Title Vrijednosti bispektralnog indeksa tijekom rješavanja psihomotornih testova i povezanost s akademskim uspjehom na medicinskom fakultetu
Title (english) Bispectral Index values during psychomotor tests and relationship with academic success at the Faculty of Medicine
Author David Apolloni
Mentor Zoran Đogaš (mentor)
Committee member Maja Valić (predsjednik povjerenstva)
Committee member Ivana Pavlinac Dodig (član povjerenstva)
Committee member Marino Vilović (član povjerenstva)
Granter University of Split School of Medicine Split
Defense date and country 2024-07-19, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Basic Medical Sciences Neuroscience
Abstract Cilj istraživanja: Ciljevi ovog istraživanja bili su uspoređivanje vrijednosti bispektralnog indeksa (BIS) tijekom rješavanja tri različita psihomotorična testa te tijekom 5-minutih razdoblja relaksacije prije i nakon rješavanja testa. Također, cilj istraživanja bio je i utvrditi moguće postojanje povezanosti rezultata rješavanja psihomotoričnih testova ispitanih studenata s njihovim ukupnim prosječnim ocjenama na studiju medicine te iz različitih skupina predmeta.
Ispitanici i postupci: Naše istraživanje uključilo je 30 ispitanika, svi su bili studenti šeste godine Medicinskog fakulteta u Splitu. Svaki ispitanik ukupno je rješavao tri psihomotorna CRD testa, redoslijed rješavanja bio je randomiziran. Prije svakog testa prvo slijedila vježba testa, zatim razdoblje relaksacije i onda se rješavao test čije smo rezultate mjerili. Nakon riješenog zadnjeg testa slijedila je još jedna relaksacija. Tijekom svih razdoblja relaksacije i rješavanja testova bilježile su se BIS vrijednosti ispitanika preko jednokratne BIS elektrode, BIS uređaja i monitora. Prosječne ocjene tijekom studija za moguću povezanost s rezultatima psihomotornih testova pribavili smo iz ISVU sustava. ANOVA testom za ponavljana mjerenja uspoređene su BIS vrijednosti tijekom sva tri psihomotorna testa, kako međusobno, tako i s razdobljima relaksacije prije i nakon određenog testa. Korelacijskom analizom izračunate su povezanosti prosječnih ocjena i zabilježenih brzina reakcije na testu. Statistička značajnost postavljena je pri P<0,05.
Rezultati: Uočena je značajna razlika u BIS vrijednostima pri rješavanju tri psihomotorna testa u našem istraživanju. BIS vrijednosti bile su značajno niže pri rješavanju testa aritmetičkih zadataka (CRD 11) negoli pri rješavanju testa brzine reakcije na svjetlosne podražaje (CRD 311) ili testa koordinacije ruke-noge (CRD 411). Pored toga, BIS vrijednosti tijekom rješavanja CRD 11 testa bile su značajno niže u usporedbi s relaksacijom prije i relaksacijom nakon navedenog testa, dok u ostala dva testa to nije bio slučaj. Nije bilo značajne razlike u BIS vrijednostima tijekom relaksacije prije i relaksacije nakon riješenih navedenih testova za sva tri CRD testa. Povezanost izračunatih prosječnih ocjena s rezultatima CRD testova nije bila statistički značajna, mada je vrlo blizu granične razine značajnosti bila CRD 11 s prosječnom ocjenom pretkliničkih morfoloških predmeta (P=0,081) te negativna povezanost brzine rješavanja testa CRD 411 s prosječnom ocjenom pretkliničkih fizioloških predmeta (P=0,071).
