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Explaining medical students’ perceptions of virtual assessment in the pandemic COVID-19: A content analysis study 解释医学生在COVID-19大流行中对虚拟评估的看法:一项内容分析研究
Pub Date : 2023-10-18 DOI: 10.34172/rdme.2023.33081
Soleiman Ahmady, Amin Habibi, Esmat Radmanesh
Background: The COVID-19 pandemic has presented a significant challenge to education systems worldwide, disrupting traditional teaching and learning methods. This study aims to explore the perceptions of medical students at Abadan University of Medical Sciences regarding electronic assessment methods during the pandemic. Methods: This qualitative study utilized conventional content analysis and involved medical students in their second semester of 2021 who had chosen a unit during the pandemic. Results: Through the analysis process, the participants’ experiences were categorized into six main classes, which included the following: information technology infrastructure, teaching methods of teachers, design of virtual exam questions, monitoring of online exams, psychological issues, and types of virtual assessment. Conclusion: The medical students shared their experiences with virtual assessment during the pandemic, highlighting challenges related to internet infrastructure, communication issues between teachers and students, exam monitoring, psychological factors, reduced learning efficiency due to virtual summative assessment alone, and better learning efficiency through formative assessment alongside summative assessment. They also suggested improvements to online exams, such as increasing the number of questions on each page, allowing the possibility to return to previous questions, and ensuring non-randomness in clinical questions.
背景:2019冠状病毒病大流行给全球教育系统带来了重大挑战,扰乱了传统的教学方法。本研究旨在探讨大流行期间阿巴丹医学科学大学医学生对电子评估方法的看法。方法:本定性研究采用传统的内容分析,涉及2021年第二学期的医科学生,他们在大流行期间选择了一个单元。结果:通过分析过程,将参与者的体验分为六个主要类别,包括信息技术基础设施、教师教学方法、虚拟试题设计、在线考试监控、心理问题和虚拟评估类型。结论:医学生分享了他们在疫情期间使用虚拟评估的经验,强调了网络基础设施、师生沟通问题、考试监控、心理因素、单独使用虚拟总结性评估降低学习效率、形成性评估结合总结性评估提高学习效率等方面的挑战。他们还建议对在线考试进行改进,比如增加每页的问题数量,允许回到之前的问题,并确保临床问题的非随机性。
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引用次数: 0
Social health among Iranian medical students during COVID-19 pandemic COVID-19大流行期间伊朗医学生的社会健康状况
Pub Date : 2023-10-04 DOI: 10.34172/rdme.2023.33117
Maryam Baradaran Binazir, Fariba Heidari
Background: It has been experienced that the COVID-19 pandemic affects students’ physical and psychological health as well as their mortality risk; therefore, during the COVID-19 pandemic, it is crucial to recognize that medical students’ social health is more important than ever before. Methods: This cross-sectional study was conducted on medical students at preclinical and clinical training levels. The population of the study included medical students of the faculty of medicine at Tabriz University of Medical Sciences, Iran. We used the Raosoft sample size calculator. This study was conducted using an online Standardized questionnaire of "Keyes’s Social Well-being" and a demographic scale in the Persian language from the 5th to 29th of October, 2020. We applied the Mann-Whitney test to compare mean scores concerning gender, marital status, level of education, and residence. P value<0.05 was considered statistically significant. Results: The current study involved 242 female and 118 male medical students with average ages of 22.54 (SD=2.41) and 22.48 (SD=2.36) respectively. The majority of participants (294) were single; more than half of them (204) lived in the dormitory. The participants had an average social health score of 84.21 (SD=8.34), indicated a low level of social health in this study. Moreover, we found that social health score was associated with education level, residence, gender, and marital status (P<0.05). Conclusion: During the COVID-19 pandemic, it is crucial to provide medical students with appropriate social health programs to improve their quality of life and increase their achievement.
