LEVEL OF ANXIETY OF STUDENTS OF THE IVANOVA STATE MEDICAL ACADEMY IN THE PROCESS OF STUDYING THE DISCIPLINE OF HISTOLOGY, EMBRYOLOGY, CYTOLOGY

Abstract

Objective - to analyze the anxiety level and its correlation with frequent incidence of cells with abnormal nucleus in buccal epithelium in medical students at different stages of academic process at histology, embryology, cytology department of Ivanovo State Medical Academy. Material and methods. The research complex was used as follows: sociological part (263 students were inquired), psychodiagnostic part (determination of personal and situational anxiety level in 180 students) and morphological part (detection of cells with atypical nuclei in buccal epithelium in 83 students). Results. According to the inquiry findings the significant part of students estimated academic process organization at the department positively. The students had all necessary methodical appliances and knowledge evaluation criteria for preparation to practical classes and examinations. Possible suggested difficulties troubled 60 % of the students in pediatrics faculty and 84 % of the students in general medicine faculty. 24 % of the examined persons noted their certitude in knowledge level before the examination. About 40 % of the students were satisfied with the result and the obtained mark. More than 40 % of the students before the examination had the status near mental disturbance insanity. The analysis of integrative anxiety test parameters demonstrated that the personal anxiety dominated the situational one in the examined students; it testified to the prevalence of their perception of the educational process “practical classes - examination” as definite threat presentation. Before the examination at the background of permanent personal anxiety the parameters of situational anxiety were increased upon subcomponents - anxious evaluation of perspective, asthenic component of anxiety and emotional discomfort. The results of buccal epithelium smear analysis demonstrated the most quantity of cells with nucleus abnormalities in the students with high and middle levels of both personal and situational anxiety. The alteration in the typology of cells with abnormal nuclei took place in the academic process. Anuclear cells prevailed at practical classes and cells with micronuclei and protrusion predominated at the examination. Conclusions. It was suggested to train students especially with high and middle levels of personal anxiety in the field of self control and self regulation techniques, stress resistance, solution of problem situations according to the principle “here and now”, their adequate perception and effective time planning of studies.