Saude mental e qualidade de vida em estudantes universitarios
Edneia Albino Nunes Cerchiari
TESE
Português
(Broch.)
T/UNICAMP C334s
Campinas, SP : [s.n.], 2004.
283p. : il.
Orientador: Dorgival Caetano
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Resumo: Aprofundando o conhecimento sobre as relações entre a universidade e a trajetória do estudante universitário, em diferentes cursos e momentos da graduação, o presente estudo teve como objetivo investigar a saúde mental e a qualidade de vida de estudantes universitários, bem como, identificar...
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Resumo: Aprofundando o conhecimento sobre as relações entre a universidade e a trajetória do estudante universitário, em diferentes cursos e momentos da graduação, o presente estudo teve como objetivo investigar a saúde mental e a qualidade de vida de estudantes universitários, bem como, identificar as características sócio-demográficas e do processo ensino-aprendizagem que poderiam estar relacionadas com o bem-estar e a qualidade de vida desses estudantes e ainda verificar a estabilidade da estrutura e a validade fatorial dos intrumentos: WHOQOL-100 e Bref, QSG-60 e 30. Realizou-se um estudo de corte transversal, em uma amostra de 558 estudantes universitários, de ambos os sexos, dos cursos de Ciência da Computação, Direito, Enfermagem e Letras da Universidade Estadual de Mato Grosso do Sul (UEMS) e do curso de Enfermagem da Universidade Federal de Mato Grosso do Sul (UFMS). Utilizaram-se, para a coleta dos dados, três instrumentos auto-aplicáveis: Questionário de Dados Sócio-Demográficos e Processo Ensino-Aprendizagem; Questionário de Saúde Geral de Goldberg ¿QSG-60, desenvolvido por GOLDBERG, em 1972, e adaptado à nossa população por PASQUALI et al., em 1996 - instrumento de rastreamento destinado a identificar distúrbios menores da saúde mental; Instrumento de Avaliação de Qualidade de Vida-WHOQOL-100, criado pelo WHOQOL Group (OMS), adaptado à nossa realidade por FLECK et al. (1999), instrumento composto por 100 itens. Os dados foram analisados utilizando-se o Programa SPSS 10.0 for Windows. Para a avaliação de possíveis interrelações entre as variáveis sócio-demográficas e o processo ensino-aprendizagem foi utilizado o coeficiente de correlação de Spermann e também foi realizada uma análise de regressão múltipla. As diferenças entre as médias (variáveis quantitativas) foram verificadas por ANOVA (F) e, para verificação da estrutura dos instrumentos WHOQOL-100, WHOQOL-BREF, QSG-60 e QSG-30, foram realizadas Análises dos Componentes Principais com rotação Varimax. Para a avaliação da consistência interna, utilizou-se o Alfa de Cronbach e para a correlação item-total, o coeficiente de Spearman-Brown. Os resultados obtidos convalidam a análise fatorial do Questionário de Saúde Geral de Goldberg em suas versões de 60 e 30 itens, como instrumento adequado para avaliação de Transtornos Mentais Menores (TMM) em estudantes universitários; os instrumentos WHOQOL-100 e WHOQOL-BREF, como instrumentos capazes de avaliar a qualidade de vida em diferentes culturas e subpopulações, com a necessidade, entretanto, de ajustes nos itens que compõem cada domínio. A prevalência total dos TMM foi 25%; os fatores mais afetados foram: fator 5 (distúrbios psicossomáticos), fator 1 (tensão ou estresse psíquico) e fator 3 (falta de confiança na capacidade de desempenho), respectivamente por ordem de magnitude; há uma correlação significativa entre o surgimento de TMM e as variáveis gênero, ano de ingresso, atividade remunerada, curso e tipo de moradia tendo, no 3º ano, o seu maior valor e os estudantes de Enfermagem foram os mais afetados. Quanto à qualidade de vida, nos domínios físico, psicológico, nível de independência e ambiente os estudantes universitários tiveram escores significativamente menores (p<0,05) do que os do grupo controle (FLECK et al., 1999) e, comparados aos do grupo de paciente (FLECK et al., 1999), o domínio ambiente foi significativamente menor (p<0,05) e nos domínios psicológico e relações sociais, similares. As variáveis gênero, período, atividade remunerada, renda familiar e opção de escolha do curso estão correlacionadas significativamente (p<0,05) com a qualidade de vida do estudante universitário. Esperamos que este estudo possa contribuir para uma melhor política de assistência aos estudantes, intervindo adequadamente nas esferas biológica, social e psicológica dos mesmos, assim como, no direcionamento e planejamento dos objetivos pedagógicos de cada curso da UEMS e no curso de Enfermagem da UFMS
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Abstract: The present study was based on a deep investigation of the relationships between the university and the undergraduate students¿ trajectory in different courses and moments of their graduating process. The study aimed to search into students¿ mental health and quality of life, as well as to...
