Perceived Stress and Coping Styles with Stressful Situations among the Residents of Surgery and Anesthesiology in Isfahan University of Medical Sciences, Iran

Document Type : Original Article (s)

Authors

1 Psychologist, Research Expert, Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Assistant Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 Professor, Department of Biostatistics and Epidemiology, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Stress is unavoidable among the medical profession, and has become an integral part of professional life in some fields such as surgery and anesthesia. The aim of the present study was to determine the perceived stress with coping styles of stressful situations among the residents of surgery and anesthesiology.Methods: The present study was a cross-sectional descriptive-analytical study in Isfahan University of Medical Sciences, Isfahan, Iran, in 2019. The samples were enrolled the study using census sampling method. The data collection tool was a questionnaire that included three questionnaires of demographic characteristics, perceived stress scale, and questionnaire to deal with stressful situations. The data were evaluated using descriptive statistics, and chi-square, one-way ANOVA, and Tukey tests via SPSS software.Findings: The mean perceived stress did not differ significantly between the two groups of surgery and anesthesiology residents (P = 0.370). There was a significant relationship between the age and frequency of stress management styles among surgery residents (P = 0.020). Surgery residents significantly used problem-oriented coping method more when the mean perceived stress level was lower (P = 0.011). In the anesthesiology group, the level of stress level was almost the same in all three coping styles, and there was no significant difference (P = 0.160). Moreover, using the Tukey test, in the surgical group, the mean perceived stress level was significantly less when using problem-oriented coping style, compared to emotion-centered stress coping style (P = 0.008).Conclusion: Among surgery residents, low perceived stress is an effective factor in the use of effective (problem-oriented) method in dealing with stress. Increasing in age and experience in the field of work, make people use effective coping style; possibly, having more responsibility in the operating room makes the surgery residents use more effective and efficient ways to deal with stress.

Keywords


  1. Froozandeh N, Dalaram M. Effects of cognitive behavioral therapy on the coping strategies of non-medical students of Shahrekord University of Medical Sciences. J Shahrekord Univ Med Sci 2003; 5(3): 26-34. [In Persian].
  2. Mosavi E, Ali Pour A, Agah Heris M, Zare H. The effectiveness of Learn New Program on reduction of perceived stress and worry among students. Journal of Health Psychology 2014; 3(10): 47-63. [In Persian].
  3. Nasirzadeh R, Rasoulzadeh Tabatabaei SK. Religious beliefs and coping strategies in students. Ofogh-e-Danesh 2009; 15(2): 36-45. [In Persian].
  4. Zenoozian S, Gharraee B, Yekke Yazdandoost R. Efficacy of problem solving training in changing coping strategies of university students. Journal of Psychology (Tabriz University) 2011; 5(20): 83-101. [In Persian].
  5. Moghadam M, Rashidzadeh S, Shamsalizadeh N, Fallahi B. The impact of stress management training on the copping style and perceived stress in medical students. Sci J Kurdistan Univ Med Sci 2014; 19(3): 52-60. [In Persian].
  6. Saadat S, Asghari F, Jazayeri R. The relationship between academic self-efficacy with perceived stress, coping strategies and perceived social support among students of University of Guilan. Iran J Med Educ 2015; 15(12): 67-78. [In Persian].
  7. Malek M, Mohammadi S, Attarchi M. Occupational stress and influencing factors, in medical residents of one of the educational hospitals of Tehran University of Medical Sciences. Razi J Med Sci 2011; 18(87): 24-35. [In Persian].
  8. Bahranian SA, Ghasemi Boroumand M, Sabahi A. Investigation of stress level in a group of medical professionals and assistants in Shahid Beheshti University of Medical Sciences. Teb Tazkiyeh 2005; 14(3): 44-9. [In Persian].
  9. Sen S, Kranzler HR, Krystal JH, Speller H, Chan G, Gelernter J, et al. A prospective cohort study investigating factors associated with depression during medical internship. Arch Gen Psychiatry 2010; 67(6): 557-65.
  10. Shaikh BT, Kahloon A, Kazmi M, Khalid H, Nawaz K, Khan N, et al. Students, stress and coping strategies: A case of Pakistani medical school. Educ Health (Abingdon) 2004; 17(3): 346-53.
  11. Mohammadinia N, Rezaei M, Heydarikhayat N, Sharifipoor H, Darban F. Assessing stressors and coping styles in medical sciences students. Journal of Nursing Management 2012; 1(1): 9-16. [In Persian].
  12. Shaban IA, Khater WA, Akhu-Zaheya LM. Undergraduate nursing student's stress sources and coping behaviours during their initial period of clinical training: A Jordanian perspective. Nurse Educ Pract 2012; 12(4): 204-9.
  13. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983; 24(4): 385-96.
  14. Asghari F, Sadeghi A, Aslani K, Saadat S, Khodaya H. The survey of relationship between perceived stress, coping strategies and suicide ideation among students at University of Guilan, Iran. International Journal of Education and Research 2013; 1(11): 1-8.
  15. Shahrokhi A, Elikaei N, Yekefallah L, Barikani A. Relationship between spiritual intelligence and perceived stress among critical care nurses. J Qazvin Univ Med Sci 2018; 22(3): 40-9. [In Persian].
  16. Gandhi K, Sahni N, Padhy SK, Mathew PJ. Comparison of stress and burnout among anesthesia and surgical residents in a tertiary care teaching hospital in North India. J Postgrad Med 2018; 64(3): 145-9.
  17. Maswadi N, Khader YS, Abu SA. Perceived stress among resident doctors in Jordanian teaching hospitals: Cross-sectional study. JMIR Public Health Surveill 2019; 5(4): e14238.
  18. Glasberg AL, Eriksson S, Norberg A. Burnout and 'stress of conscience' among healthcare personnel. J Adv Nurs 2007; 57(4): 392-403.
  19. Wang W, Kong AW, Chair SY. Relationship between job stress level and coping strategies used by Hong Kong nurses working in an acute surgical unit. Appl Nurs Res 2011; 24(4): 238-43.
  20. Kavosi A, Alizadeh Z, Rezapoor Z, Movahedi A, Moeini V, Mohammadi G. Survey of the level of stress and coping strategies in students of in school of medicine of Neyshabur University of Medical Sciences in 2016. Pajouhan Scientific Journal 2017; 16(1): 33-41. [In Persian].
  21. Inanloo M, Baha R, Seyedfatemi N, Hosseini A F. Stress coping styles among nursing students. Hayat 2012; 18(3): 66-75. [In Persian].