detail,the working experience and deficiency were summarized,and ap-propriate improvement measures were proposed. RESULTS & CONCLUSIONS:According to the contents and characteristics of clinical pharmacy,teaching plans based on clinical practice was developed for the basic premise of standardization and systematiza-tion by combining with the teaching syllabus;setting up teaching working group,developing management practices for interns and knowing responsibilities of teachers are the fundamental guarantees for successful completion of the internship. Practice has proved that the improvement of the teaching method of teaching was beneficial to improve the effect of clinical pharmacy undergraduates.
Résumé
Objective To investigate the effect of peer-education model on clinical practice of undergraduate interns.Methods Thirty-six undergraduate interns were arranged into control and experimental group.Twelve postgraduates were selected as peer-educators.Medical ethics and style,attitude,clinical thoughts,operations and satisfactory of patients were used to judge their work.They had to take exams at the end of the clinical practice.Results Undergraduate interns in experi-mental group got higher scores than control group.Conclusion Peer-education model has a posi-tive effect on clinical practice of undergraduate interns.