A Study on the Stress of Clinical Practice, Stress Coping and Somatization for Dental Hygiene Students

치위생과 학생들의 임상실습스트레스와 스트레스대처방식 및 신체화경향에 관한 연구

  • Hong, Su-Min (Depart. of Dental Hygiene, Eulji University) ;
  • Han, Ji-Hyoung (Depart. of Dental Hygiene, Beakseok of culture University) ;
  • Kim, Hee-Kyoung (Depart. of preventive and public health dentistry, College of dentistry, KangnungWonju national University) ;
  • Ahn, Yong-Soon (Depart. of Dental Hygiene, Eulji University)
  • 홍수민 (을지대학교 치위생학과) ;
  • 한지형 (백석문화대학 치위생과) ;
  • 김희경 (강릉원주대학교 예방치과학교실) ;
  • 안용순 (을지대학교 치위생학과)
  • Received : 2009.05.01
  • Accepted : 2009.06.17
  • Published : 2009.06.30

Abstract

The purpose of this study was to investigate the relationship among the stress on clinical practice, stress coping method and the somatization symptom of dental hygiene students and propose strategies for effective instruction of clinical practice. The survey was performed by self-reported questionnaires for 268 dental hygiene students who have recently experienced clinical practice. Collected data were analyzed using by t-test and Pearson correlation coefficient with the SPSS Win 12.0 program. Its results are as follows. 1. In the satisfaction of clinical practice, 'Satisfaction', 'Average' and 'Unsatisfactory' were 32.5%, 42.2% and 25.4%, respectively. The reason for dissatisfaction of clinical practice were 'insufficient education of college'(29.8%), 'environment of clinical practice institute'(23,4%), 'interpersonal relationship'(21.3%) in order. 2. Somatization symptoms was positive correlation(0.307, p < 0.01) associated with stress of clinical practice. Also it was negative correlation associated with satisfaction level of the subjects and stress of clinical practice. Correlation coefficient of the interpersonal relation factor was found the most significantly high as much as 0.331, according to the analysis carried out between subordinate factors of clinical practice stress and somatization. 3. According to stress coping method. Subjects were distributed into two group of active method and passive method. Thereafter as a result of verifying the difference of somatization symptoms, there was statistically significant difference between active method group and passive method group. Based on the study results, we suggests that effective management program of clinical practice should be developed and applied to the dental hygiene students to make them cope with stress and somatic symptom during their clinical practice.

본 연구는 치위생과 학생들의 임상실습스트레스와 스트레스 대처방식, 신체화 경향간의 관계를 조사 연구하여 보다 효율적인 임상실습 지도를 위한 자료를 제공하기 위해 임상실습을 경험한 치위생과 재학생 268명을 대상으로 설문조사하여 SPSS WIN 12.0을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 임상실습 만족도를 조사한 결과 '만족 한다'는 32.5%, '보통이다'는 42.2%, '불만족이다'는 25.4%로 나타났으며 임상실습 불만족 원인은 각각 '대인관계의 어려움'이 21.3%, 임상실습에 대비한 '학과교육의 불충분'이 29.8%, 실습병원에서의 '부적절한 업무수행'에 대한 불만이 23.4%로 학과 교육과정에 대한 불만이 가장 높았다. 2. 신체화 경향은 임상실습 스트레스와 양의 상관관계(.307, p < 0.01)를 전공만족도 및 임상실습 만족도와는 약한 음의 상관관계를 보였으며, 임상실습 스트레스 하위요인들과 신체화 경향간의 상관관계 분석에서는 대인관계 요인의 상관계수가 .331로 다른 하위 요인들에 비해 높게 나타났다(p < 0.01). 3. 스트레스 대처 방식에 따라 적극적 대처 그룹과 소극적 대처 그룹으로 나눈 후 신체화 경향에 대한 두 군간의 차이를 검증한 결과 적극적 대처 그룹에서 보다 낮은 신체화 점수 평균을 보여 소극적 대처 그룹과 통계적으로 유의미한 차이가 나타났다.

Keywords

References

  1. Butters JM, Vaught RL: The effect of an extramural education program on the perceived clinical competence of dental hygiene students. J Dent Educ 63(5): 415-20, 1999.
  2. Chen JY, Lee HO, Kim J: The effect or self-expression on stress with clinical dental practice among students in the department of dental hygiene. J Dent Hygiene Science 7(2): 89-96, 2007.
  3. Park MY: A study on the satisfaction and stress factor of clinical practice for students in the department of dental Hygiene. J Dent Hygiene Science 6(4): 243-249, 2006.
  4. Chang BJ, Song KH: A study on the degree of satisfaction of the clinical practice for dental hygiene students. J Dent Hygienic Sciences 11 (1): 81-90, 2005.
  5. Hwang SH: A study on the stressors experienced during clinical practice of dental hygiene students. Master's Thesis of Dankook University, 2004.
  6. Chon KK: Emotion and Health: Cultural approach. Kor J Psychol and social issue 6(2): 175-199, 2000.
  7. Oh HJ: The impact of job stress and alexithymia on somatization. Master's Thesis of Daegu University, 2008.
  8. Lee IH: Effect of stress and coping on body perception. Kor J Psychol and Health 4(1): 80-93,1999.
  9. Kim YC, Jeong HK, Lee SH: A study on the life stress effects on psychiatric symptoms and physical condition in normal subjects. J Korean Neuropsychiatric Assoc 28(2): 282-291, 1989.
  10. lm JW: A study about factors affecting the somatization symptom of the middle aged woman. Master's Thesis of Ewha University, 1999.
  11. Jeong SP, Kim JK, Lee SK: A study on effect of life event and stress perception on psychiatric symptoms and physical condition. J Korean Neuropsychiatric Assoc 12(2): 134-144, 1996.
  12. Lipowski ZJ: Somatization: The concept and its clinical application. American Journal of Psychiatry 145(11): 1358-1368, 1988.
  13. Ko KB: Stress and psychosomatic Medicine. pp.6-10, 2002.
  14. Lazarus RS, Folkman S: Stress, appraisal, and coping. New York. springer publishing co, 1984.
  15. Shim HS: The status of clinical practice by dental hygiene student at Kwangju Chonnam area colleges. Master's Thesis of Chosun University, 2000.
  16. Kim HJ: Stresses and its related factors due to clinical demonstration in college students of dental hygiene. Muster's Thesis of Kyungpook national University, 2008.
  17. Kim JH: Relation of perceived stress, cognitive set, and coping behaviors to depression. Doctor's thesis of Seoul national University, 1987.
  18. Park JY: A study on the relationship among character type A & B, ego-identity and stress coping. Master's Thesis or Sookmyung woman's University, 1995.
  19. Kim KI. Kim JH, Won HT: SCL-90-R manual. ChungAng aptitude publishing co.1985.
  20. Jang JH; A study on the clinical practice satisfaction of achievement motive dental hospital by dental hygiene students. Master's Thesis of Chung Ang University, 2000.
  21. Shin HD; The effects of college student's self-efficacy on the ways of coping stress and social problem-solving ability. Master's Thesis of Kwangwoon University. 2006.
  22. Lee JH: A study on causes of Stress experienced by part students of dental hygiene department during clinical training. J Dent Hygiene Science 9(1): 137-143, 2009.
  23. Yang JS: A study on the clinical practice satisfaction of dental hospital by dental hygiene students. J Korean Acad Dent Health 24(3): 205-216, 2000.
  24. Park JH: The study of stress on clinical practice. somatic symptom, and self-disclosure or nursing students. Master's Thesis of Catholic University of Daegu, 2008.