背景:新冠肺炎大流行对学生身心健康的影响和死亡风险已经有了经验;因此,在2019冠状病毒病大流行期间,必须认识到医学生的社会健康比以往任何时候都更加重要。方法:对临床前和临床训练阶段的医学生进行横断面研究。研究对象包括伊朗大不里士医科大学医学院的医科学生。我们使用了Raosoft样本量计算器。本研究于2020年10月5日至29日使用波斯语的“凯斯社会福祉”在线标准化问卷和人口统计量表进行。我们应用曼-惠特尼检验来比较性别、婚姻状况、教育水平和居住地的平均得分。P值<0.05认为有统计学意义。结果:本研究涉及女医学生242人,男医学生118人,平均年龄分别为22.54岁(SD=2.41)和22.48岁(SD=2.36)。大多数参与者(294人)是单身;其中超过一半(204人)住在宿舍。参与者的社会健康平均得分为84.21 (SD=8.34),表明本研究参与者的社会健康水平较低。此外,我们发现社会健康得分与教育程度、居住地、性别和婚姻状况相关(P<0.05)。结论:在新冠肺炎大流行期间,为医学生提供适当的社会健康项目对提高医学生的生活质量和学业成绩至关重要。
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引用次数: 0
"Assessments: Students’ Perspectives and Faculty’s Dilemmas": An ethical consideration “评估:学生的观点和教师的困境”:伦理考虑
Pub Date : 2023-09-20 DOI: 10.34172/rdme.2023.33135
Prerna Agarwal, Abhinav Singh, Sanya Walia, Ohm Singh, Nikhil Kamal, Bharti Bhandari Rathore
Dear Editor, Assessments are of great importance and an integral part of the teaching-learning process. In other words, they serve as a measure of the achievement of the intended objective. In this regard, they aim to inform students of areas where more effort needs to be made to enhance their performance. As a result, they contribute to deeper learning.1 Assessment results and analysis assist educators in further planning and implementing curriculum developments.2 A summative assessment also facilitates the selection of ‘suggestively’ suitable candidates for promotion and employment, etc., if applicable.3 Furthermore, assessments also help students indirectly by promoting self-discipline, time management, stress management, and an understanding of their strengths and weaknesses. There are, however, some negative aspects associated with assessments for students. Students are more likely to feel stressed and anxious during assessments.4 Typically, assessments are scheduled for the entire class and are time-bound. There may be some students who are not prepared to take exams at that time. Or there may be other factors may contribute to the students’ poor performance. In either case, students may feel ashamed of their poor assessment results. It may be embarrassing for them to accept it when their peers’ scores are higher than theirs. It may be difficult for them to explain it to their parents or guardians, who may view their ward’s exam performance as a measure of righteousness. Frequent assessments multiply students’ problems. Their learning rhythm is disrupted, and the emphasis is shifted to assessment.5 It also creates a vicious cycle of inadequate preparation for exams and poor performance on the exam. Some students indeed think fewer assessments will result in better performance. Some students who cannot cope with stress6 may either resort to delinquent behaviors, such as alcohol consumption, smoking, and anti-social behaviors, to seemingly overcome their humiliation while some of them may develop psychosomatic ailments, low self-esteem, depression, sleep disturbances, gastric peptic ulcer disease, etc. Students may even commit suicide in severe cases.7 In addition to students, assessments test the faculty as well. The faculty always strives to make assessments valid, objective, and unbiased. However, certain aspects of assessments are always difficult to address. There are challenges involved in planning, implementing, and interpreting assessment results at various levels for faculty and administrators. Each class or batch consists of a diverse group of students from varying backgrounds, circumstances, preferences, and abilities.8 Some of them learn fast. Some of them are slow to learn. Some of them may be good at writing or oral communication. It may not be comfortable for some to deal with either of them; though they may still have the required skill and knowledge. However, they have to be judged with the commonly accepted tools of assessme
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引用次数: 0
Motivation as an integral factor in English language learning for medical students 动机是医学生英语学习中不可或缺的因素
Pub Date : 2023-09-17 DOI: 10.34172/rdme.2023.33133
Mehrdad Nazarieh, Mozhdeh Delzendeh, Amin Beigzadeh
