A survey on clinical training stress among students of Judo therapist training schools : focus on differences in grade-specific training modes

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  • 柔道整復師学校養成施設の学生における臨床実習のストレス調査 : 学年別実習形態の違いに着目して
  • ジュウドウ セイフクシ ガッコウ ヨウセイ シセツ ノ ガクセイ ニ オケル リンショウ ジッシュウ ノ ストレス チョウサ : ガクネン ベツ ジッシュウ ケイタイ ノ チガイ ニ チャクモク シテ

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The accreditation rules for judo therapist training schools have been revised, and the scope of clinical training has been expanded in terms of its contents, duration, and so on. Consequently, the importance of clinical training has increased. While these schools develop clinical training based on the guidelines for (on-site) clinical training, each school independently selects the training location, duration, contents, and so on. However, the actual condition of the students undergoing clinical training remains unknown. Although there have been many reports on the stress of students in other healthcare fields who undergo clinical training, there are few studies on the stress of students who undergo clinical training at judo therapist training schools. Therefore, this study aimed to investigate the psychological and physical responses to stress in students at judo therapist training schools that implement different training modes for each grade. The participants were 252 second- to fourth-year students who underwent clinical training. Psychological responses were measured using the State-Trait Anxiety Inventory (STAI), and physical responses were measured by salivary alpha-amylase activity assay and acceleration plethysmography. The results showed that the STAI scores, which represent the level of psychological response, were higher before the clinical training for the second-year students and after for the third- and fourth-year students. As for physical re-sponses, acceleration plethysmography showed higher heart rates before the clinical training in the second- and third-year students. Moreover, it was observed that the participants had low stress levels during the clinical training. Thus, the results revealed that during the clinical training, the participants exhibited significant psycho-logical responses, but there were no marked changes in their physical responses. A possible reason for the absence of excessive stress is that the implementation of participatory clinical training through a step-by-step approach of observation, imitation, and practice helped alleviate the participants’ anxie-ty-related stress. The results of this study indicate that the participants underwent clinical training with moderate levels of stress.

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