COMPARATIVE ANALYSIS OF SELF-ASSESSMENT AND OBJECTIVE STATE OF HEALTH IN STUDENTS OF JUNIOR COURSES OF MEDICAL AND HUMANITARIAN SPECIALTIES
Vladimir Vyacheslavovich KUZNETSOV1, Irina Gennadyevna KUZINA2, Kirill Vladimirovich KOSILOV1,2, Evgeniy Andreevich SMIRNOV1, Ekaterina Kirillovna KOSILOVA1, Ruslan Andreevich BAYRAMOV1
1Pacific State Medical University of Minzdrav of Russia 2Far Eastern Federal University of Minobrnauki of Russia
Keywords: самооценка здоровья, качество жизни, состояние здоровья, студенты, медицинское и гуманитарное образование, вопросники, self-assessment of health, health-related quality of life, health status, students, medical and humanitarian education, questionnaires
Abstract
Aim of the study was to
determine the level of self-assessment of health-related quality of life
(HRQoL) and its relationship with the objective state of health in
students of junior courses of medical and humanitarian specialties.
Materials and methods. The study has been conducted at the Far Eastern
Federal University (FEFU) and at the Pacific State Medical University
(TSMU) since December 10, 2017 to June 10, 2018. It was attended by 479
students of junior (1-3) courses, of which 228 (47.5 %) studied medical
specialties at FEFU and TSMU, 251 (52.5 %) studied humanitarian
specialties (FEFU). The average age of students was 19.5 ± 1.9 years,
the average response rate - 94.2 %. The selection was carried out using
the principles of gender-stratified randomization. The state of health
of the students was assessed by the presence of chronic diseases and the
level of the Charlson comorbidity index. In the collection of data used
outpatient cards (Form 025/y); patient registration logs (Form
001-1/y); medical control cards of follow-up (Form 062/y). For the
self-assessment of HRQoL, a questionnaire was used: «A short form of
self-assessment of HRQoL, MOS SF-36v2» (Medical Outcomes Study Short
Form version 2). The demographic and socio-economic status was
determined using a special questionnaire. Results and discussion. HRQoL
indicator in medical students turned out to be related to the frequency
of seeking medical help ( r = 0.75; p < 0.01), the comorbidity index (
r = 0.43; p < 0.05) and the average number of chronic diseases among
respondents ( r = 0.49; p < 0.05). The relationship between the
total HRQoL and the physical and mental components of QoL
self-assessment also proved to be quite strong ( r = 0.69; p < 0.01; r
= 0.59; p < 0.01, respectively). In students of humanitarian
specialties HRQoL appeared (in addition to the physical and mental
component of QoL) to be interrelated only with the average number of
chronic diseases ( r = 0.69; p < 0.05). Thus, 76,0 % of students of
medical and humanitarian specialties have undergone chronic diseases of
internal organs in junior courses. Diseases of the digestive (30-33 %),
urogenital (10-14 %), respiratory (7-10 %) and nervous systems (6-10 %)
are most common in the student environment. HRQoL in the students of
junior courses of medical and humanitarian specialties does not
significantly differ and is rated by them as satisfactory.
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