ABSTRACT

This study evaluates Brazilians medical students’ Quality of Life and verified associated factors, according to graduation medical cycles: basic (two first years), theoretical-practical (third and fourth years) and clinical (fifth and sixth years). Data were obtained from QualiMed study, conducted at Medical School of Federal University of Minas Gerais, Brazil, using WHOQOL-Bref. Analyses were performed using ANOVA and multiple logistic regressions. A total of 1470 medical students participated and were more satisfied than dissatisfied with their quality of life. Psychological Domain obtained the worst assessment (60.64) and Environment Domain the best one (68.14). The perception of quality of life improved over the course, being worse in the basic cycle and better in the clinical cycle, statistically different for all domains (p-value<0.05). Most variables were negatively associated with quality of life, indicating that their absence reduces the chances of a better perception. Absence of regular physical activity and having depression symptoms were negatively associated with all WHOQOL-Bref Domains. Individual, behavioral and psychological aspects negatively impact the quality of life of evaluated students. Psychological support strategies, encouraging resilience and carrying out physical activities are recommended to improve quality of life, mainly in first years of medical school.

摘要

本研究根据毕业医疗周期评估巴西医学生的生活质量并验证相关因素：基础（两个第一年）、理论实践（第三和第四年）和临床（第五和第六年）。数据来自 QualiMed 研究，该研究在巴西米纳斯吉拉斯州联邦大学医学院使用 WHOQOL-Bref 进行。使用方差分析和多重逻辑回归进行分析。共有 1470 名医学生参加，他们对自己的生活质量感到满意而不是不满意。心理领域获得了最差的评估（60.64），环境领域获得了最好的评估（68.14）。对生活质量的感知在整个过程中有所改善，在基本周期中更差，在临床周期中更好，所有领域的统计学差异（p值<0.05）。大多数变量与生活质量呈负相关，表明它们的缺失会降低获得更好感知的机会。缺乏规律的体力活动和有抑郁症状与所有 WHOQOL-Bref 域呈负相关。个人、行为和心理方面对被评估学生的生活质量产生负面影响。建议采用心理支持策略、鼓励复原力和进行体育活动来提高生活质量，主要是在医学院的第一年。行为和心理方面对被评估学生的生活质量产生负面影响。建议采用心理支持策略、鼓励复原力和进行体育活动来提高生活质量，主要是在医学院的第一年。行为和心理方面对被评估学生的生活质量产生负面影响。建议采用心理支持策略、鼓励复原力和进行体育活动来提高生活质量，主要是在医学院的第一年。