Dear Editor, Nowadays, there is a growing trend among university students to learn English as a medium to improve their educational and career prospects. Moreover, medical students are naturally enthusiastic to become physicians from the very beginning of their studies. Their academic pursuit as medical doctors accentuates their tendency toward learning English for several reasons. First and foremost, as a part of their academic studies, students are undeniably required to read English textbooks, references and articles from medical journals. Second, the desire to immigrate and study abroad, as well as perhaps become a faculty member, requires some medical students to take international English proficiency tests, such as the IELTS, TOEFL, and GRE.1 Last but not least, Continuous Professional Development (CPD) for medical students is highly dependent on their command of English as a medium to gain a mastery over up-to-date, field-related technical and theoretical knowledge. Based on what has been discussed so far and the importance of learning English, what factors can affect the language learning process of medical students to achieve the desired outcomes? Evidence highlights some factors affecting the language learning process, including age, aptitude, attitude, learning style, personality, and motivation.2 In studying medicine, a high degree of motivation is imperative in the pursuit of medical education, as it is a crucial factor in achieving academic success, maintaining the intention to continue medical education, and fostering the development of a professional identity.3 Although there are different definitions for the term “motivation”, Motivation in language acquisition is the combination of effort, desire, and positive attitudes toward learning the language.4 There are four types of motivation in language learning, namely: instrumental motivation, integrative motivation, intrinsic motivation, and extrinsic motivation. While Instrumental motivation refers to learning a language for practical reasons, such as achieving a career or educational goal, integrative motivation involves learning a language to become part of a new culture or community. Furthermore, Intrinsic motivation is the desire to learn a language for personal fulfillment, enjoyment, or challenge. Finally, Extrinsic motivation is driven by external factors, such as rewards or pressures, including grades, praise, or avoiding negative consequences.5 Medicine is a crucial field of study that focuses on treating patients. To do so effectively, medical students must acquire essential related knowledge and skills, including history taking, physical examination, professionalism, communication, and clinical reasoning.6 These skills can be attained if medical students, as adult learners, are motivated by their internal drive to become competent doctors. In addition, medical students are responsible for their own education and ongoing learning. On the other hand, it appears that extern
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引用次数: 0
Effectiveness of peer assisted learning in improving HIV knowledge, attitude, and perception among community health workers 同伴辅助学习在改善社区卫生工作者艾滋病毒知识、态度和认知方面的有效性
Pub Date : 2023-08-29 DOI: 10.34172/rdme.2023.33096
Peigham Heidarpoor, Seyedehbeheshteh Mousavikashi
Background: Community health workers (CHWs) act as a bridge between community and clinical care in caring for HIV patients. This study aimed to evaluate the effectiveness of peer education in improving HIV knowledge, attitude, and perception of CHWs in Babol, Iran in 2019. Methods: This was a quasi-experimental study conducted among CHWs in the health centers of Babol, Iran. The city was divided into two areas of the North and the South according to the geographical map. Then, based on the list of the health centers in each of the areas, one health center was randomly selected and assigned to either the experimental or the control group. Results: Following peer education, all study variables including knowledge score, attitude, and perception about HIV-related issues significantly improved in the experimental group compared to the pre-intervention phase (P=0.002, P=0.02, and P=0.00 respectively). The most significant change was in misconception score with a approximately large effect size (0.78), presenting an increase of 95.53% from 15 to 29.33 after the intervention, while attitude and knowledge respectively presented 85.04% and 81.07% increase with a smaller effect size of 0.57 and 0.52. Conclusion: In the study peer education proved to be an effective strategy in improving the knowledge, attitudes, and perception of CHWs concerning HIV/AIDS. Therefore, the peer-to-peer training model can fill a critical gap in the training of CHW based on the idea that not only do the CHWs themselves need to enhance their knowledge of related topics but they also need to train others. In turn, this will result in providing cost-effective health promotion and prevention services in a more culturally appropriate manner.
