Cross-sectional Study on the Correlation of Stress and Sleep Quality of Learning Unit III (1 st Year) to VII (5th Year) Medical Students from the University of the Philippines College of Medicine.

Autor:	Ballebas TM; College of Medicine, University of the Philippines Manila., Maraon JQ; College of Medicine, University of the Philippines Manila., Janer CD; College of Medicine, University of the Philippines Manila., Irisari PS; College of Medicine, University of the Philippines Manila., Alucilja LKB; College of Medicine, University of the Philippines Manila., Ko LAT; College of Medicine, University of the Philippines Manila., Minalang KG; College of Medicine, University of the Philippines Manila., De Leon AS; College of Medicine, University of the Philippines Manila., Castillo FRG; College of Medicine, University of the Philippines Manila., Octavo EM; College of Medicine, University of the Philippines Manila., Bacolongan AO; College of Medicine, University of the Philippines Manila., Roa CC Jr; College of Medicine, University of the Philippines Manila., Sison EOD; College of Medicine, University of the Philippines Manila.
Jazyk:	angličtina
Zdroj:	Acta medica Philippina [Acta Med Philipp] 2024 Aug 15; Vol. 58 (14), pp. 41-49. Date of Electronic Publication: 2024 Aug 15 (Print Publication: 2024).
DOI:	10.47895/amp.vi0.6574
Abstrakt:	Background and Objective: Due to their academic load, medical students are highly susceptible to stress. Stress is one of the factors that can alter sleep quality which may consequently affect the cognitive performance of medical students. There has been a lack of published local literature that looks into the association between stress and sleep quality, especially during the COVID-19 pandemic. With this, the general objective of this study is to determine the effect of stress on the sleep quality of medical students from the University of the Philippines Manila - College of Medicine (UPCM). Methods: A cross-sectional study was conducted using a stratified random sample of 273 males and females of Learning Unit (LU) III (1 st year) to VII (5 th year) medical students from a college of medicine based in the Philippines, UPCM, during the second semester of the academic year 2021-2022. A self-administered questionnaire was distributed to assess sleep quality using the Pittsburgh Sleep Quality Index (PSQI), and stress level using the Kessler Psychological Distress Scale (K10). Kruskal-Wallis was used to test statistical differences between stress scores and the sleep quality of students from different year levels. Spearman's Rho was used to determine the correlation between stress and sleep, and a binary logistic regression was employed to study the association of stress with sleep while accounting for confounding variables namely caffeine intake, year level, daytime nap, duty hours, clinical rotation, sex, and age. Results: A high prevalence of stress (79.71%) and poor sleep quality (59.73%) among LU III to LU VII UPCM students were found, with a statistically positive correlation (ρ=0.44) 95CI [0.33-0.55] (p-value<0.001). Both the stress scores and sleep quality indices were not statistically significantly different across LUs. Gathered data and interpreted results showed that medical students suffering from stress are more likely to have poor sleep quality, which can lead to low academic performance and high susceptibility to chronic diseases, compared to those medical students with low levels of stress. Only being an LU IV [OR=1.38 95CI (0.036-4.625)] and LU V [OR=2.13 95CI (0.296-6.936)] student had increased odds of having poor sleep quality compared to LU III students. Caffeine intake, daytime nap, duty hours, clinical rotation, sex, and age were not associated with poor sleep quality. Conclusion: This study documents a statistically significant association between stress and poor sleep quality among LU III to LU VII UPCM students. A larger study covering multiple medical schools in the Philippines may be of merit for future investigations to generate nationwide data. Additional recommendations include: a) conducting a cross-sectional or a longitudinal study to detect changes in the characteristics of the population, b) observing the differences in the contributing factors at multiple points throughout the year, c) investigating the effect of dwelling set-up on sleep quality may also be investigated and d) determining if sleep quality affects the level of perceived stress of medical students. Competing Interests: All authors declared no conflicts of interest. (© 2024 Acta Medica Philippina.)
Databáze:	MEDLINE
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