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Abstract: The present study was based on a deep investigation of the relationships between the university and the undergraduate students¿ trajectory in different courses and moments of their graduating process. The study aimed to search into students¿ mental health and quality of life, as well as to identify the sociodemographic features and learning process that could be related to those students¿ welfare and quality of life.A transversal study was carried out on a sample of 588 male and female undergraduate students attending to the Computer Science, Law, Nursing and Languages courses of the State University of Southern Mato Grosso (UEMS) and the Nursing course of the Federal University of Southern Mato Grosso (UFMS). Three self-report instruments were employed for collection of data: the Sociodemographic Data and Learning Process Questionnaire; the General Health Questionnaire (QSG-60) , which is a tracing instrument used to identify minor mental disorders and was developed by Goldberg in 1972 and later adjusted to our population by Pasquali in 1996; the World Health Organization Quality of Life Evaluation
(WHOQOL-100), which was created by the WHOQOL.Group (OMS) and adjusted to our reality by FLECK in 1999 and contains 100 items. The SPSS Program 10.0 for Windows was used to analyze the collected data. Possible correlations between sociodemographic variables and learning process were evaluated by means of the Spermann coefficient and also by a mutual regression analysis. The differences among the scores averages (quantity variables) were checked by ANOVA (F) and the main components were rotated to Varimax criterion in order to test the factor structure of the instruments WHOQOL-100, WHOQOL-BREF, QSG-60 and QSG-30. And finally, the Cronbach¿s Alpha was used to evaluate the internal consistency and the Spermann-Brown coefficient was employed to measure correlations between each item and total score. The results proved the factor analysis of the Goldberg General Health Questionnaire, 30 and 60 items, to be a suitable instrument for the evaluation of Minor Mental Disorders in undergraduate students. The WHOQOL-100 and WHOQOL-BREF were also proved to be efficient instruments to evaluate quality of life of different population and cultural settings, although some adjustments of the items in each domain are necessary. A prevalence of 25% of MMD was found and the most affected factors were: factor 5 (psychosomatic disturbance), factor 1 (tension or psycho-stress) and factor 3 (lack of self-confidence on the performance capacity), enumerated according to their magnitude. There is a significant correlation between the MMD and the gender, year of enrollment, attended course, job and type of dwelling place, especially on the third year. The students from the nursing course were the most affected. Regarding to the quality of life, in the physical and psychological domains, independence level and environment, the undergraduate students got significantly lesser scores (p<0,05) than the control group (FLECK et al., 1999). Compared to the ones of the patient group (FLECK, 1999), the environment domain was also significantly lesser (p<0,05) and in the psychological and social relations domains the scores were alike. The gender, classes period, job, family income and choice of course are significantly correlated to the undergraduate student¿s quality of life. We hope that the present study might contribute to the improvement of the students welfare politics, through suitable intermediation in their biological, social and psychological spheres, and also help in the guidance and planning of the pedagogical objects of each course from the UEMS and the nursing course from UFMS Ver menos
(WHOQOL-100), which was created by the WHOQOL.Group (OMS) and adjusted to our reality by FLECK in 1999 and contains 100 items. The SPSS Program 10.0 for Windows was used to analyze the collected data. Possible correlations between sociodemographic variables and learning process were evaluated by means of the Spermann coefficient and also by a mutual regression analysis. The differences among the scores averages (quantity variables) were checked by ANOVA (F) and the main components were rotated to Varimax criterion in order to test the factor structure of the instruments WHOQOL-100, WHOQOL-BREF, QSG-60 and QSG-30. And finally, the Cronbach¿s Alpha was used to evaluate the internal consistency and the Spermann-Brown coefficient was employed to measure correlations between each item and total score. The results proved the factor analysis of the Goldberg General Health Questionnaire, 30 and 60 items, to be a suitable instrument for the evaluation of Minor Mental Disorders in undergraduate students. The WHOQOL-100 and WHOQOL-BREF were also proved to be efficient instruments to evaluate quality of life of different population and cultural settings, although some adjustments of the items in each domain are necessary. A prevalence of 25% of MMD was found and the most affected factors were: factor 5 (psychosomatic disturbance), factor 1 (tension or psycho-stress) and factor 3 (lack of self-confidence on the performance capacity), enumerated according to their magnitude. There is a significant correlation between the MMD and the gender, year of enrollment, attended course, job and type of dwelling place, especially on the third year. The students from the nursing course were the most affected. Regarding to the quality of life, in the physical and psychological domains, independence level and environment, the undergraduate students got significantly lesser scores (p<0,05) than the control group (FLECK et al., 1999). Compared to the ones of the patient group (FLECK, 1999), the environment domain was also significantly lesser (p<0,05) and in the psychological and social relations domains the scores were alike. The gender, classes period, job, family income and choice of course are significantly correlated to the undergraduate student¿s quality of life. We hope that the present study might contribute to the improvement of the students welfare politics, through suitable intermediation in their biological, social and psychological spheres, and also help in the guidance and planning of the pedagogical objects of each course from the UEMS and the nursing course from UFMS Ver menos
Saude mental e qualidade de vida em estudantes universitarios
Edneia Albino Nunes Cerchiari
Saude mental e qualidade de vida em estudantes universitarios
Edneia Albino Nunes Cerchiari
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