Evaluation of Knowledge, Attitude and Practice Regarding Stress Management among Undergraduate Medical Students at Tertiary Care Teaching Hospital FC05-FC09
Dr. Pavan Panchal,
220-3, Maruti Apartment, Anand Vatika Society, Sector-22, Gandhinagar, Gujarat, India.
Introduction: Medical schooling demands substantial level of dedication, patience, commitment and perverseness from undergraduate students. Hence, medical undergraduates face high level of stress and which has negative effects on their learning aptitudes and perceptive thinking.
Aim: This cross-sectional questionnaire-based study was conducted to evaluate the knowledge, attitude and practice regarding stress management among undergraduate medical students at GMERS Medical College and Hospital, Himmatnagar, Gujarat, India.
Materials and Methods: A total of 260 undergraduate students of first year, second year and third first year of MBBS were briefed on the aims and objectives of the study and written informed consents were obtained from those who were willing to participate in the study. The questionnaire of 12 questions was to be filled within 30 minutes. Out of 12 questions, 4 questions were of knowledge, 3 of attitude and 5 of practice regarding stress management among medical undergraduates. The questionnaire were collected and evaluated for their completeness. The data were recorded in Microsoft Excel Worksheet and analysed.
Results: Out of 260 total undergraduates, 26.9%, 46.1% and 26.9% of students were of first, second and third year MBBS, respectively. The college was new (recently open), hence, there was zero student batch in fourth year of MBBS, hence, there was not any student from fourth year to participate in this study. There were 49.2% male and 50.7% female students. 30.7% could give a relevant definition of stress. The most common condition related to stress is depression (57.6%), followed by anxiety (36.3%). Only 35.7% of students could answer the correct clinical features confronted by a person under stress. Most common stressors were vast syllabus and tough topics of MBBS curriculum (first-year), followed by procrastination (second-year) and less study time (third-year). 11.9% of students strongly agreed and 45.7% of students fairly agreed that they have faced difficulties in adapting to the new environment and away from home, these observations were particularly founded in first-year students. Socio-behavioural problem was the most common non-academic cause of stress faced by 41.1% of students. 64.6% students of all years (except fourth year) of MBBS had confronted stress because of study performance anxiety among colleagues. Most commonly used stress coping strategy by the students was listening to music especially in female students, followed by watching internet videos particularly in male students. Male students preferred to sleep for 6-8 hours for maintaining good mental health; however, meditation and prayer were commonly practiced method among female students. A total of 12.3% students thought that a balanced and healthy diet can make mind healthier, 68.1% of students indulged themselves in various hobbies when felt stressed out and listening to music and singing (32.7%) and playing outdoor games (23.1%) were the most common hobbies. Only 19.7% of students worked harder and faster when under stress, 13.8% of students behaved irritably and took out their stress on surrounding people and 24 (9.2%) third-year male students became addicted to smoking and alcohol.
Conclusion: Among MBBS students of GMERS medical college, Himmatnagar, there are different stressors for each year and which cause undue academic stress. Pressure of study among medical undergraduates leads to their negative physical and mental health. Effective stress coping system for medical students must be established and implemented by concerning authorities at local and central level. Medical course curriculum should include academic teaching and extracurricular activities to upsurge cognitive thinking and adaptive skills of students to deal with various stressors. This issue should be addressed by concerning authorities as to create conducive medical teaching atmosphere for undergraduates.