VIETNAM MEDICAL JOURNAL N°2 - OCTOBER - 2017 than hd-viem than lien quan trde tiep den tien
trien eiia benh than man sau nay. Co the thay rang ty le ton thu'dng loai hpi chiTng than hd- viem than d nghien ciTu cua chimg toi la 31,9%
cao hdn ca hai nghien cdu tren (29,5% va 20%).
Ly giai dieu nay cd the la do chimg toi thdc hien nghien ciTu tai khoa than - Benh vien Nhi Trung ddng, nhiJng benh nhan tinh trang nhe hdn cd the dddc dieu tri tai nhu'ng benh vien tai tuyen dja phu'dng, ngoai ra cd mot so tru'dng hdp ton thu'dng than nhe tai benh vien cd the dddc dieu tri tai khoa Mien dich-d| dng. Nen cac benh nhan ciia chung toi cd xu hddng loai ton thddng than nang vdi ty le cao hdn.
V. KET LUAN
Day la nghien cull dau tien ve dac diem djch te hpc lam sang va can lam sang HSPN d tre em tai Benh vien Nhi Trung U'dng. Chimg toi da dda ra dddc cae hinh thai ciia to'n thu'dng than trong HSPN, trong dd mot dang ton thu'dng than nang la hpi chdng than hd-viem than chiem den 1/3 eac trddng hdp va cd den hdn '72 trddng hdp ton thu'dng than chi ed bieu hien tren xet nghiem nddc tieu. Dieu nay cho thay ton thddng than trong HSP can dddc khao sat tren ca lam sang va xet nghiem ngay tiT ban dau va trong suot qua trinh theo doi benh.
TAi LIEU T H A M KHAO
1. EULAR/PRINTO/PRES criteria for Henoch- Schdnlein purpura, childhood polyarteritis nodosa childhood Vi/egener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part II: Final classification criteria. Ann Rheum Dis 2010' 69:798-806
2. Farahnak Assadi et al (2009). Childhood Henodv Schonlein Nephritis A Multivariate Analysis of Qmical Features and Renal Morphology at Disease Onsd.
Iranian Journal of Kidney Diseases, 3(1), 17-21.
3. Le Thj Minh Hu'dng, Thuc Thanh Huyen (2013). Nghien ciTu dac diem lam sang, can lam sang cua benh Schonlein-Henoch d tre em tai benh vien Nhi Trung Udng. Tap chi y hoc thut hanfi
874(6), 91-94. , ^^
4. Galvez-Olortegui J, Alvarez-Vargas M, Dura#
Vergara J, Diaz-Lozano M, Galvez-Olortegul * , Armas-Ramirez I, et al (2015). Henoch Sdionlel purpura associated with bee sting: case report.
Medwave, 15(9): e6297.
n. Louise Watson, Watson L, Richardson ARW, Holt RCLBeresford MW (2012) Hem^
Schonlein Purpura - A 5-Year Review aiki Proposed Pathway. PLoS 0NE7{1): e29512.
e.Radovan Bogdanovic et al (2009).Henocli' Schonlein purpura nephritis in children: i ^ factors, prevention and treatment.4rf3 paediatrica, 12(981,1882-1889.
7. A.R. Goldstein et al (1992). Long-term follow-up of childhood Henoch-Schonlein nephritis. The Lancet, 339(8788), 280-282.
KHAO SAT TINH TRANG DAU DO NGUYEN NHAN THAN KINH SU DUNG THANG DIEM LANSS VA NPQ <y BENH NHAN VIEM COT SONG DINH KHOT
Dinh Ha Giang*, Nguyen Van Hftng*
T 6 M
TAT
Muc tieu nghien cu'u: 1. Khao sat tinh trang dau do nguyen nhan than kinh bang thang diem LANSS va NPQ d benh nhan viem cot song dinh khdp. 2. Tim hieu mot so yeu to lam sang lien quan vdi tinh trang dau than Idnh d benh nhan viem cot song dinh khdp.
Ooi tu'dng nghien ciiru: Tien hanh tren 32 benh nhan du'^c chan doan viem cot song dinh khdp theo ti§u chuan New York 1984 dieu tri noi trii tai khoa CO Xddng Khdp Benh vien Bach Mai tir thang 10 nam 2016 den thang 06 nSm 2017. Phu'dng phap nghien cufu: Tien ciTu mo ta eat ngang. Ket qua: Ket qua cho thay ti le benh nhan co trieu chiTng dau do nguyen nhan than kinh theo tharig diem LANSS la 21,9%; theo thang diem NPQ la 25%, v6i cac trieu
*Trddng dai hoc Y Ha Noi Chiu trach nhiem chinh: Nguyen Van Hiing Email: [email protected] Ngay nhan bai; H.8,2017 Ngay phan bien khoa hoc: 4.10.2017 Ngay duyet bai: 13.10.2017
chiTng lam sang hay gap nhd: kim cham (LANSS;
50%, NPQ: 60%), rat (LANSS: 50%, NPQ; 50%), tang nhay cam (LANSS: 85,7%, NPQ; 60%...). Nhom benh nhan viem cot song dinh khdp ed dau do nguyen nhan than kinh cd ti le nam nhieu hOn nff; cd tuoi trung binh va diem dau trung binh Idn hdn so vdi nhom benh nhan khong cd dau do nguyen nhan than_Wnh.
