Associations between dormitory environment/other factors and sleep quality of medical students / 中华流行病学杂志

<p><b>OBJECTIVE</b>To investigate the sleep quality and related factors among medical students in China, understand the association between dormitory environment and sleep quality, and provide evidence and recommendations for sleep hygiene intervention.</p><p><b>METHODS</b>A total of 555 undergraduate students were selected from a medical school of an university in Beijing through stratified-cluster random-sampling to conduct a questionnaire survey by using Chinese version of Pittsburgh Sleep Quality Index (PSQI) and self-designed questionnaire. Analyses were performed by using multiple logistic regression model as well as multilevel linear regression model.</p><p><b>RESULTS</b>The prevalence of sleep disorder was 29.1%(149/512), and 39.1%(200/512) of the students reported that the sleep quality was influenced by dormitory environment. PSQI score was negatively correlated with self-reported rating of dormitory environment (γs=-0.310, P<0.001). Logistic regression analysis showed the related factors of sleep disorder included grade, sleep regularity, self-rated health status, pressures of school work and employment, as well as dormitory environment. RESULTS of multilevel regression analysis also indicated that perception on dormitory environment (individual level) was associated with sleep quality with the dormitory level random effects under control (b=-0.619, P<0.001).</p><p><b>CONCLUSIONS</b>The prevalence of sleep disorder was high in medical students, which was associated with multiple factors. Dormitory environment should be taken into consideration when the interventions are taken to improve the sleep quality of students.</p>

The Development of a Scale of Doctors′attitude in outpatient encounter / 中国医学伦理学

The final scale came into being through the process of compiling items with the use of document method and Delphi method, assessing the reliability and validity realized by application of multiple linear regression analysis, Crowns Bach coefficient, correlation coefficient methods and so forth.19 items and 4 dimensions contai-ning communication skills, care, respect and sense of responsibility comprise this clinical reception attitude scale. The scale is qualified to serve as an assessment tool for researching doctor′s attitude, having various merits inclu-ding high consistency among items and cogent dimension setting, whose total score can desirably represent clinical doctor′s attitude towards out-patients.

Assessment of the Reliability and Validity of the Clinical Reception Attitude Scale / 中国医学伦理学

Objective:To evaluate the reliability and validity of the Clinical Reception Attitude Scale .Meth-ods:Based on the survey of 311 outpatients from 4 first-class hospitals , the test-retest reliability , internal con-sistency , construct validity , criterion validities and discriminant validity of the scale was tested .Results:The test-retest reliability was 0.901, the internal consistency was 0.973, 4 common factors accounted for 80.0%of the total variation, the items of which matched the construct of the scale , the criterion validities were 0.856 and 0 .810 , the discriminant validity was good .Conclusions: The results indicated the Clinical Reception Attitude Scale had good reliability and validity .The adjusted scale is an effective tool for the investigation of clinical recep-tion attitude of doctors in China .