背景:社区卫生工作者(CHW)在照顾HIV患者方面充当着社区和临床护理之间的桥梁。本研究旨在评估2019年伊朗巴波尔市同伴教育在改善艾滋病知识、态度和CHW认知方面的有效性。方法:这是一项在伊朗巴波尔卫生中心CHW中进行的准实验研究。根据地理地图,这座城市被分为北部和南部两个地区。然后,根据每个地区的健康中心列表,随机选择一个健康中心,并将其分配到实验组或对照组。结果:在同伴教育之后,与干预前阶段相比,实验组的所有研究变量,包括知识得分、态度和对HIV相关问题的感知,都有显著改善(分别为P=0.002、P=0.02和P=0.00)。最显著的变化是误解得分,其影响大小约为0.78,干预后从15增加到29.33,增加了95.53%,而态度和知识分别增加了85.04%和81.07%,较小的影响大小为0.57和0.52。结论:在本研究中,同伴教育被证明是提高CHW对HIV/AIDS的知识、态度和认知的有效策略。因此,对等训练模型可以填补CHW训练中的一个关键空白,因为CHW不仅自己需要提高相关主题的知识,而且还需要训练其他人。反过来,这将导致以更符合文化的方式提供具有成本效益的健康促进和预防服务。
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引用次数: 0
Comparison of the results of developing standards for health promotion hospitals in public and private medical centers 公立和私立医疗中心健康促进医院制定标准的结果比较
Pub Date : 2023-08-28 DOI: 10.34172/rdme.2023.33090
Akbar Javan Biparva, Hamed Baghayi, Shahriar Peyghani Asl, Rahim Khodayari Zarnagh
Background: Developing standards for Health Promotion Hospitals (HPH) plays a crucial role in hospital accreditation. This study aimed to compare the development of HPH standards in public and private hospitals in Tabriz, Iran in 2021. Methods: This descriptive-analytical and cross-sectional study was conducted to evaluate all public and private hospitals in the city. Data were collected using observation and interviews through a valid and reliable HPH checklist. Data were analyzed using t test. Results: The study found that the standards for patients’ data and interventions (77.38%), continuity in treatment and cooperation (69.38%), management policy (61.92%), patient evaluation (60.76%), and providing a healthy workplace (42.7%) had the highest scores, respectively. Private hospitals scored higher than public hospitals in all dimensions. There was a significant difference between public and private hospitals regarding the total score (P=0.001), management policy(P=0.01), patient information and interventions(P=0.003), and continuity in treatment and cooperation (P=0.002). Conclusion: The competitive atmosphere among private hospitals appears to have improved their status in HPP, while public hospitals were less concerned with competition and improving their performance in this field. Additionally, ignoring human resource management policies has made the managers of all hospitals feel the need for further upgrading in terms of standards for promoting a healthy work setting.
背景:健康促进医院(HPH)标准的制定在医院认证中起着至关重要的作用。本研究旨在比较2021年伊朗大不里士公立和私立医院HPH标准的发展。方法:采用描述性分析和横断面研究的方法对全市所有公立和私立医院进行评估。通过有效可靠的HPH检查表,采用观察和访谈的方式收集数据。数据分析采用t检验。结果:研究发现,患者资料和干预标准(77.38%)、治疗连续性和合作(69.38%)、管理政策(61.92%)、患者评价(60.76%)和提供健康工作场所(42.7%)得分最高。民营医院在各方面得分均高于公立医院。公立医院与民营医院在总得分(P=0.001)、管理政策(P=0.01)、患者信息与干预(P=0.003)、治疗与合作的连续性(P=0.002)方面存在显著差异。结论:民营医院竞争氛围明显改善了其在HPP领域的地位,而公立医院对HPP领域竞争和绩效提升的关注度较低。此外,由于忽视人力资源管理政策,所有医院的管理人员都感到有必要进一步提高标准,以促进健康的工作环境。
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引用次数: 0
Academic stress and stress coping style in nursing undergraduates: Predictors of academic performance in a public tertiary institution in Nigeria 护理本科生的学业压力和压力应对方式:尼日利亚公立高等院校学业成绩的预测因素
Pub Date : 2023-08-14 DOI: 10.34172/rdme.2023.33074
Yahaya Jafaru, E. Afolabi
Background: The students’ ability to withstand the effect of stress is significantly determined by their coping ability. Their inability to cope effectively with stress may lead to low academic performance. This study aimed to investigate academic pressure and coping style as predictors of the academic performance of nursing undergraduates. Methods: This study adopted a cross-sectional descriptive research design. The target population was nursing undergraduates at the Federal University of Birnin-Kebbi. A sample size of 118 was selected as respondents. Data were collected and analyzed using Statistical Package for the Social Science (SPSS) version 26. Frequencies and percentages, Pearson product moment correlation, and multiple linear regression were used in data analysis. Results: The respondents’ mean age was 25.09 (SD=4.53). Females were 55.9%. There was a weak negative correlation between cumulative grade point average (CGPA) and mean academic stress (AS) (r=-0.141, P=0.065), a weak positive correlation between CGPA and mean stress coping style (SCS) (r=0.237, P=0.005), and a weak positive correlation between mean AS and mean SCS was 0.008 (P=0.466). Mean AS was not a significant predictor of academic performance t (115)=-1.589, P=0.115. Mean SCS was a significant predictor of academic performance t (115)=2.656, P=0.009. Conclusion: The mean AS was not a significant predictor of academic performance. However, the mean SCS was a significant predictor of academic performance with a positive and significant correlation.