Ket luan: Dau do nguyen nhan than kinh co the gap d ca 2 gidi, 6 mpi do tuoi khac nhau. Nhom c6 flau do nguyen nhan than kinh eo thdi gian mac benh tjung binh, VAS dung binh, BASDAI trung binh Idn hdn nhom khong cddau do nguyen nhan than kinh.
Tu'khoa: Viem c6t song dinh khdp, dau than Idnh, LANSS, NPQ.
SUMMARY
EVALUATION OF NEUROPATHIC PAIN USING LANS AND NPQ QUESnONNAIRE IN PATIENTS W n n ANKYLOSING SPONDYLTTIS
Objectives: 1. To assess neuropathic pain i"
ankylosing spondylitis patient with LANSS and m, questionnaires. 2. To study the relation betweer neuropathic pain in patients with ankylosing
72
TAP CHi Y HOC VIET HAM TAP 459 - THANG 10 - 502 - 2017 spondylitis and clinical factors. Subject and
methods: Study conducted on 32 ankylosing spondylitis patients diagnosed according to 1984 New York criteria, treated in the departement of rheumatology. Bach Mai hospital from November 2016 to July 2017. Results: The neuropathic pain incidences assessed using LANSS and NPQ questionnaires were 21.9% and 25 %. irrespectively.
Gammon clinical symptoms were needless (LANSS:
50%, NPQ: 60%), burning (U\NSS: 50%, NPQ: 60%), hypersensitivity (LANSS: 85.7%, NPQ: 60% ...).
Neuropathic pain in patients with ankylosing spondylitis was common in men than in women;
average age, average disease duration, average VAS score and average BASDAI were higher in group of patients with neuropathic pain than in the group of patients without neuropathic pain. Conclusion:
l^eutopathic pain can be seen in both sexes, of all ages. Patients with neuropathic pain have an average disease duration, mean of VAS and BASDAI higher than those in group without neuropathic pain.
Key words: ankylosing spondylitis, neuropathic pain, U\NSS, NPQ
1. Oi^T V ^ N DE
Viem cot song di'nh khdp la mot benh viem khdp man tinh chu'a ro nguyen nlian, gap chu yeu d ngddi tre tuoi. Dau is benh nhan viem cot song dinh khdp thdcfng du'dc cho la do tinh trang viem gay nen. Tuy nhien, tren thdc te van cdn mot so trddng hdp dau keo dai mac dii da dddc kiem soat tot tinh trang viem [ 1 ] , [2]. Gan day, ed mot sd nghien ciTu cho thay cd nguyen nhan dau do than kinh cf nhom benh nhan nay. Theo mot so nghien cuLi da cong bo, dau do nguyen nhan than kinh dddc nhan thay d hdn niTa so benh nhan viem cot song dinh khdp, gay anh hu'dng den kha nang lao dong, sinh hoat hang ngay va lam giam chat Iddng cuoc song ciia benh nhan [3], Vi the chan doan va dieu tri diing dau do nguyen nhan than kinh la yeu to quan trpng nham cai thien chiTc nang hoat dong cung nhd chat Iddng cuge song eua ngddi benh.
Cho den nay, chda co cd tieu ehuan vang de chan doan xac djnh dau do nguyen nhan than kinh va cung khong ed trieu chu'ng hay dau hieu nao cd the chan doan chae chan la cd dau do nguyen nhan than kinh hay khong. Phan Idn eac tac gia danh gia dau do nguyen nhan than kinh deu su'dung cac cong cu danh gia mdc do, trieu ChiTng ciia cac bieu hien dau do nguyen nhan than kinh, ket hdp vdi tham kham lam sang ti mi, tir dd tong hdp va danh gia de chan doan benh nhan cd bieu hien dau do nguyen nhan than kinh hay khong [2].
Tren the gidi eo nhieu thang diem de phat hien dau do nguyen nhan than kinh, trong dd LANSS va NPQ la hai thang diem ddn gian va de
ap dung tren lam sang. VI vay chiing tdi tien hanh nghien ciTu "Khao sat tinh trang dau do nguyen nhan than kinh sd dung thang diem LANSS va NPQ d benh nhan viem cot song di'nh khdp" vdi muc tieu:
i . Khao sat tinh trang dau do nguyen nhan than kinh bang thang diem LANSS va NPQ d binh nhan viim cot song dinh khdp
2. Tim hieu moi lien quan giita mot so yeu to lam sang vdi tinh trang dau than kinh d benh nhan viim cot song dinh khdp.
ii. DOI TU'DNG VA PHUONG PHAP NGHIEN CUU 2 . 1 . Ddi tu'dng ngliien cu'u: 32 benh nhan dddc chan doan viem cot song dinh khdp theo beu chuan New York 1984 dieu tri npi trii tai khoa Cd Xddng Khdp Benh vien Bach Mai t d thang 10 nam 2016 den ttiang 06 nam 2017.
