Stress and Coping Strategies in Medical Students at Clinical Level, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Abstract

          The objectives of this research were (1) to study the level of stress in each aspect. and stress management model of medical students in clinical level. (2) to compare the stress of medical students in clinical level, classified according to different personal factors. (3) to study the relationship between stress and coping strategies. The sample used in the research were clinical medical students in Faculty of Medicine Ramathibodi Hospital, Mahidol University, academic year 2022.  A total of 117 people, use the Proportional stratified random sampling technique. Tools were used, namely questionnaires and data analysis with software packages. Statistics used for data analysis were percentage, mean, and standard deviation, T-test, F-test for all tests by LSD (Least Significant Difference) and Pearson's affinity coefficient. Statistical significance was set at the .05 and .01 levels.

          The results showed that (1) medical students had the average stress level was in the middle level, average level of stress source at the middle level and stress level overall, it was at a high level.  (2) medical students chose problem focused coping as a coping method at a relatively high level. Use an emotional focused coping and avoidant coping approach to stress

management at relatively low level .  3) medical students with different genders had different overall stress levels in terms of sources of stress and symptoms of stress at statistical significance at the .01 level.  Clinical medical students with different levels had different overall stress levels in terms of sources of stress at the statistical significance of .05  and medical students with and without family members with different medical conditions had different overall levels of stress in terms of sources and symptoms of stress. Statistically significant at the .05 level. 4) Emotion focused coping was positively correlated with sources of stress and symptoms of stress. with statistical significance at the .01 and .05 levels, respectively and avoidant coping stress management had a positive correlation with stress sensitivity stress, source of stress and symptoms of stress statistically significant at the .01 level.