背景:学生承受压力的能力在很大程度上取决于他们的应对能力。他们无法有效应对压力可能会导致学习成绩低下。本研究旨在探讨学业压力和应对方式对护理本科生学业成绩的预测作用。方法:本研究采用横断面描述性研究设计。目标人群是Birnin Kebbi联邦大学的护理本科生。选择118人作为调查对象。使用社会科学统计软件包(SPSS)第26版收集和分析数据。在数据分析中使用了频率和百分比、皮尔逊乘积矩相关性和多元线性回归。结果:调查对象的平均年龄为25.09岁(SD=4.53),女性占55.9%。累积绩点平均值(CGPA)与平均学业压力(AS)呈弱负相关(r=-0.141,P=0.065),CGPA与平均压力应对方式(SCS)呈弱正相关(r=0.237,P=0.005),平均AS与平均SCS之间呈弱正相关,为0.008(P=0.466)。平均AS不是学习成绩的显著预测因子t(115)=-1.589,P=0.115。平均SCS是学习成绩的重要预测因子t(115)=2.656,P=0.009。结论:平均AS不是学习成绩的显著预测因素。然而,平均SCS是学习成绩的重要预测因子,具有正相关。
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引用次数: 0
Correction: Factors affecting health information resources in central libraries at Iranian universities of medical sciences 更正:影响伊朗医科大学中央图书馆卫生信息资源的因素
Pub Date : 2023-07-13 DOI: 10.34172/rdme.2023.33139
Tayebeh Khajeh, Alireza Isfandyari Moghaddam, Behrooz Bayat, F. Doroudi
This corrects the article "Factors affecting health information resources in central libraries at Iranian universities of medical sciences" published in 2022: Volume 11, page 18 (doi: 10.34172/ rdme.2022.018). The first affiliation in the original version has not been written in the correct format. This has now been corrected in the PDF and HTML versions of the article.
本文更正了发表于《2022:第 11 卷》第 18 页的文章 "影响伊朗医科大学中心图书馆卫生信息资源的因素"(doi: 10.34172/ rdme.2022.018)。原始版本中的第一个单位未按正确格式书写。现已在文章的 PDF 和 HTML 版本中更正。
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引用次数: 0
The impact of organizational education on nurses’ career resilience during the COVID-19 pandemic COVID-19大流行期间组织教育对护士职业弹性的影响
Pub Date : 2023-05-30 DOI: 10.34172/rdme.2023.33107
M. Abbaszadeh, Tavakkol Aghayari Hir, M. Jabraeili, E. Mohammadpour
Background: The current study was conducted to explore the level of career resilience among nurses working in medical centers affiliated with the Tabriz University of Medical Sciences, and examine whether organizational education and other characteristics, such as background variables, have any effect on that resilience. This is of particular importance in light of the COVID-19 pandemic, which resulted in nurses playing a more prominent role than other medical staff when dealing with infected patients and consequentially experiencing a greater impact on their career resilience. Methods: This research study was a descriptive correlational design using a stratified sampling technique. A total of 351 participants, all nurses from medical education centers affiliated with the Tabriz University of Medical Sciences, were selected. Questionnaires covering career resilience, organizational education, and demographic items were used to collect the data. SPSS 22 was used to carry out the analyses, including t-tests, Pearson correlations, and linear regression tests. Results: The results showed that nurses had an average career resilience score of 56.4 out of a possible 100 with an average organizational education score of 48.6. Bivariate relationships revealed statistically significant associations between career resilience and organizational education (P<0.001), years of employment (P<0.001), and education level (P<0.05). Although there was no statistically significant relationship between career resilience and sex in the bivariate analysis, sex was found to be significant in the multivariable analysis (P<0.05). Conclusion: Organizational education is essential for nurses to maintain career resilience. To that end, hospitals and medical education centers should offer regular programs centered on enhancing career resilience and helping nurses manage job-related stress.
