Stress và các yếu tố liên quan ở học viên chuyên khoa cấp II tại trường Đại học Y khoa Phạm Ngọc Thạch

Stress is a pervasive mental health concern, particularly within demanding academic environments like healthcare. The World Health Organization defines stress as a state of anxiety arising from challenging situations. While stress among general medical students has been widely investigated, the specific context of post-graduate, second-degree specialty students (Chuyên khoa II) remains less explored. These individuals often shoulder complex responsibilities, balancing professional roles, family commitments, and rigorous academic demands. Understanding the prevalence and contributing factors of stress within this unique cohort is crucial for safeguarding their mental well-being, optimizing their learning outcomes, and ultimately enhancing their capacity to provide quality healthcare services. This study aims to delineate the stress status and associated factors among Chuyên khoa II students at Pham Ngoc Thach University of Medicine.

Medical educators, university administrators, mental health professionals, and policymakers, particularly those involved in post-graduate medical education and student well-being at specialized medical universities.

This cross-sectional study investigated the prevalence of `stress` and its `yếu tố liên quan` among 201 `Chuyên khoa II` (second-degree specialty) students at Pham Ngoc Thach University of Medicine from June to September 2025. Recognizing the unique challenges faced by this cohort, who balance professional careers, family life, and advanced `học tập`, the research aimed to provide comprehensive data on their mental well-being. Using the GHQ-12 questionnaire, which identifies stress at a score of 12 or higher, the study found a high overall `tỷ lệ stress` of 53.2%. Univariate and multivariate analyses, performed using Excel 2019 and SPSS 26.0, identified several significant predictors. Key `yếu tố liên quan` included socioeconomic status, with students earning less than 10 million VND, those struggling to pay tuition, or those needing to borrow money demonstrating significantly higher stress levels. Age also played a role, as students under 35 years old experienced higher stress. Furthermore, employment status, particularly the burden of balancing full-time work with studies, was a critical factor. The study also noted variations across `Chuyên khoa II` specializations, with Internal Medicine/Pediatrics students reporting higher stress compared to Surgical/Obstetrics students. These findings highlight the necessity for tailored institutional support, such as flexible financial policies, tuition fee adjustments, and enhanced psychological counseling, to alleviate `stress` and foster a more conducive `học tập` environment for these dedicated future medical specialists.