Zaključak: Ovo istraživanje potvrđuje da su BIS vrijednosti bile značajno niže tijekom rješavanja testa rješavanja aritmetičkih zadataka u usporedbi s testom brzine reakcije na svjetlosni podražaj i testom koordinacije ruke-noge u studenata medicine u našem istraživanju. Stabilnost zabilježenih BIS vrijednosti tijekom razdoblja relaksacije prije i nakon psihomotornih testiranja govori u prilog valjanosti ovakvog istraživanja i protokola kojega smo primijenili. Za procjenu povezanosti uspjeha na studiju (gledanog samo preko prosječnih ocjena na ispitima tijekom studija) naši preliminarni rezultati govore da su ocjene iz pretkliničkih predmeta bile više povezane s rezultatima psihomotornih testova koje smo primijenili od ocjena iz kliničkih predmeta. Naši rezultati također ukazuju da bi prosječne ocjene na pretkliničkim morfološkim predmetima mogle biti više povezane s testom rješavanja aritmetičkih zadataka, dok je složeni test koordinacije ruke-noge moguće više povezan s prosječnim ocjenama pretkliničkih fizioloških predmeta. Za bolju i cjelovitiju procjenu povezanosti uspjeha na studiju procijenjenog preko prosječnih ocjena na ispitima tijekom studija i rezultata na primijenjenim psihomotornim testovima potrebna su dodatna istraživanja na većem broju ispitanika i u različitim visokim učilištima.
Abstract (english) Objective of the Study: The objectives of this study were to compare the bispectral index (BIS) values during the solving of three different psychomotor tests and during the 5-minute relaxation periods before and after solving the test. Also, the goal of the research was also to determine the possible existence of a connection between the results of solving psychomotor tests of the examined students and their overall average grades in the study of medicine and the different groups of subjects.
Subjects and methods: Our research included 30 participants, all whom were sixth year students at the Faculty of Medicine in Split. Each subject solved a total of three psychomotor CRD tests, the order of solving was randomized. Before each test, there was a practice of the test, then a relaxation period, which was followed by solving the test, the results of which were measured. After solving the last test, another relaxation followed. During all periods of relaxation and test solving, the subjects' BIS values were recorded using a disposable BIS electrode, BIS device and monitor. We obtained the average grades during the study from the ISVU system for a possible connection with the results of the psychomotor tests. ANOVA test for repeated measurments was used to compare BIS values during all three psychomotor tests, both with each other and with relaxation periods before and after a certian test. Correlation analysis was used to calculate the correlation between average grades and recorded reaction speeds on the test. Statistical significance was set at P <0.05.
Results: A significant difference in BIS values was observed during the solving of three psychomotor tests in our research. BIS values were significantly lower when solving the test of arithmetic tasks (CRD 11) than when solving a test of speed of reaction to light stimuli (CRD 311) or a test of hand-leg coordination (CRD 411). In addition, BIS values while solving the CRD 11 test were significantly lower compared to the relaxation before and after the mentioned test, while this was not the case in the other two tests. There was no significant difference in BIS values during the relaxation before and the relaxation after solving the mentioned tests for all three CRD tests. The correlation between the calculated average grades and the results of the CRD tests was not statistically significant, although the CRD 11 with the average score of the preclinical morphology subjects (P=0.081) and the negative correlation of the speed of solving the CRD 411 test with the average score of the preclinical physiology subjects was very close to the threshold level of significance (P=0,071).
Conclusion: This research confirms that BIS values were significantly lower during arithmetic problem solving test compared to light stimulus reaction speed test and arm-leg coordination test in medical students in our research. The stability of recorded BIS values during the relaxation period before and after psychomotor testing speaks in favor of the validity of this kind of research and the protocol we applied. In order to assess the correlation of success at the study (viewed only through the average grades on the exams during the study), our preliminary results show that the grades from the preclinical subjects were more related to the results of the psychomotor tests that we applied than the grades from the clinical subjects. Our results also indicate that the average scores on the preclinical morphology subjects could be more related to the arithmetic problem solving test, while the complex hand-foot coordination test is possibly more related to the average scores on the preclinical physiology subjects. For a better and more complete assessment of the connection between success at the study, assessed through the average grades on the exams during the studies, and the results on the applied psychomotor tests, additional research is needed on a larger number of subjects and in different universities.
Keywords
psihomotorni testovi
bispektralni indeks
akademski uspjeh
Keywords (english)
psychomotor tests
bispectral index
academic success
Language croatian
URN:NBN urn:nbn:hr:171:575150
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access Embargo expiration date: 2024-07-19
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Created on 2024-07-24 08:25:42