背景:本研究旨在探讨大不里士医科大学附属医疗中心护士的职业弹性水平,并考察组织教育和其他背景变量等因素是否对职业弹性有影响。鉴于2019冠状病毒病大流行,这一点尤为重要,这导致护士在处理受感染患者时比其他医务人员发挥更突出的作用,因此对其职业适应能力产生了更大的影响。方法:本研究采用分层抽样技术,采用描述性相关设计。共有351名参与者被选中,他们都是大不里士医科大学附属医学教育中心的护士。调查问卷包括职业弹性、组织教育和人口统计项目来收集数据。采用SPSS 22进行分析,包括t检验、Pearson相关检验和线性回归检验。结果:结果显示护士职业弹性平均得分为56.4分(满分100分),组织教育平均得分为48.6分。双变量关系显示,职业弹性与组织教育(P<0.001)、工作年限(P<0.001)和教育水平(P<0.05)存在显著的相关关系。虽然在双变量分析中,职业弹性与性别之间没有统计学意义上的关系,但在多变量分析中,性别发现职业弹性与性别之间存在显著关系(P<0.05)。结论:组织教育对护士保持职业弹性至关重要。为此,医院和医学教育中心应该提供以提高职业弹性和帮助护士管理工作压力为中心的定期课程。
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引用次数: 1
Mindfulness-based resilience training on the psychological well-being of medical students during the COVID-19 pandemic COVID-19大流行期间医学生心理健康的正念复原力训练
Pub Date : 2023-04-11 DOI: 10.34172/rdme.2023.33099
S. Nemati, Rahim Badri Gargari, S. Vahedi, Mir Hashem Mirkazempour
Background: In recent years, research has witnessed an exciting change toward well-being and health instead of emphasizing disorders and inefficiency. The current study aimed to assess the effect of a mindfulness-based resilience training program on the psychological well-being of medical students during the COVID-19 pandemic. Methods: The current study was quasi-experimental with a control group and a pre/post design. A sample of 30 students was randomly selected from a community of medical students at the Tabriz University of Medical Sciences in the academic year 2021-2022. These students were randomly divided into two groups of 15 participants. The tools used in this research included Ryff’s Psychological Well-Being Questionnaire (PWB-18) and an integrated training program for resilience and mindfulness. Results: The findings showed an integrated training program of resilience and mindfulness positively affected students’ psychological well-being. In addition, this intervention was able to explain 59% of the combined variance of psychological well-being variables. Conclusion: The results of the current study found that an integrated training program of resilience and mindfulness can improve individuals’ psychological well-being during a difficult situation such as the COVID-19 pandemic.
背景:近年来,研究见证了一个令人兴奋的变化,即向幸福和健康转变,而不是强调疾病和效率低下。目前的研究旨在评估新冠肺炎大流行期间基于心智的复原力训练计划对医学生心理健康的影响。方法:本研究为准实验性研究,采用对照组和前后设计。从大不里士医学科学大学2021-2022学年的医学生社区中随机选择了30名学生作为样本。这些学生被随机分为两组,每组15人。这项研究中使用的工具包括Ryff的心理健康问卷(PWB-18)和一个关于韧性和正念的综合培训计划。结果:研究结果表明,复原力和正念的综合训练项目对学生的心理健康有积极影响。此外,这种干预能够解释59%的心理健康变量的组合方差。结论:当前研究的结果发现,在新冠肺炎大流行等困难情况下,韧性和正念的综合训练计划可以改善个人的心理健康。
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引用次数: 0
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Research and Development in Medical Education
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