Qualidade de vida relacionada à saúde dos estudantes do curso de medicina da Universidade Federal de Uberlândia / Health-related quality of life of medical students at the Federal University of Uberlândia

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

The need for curricular changes directed to the graduation of health professionals able to promote human‟s health in its holistic meaning has stimulated great interest in medical students‟ mental health and health-related quality of life (HRQL). This study aimed at assessing the HRQL of medical students from the first to the sixth year of training through the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Students from the first to the sixth year of medical training at the Federal University of Uberlândia were asked to answer a sociodemographic questionnaire, the SF-36 and the Beck Depression Inventory (IDB) by self-application. Cronbach‟s coefficient was calculated to determine the SF-36 reliability. Students and freshmen were compared according to demographics, SF-36 scores were compared according to the year in training, the presence of depressive symptoms, gender and the fact of living with or without relatives (Mann-Whitney or Kruskal-Wallis). SF-36 scores were also correlated to family income (Spearman coefficient). The effect size (ES) was calculated to determine the magnitude of the differences among groups and freshmen or first-year students. 352 students and 38 freshmen were enrolled in this study. Cronbach‟s alpha varied form 0.66 to 0.89 to SF-36 domains. Freshmen‟s mean age was 19.1 years (+ 1.9) and students‟ mean age was 22.3 (+ 2.42). Most of students were female (61.6%) and single (96.6%). Students had a prevalence of depressive symptoms of 36.3% whereas freshmen had a prevalence of 15.7% (p = 0.01). Scores from third and forth-year students were lower than freshmen and first-year students‟ scores in mental and physical domains (p<0.01). Big effect sizes (ES>0.8) were detected in comparisons between third-year students and freshmen in global health, vitality and mental health. Students with depressive symptoms had lower scores in all domains and summary components of SF-36 when compared to students without depressive symptoms (p<0.01). Independently on the presence of depressive symptoms, second-, third- and forth-year students had an impairment on HRQL in vitality when compared to freshmen and first-year students (p<0.01). Female students without depressive symptoms also had an impairment in physical functioning, body pain and role limitations due to emotional problems (p<0.01). These results may lead to the conclusion that the transition from basic sciences to clinical training (third year) according to traditional curricular tracks represents a phase of important impairment of medical students‟ HRQL. Moreover, students with depressive symptoms and females had a higher impairment on HRQL.

ASSUNTO(S)

ciencias da saude saúde mental sf-36 qualidade de vida relacionada à saúde sf-36 sintomas depressivos estudantes de medicina qualidade de vida health-related quality of life students medical depressive symptoms

ACESSO AO ARTIGO

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