2 . 1 . 1 . Tieu cliuan clion benh nhan:
- Benh nhan VCSDK ddric chan doan theo tieu chuan New York 1984.
- Benh nhan ddng y tham gia nghien CLTU.
2.1.2. Tieu chuan loai truT:
- Benh nhan viem cot song dinh khdp cd benh cap tinh khac kem theo: dai thao dddng, nliiem khuan cap tinh,
- Benh nhan khong dong y tham gia nghien ciTu.
2.2. Phu'dng phap nghien cu'u:
2 . 2 . 1 , Thiet Ite nghien cuTu: Theo phddng phap tien cii'u, mo ta cat ngang
2.2.2. Tien hanh nghien cu'u: I^oi doi tddng nghien ciTu deu dddc hdi benh, tham kham va khai thac thong tin theo mot benh an nghien ciTu thong nhat.
- Hdi benh va khai thac cac trieu chimg lam sang:
- Kham benh nhan danh gia miTc do dau khdp va hoat ddng benh theo thang diem VAS, LANSS, NPQ, BASDAI.
2.3. Nhan djnh ket qua:
'LANSS [2]: Thang diem LANSS gom 7 cau hdi, vdi eacii cho diem cae cau hdi theo bang dddi day:
H- LANSS < 12; dau do thu cam than kinh.
-HLANSS > 12: dau do nguyen nhan than kinh.
-NPQ [6]: Theo Krause va cong sd gom 10 cau hdi lien quan den cam giac va 2 yeu to anh hu'dng. Moi trieu chiTng cho diem tiT 0 - 100 phii hdp vdi cam giac dau eiia benh nhan.
+ NPQ < 0: dau do thy cam than kinh.
-I- NPq_> 0: dau do nguyen nhan than kinh.
Vdi moi cau hdi chpn 1 so phii hdp vdi cam giac dau ciia ban. vi du; Chia cam giac dau eiia ban tir khong dau den dau nhat thanh cae diem tir 0 la khong dau den dau nhat la 100 ban chon so phii hdp vdi cam giac eiia ban.
VIETNAM MEDICAL JOURNAL N°2 - OCTOBER - 2017
Moi 12 cau hdi tren, viet so diem vao cot dau 3 . 1 . Dac diem chung cua nhom benh tien, nhan vdi he so d cot 2. Ket qua ghi yao^ept nhan nghien cii'u:^ Nghien ciTu bao gom 32 thir 3, tong cac chi so trong cot 3 cong vdi hang benh nhan, dddc chan doan viem cot song dinh so. Ket qua la chi so NPQ eua benh nhan khdp theo tieu chuan New York 1984, nam gi^i
2.4. Xur iy so lieu: Bang phan mem SPSS 20.0 chiem da so vdi ty le 78,12%. Cac dac diem Ithac III. KFT QUA NGHIEN CU'U ^ " ^ " ^ ° " ' " 9 ^ ' ^ " "^"^ '^"'"^ ^^^ ^ ' ^ " ^ ^^"9 3.1;
Bing 3.1: Dac diem nhom benh nhin nghien cii'u (n = 32)
Dac diem Ket qua
Tuoi trung binh (nam) Thdi gian mac benh (nam)
31,69
±11,38 6,52
±8,73
jVAS trung binh (dieni)
4,97
±1,73
4 I BASDAI trung binh (diem) I 4,16 ± !,• , Nhinxet:Tud\ mac benh trung binh eua nhdm nghien cdu la 31 tuoi, thdi gian mac benh trung binh khoang 7 nam. Da so benh nhan nhap vien trong tinh tran^ cac khdp dau nhieu (VAS trung binh khoang 5 diem) va benh d giai doan boat dong (BASDAI > 4 diem)
3.2. Ty i§ dau do nguyen nhan than kinh d benh nhan viem cot song dinh Ichdp.
-T^le dau do nguyen nhin than kinh dbenh nhin VCSDK tiieo thang diem LANSS va NPQ.
Bing 3.2. Tyle dau do nguyen nhan thin kinh dbenh nhan viem cot song dinh khalp.
Thang diem
LANSS
NPQ
Dau than kinh (LANSS > 12) Khonq dau than kinh (LANSS < 12)
Tonq Dau than kinh (NPQ > 0) Khonq dau than kinh (NPQ < 0)
Tonq
So benh nhan 7 25 32 8 24 32
Ty le % 21,9%
78,1%
100% „ 25% 1 75%
100%
Nhin xet: Ty le dau do nguyen nhan than kinh d benh nhan viem cot song dinh khdp danti gia bang thang diem LANSS la 21,9%, bang thang diem NPQ la 25%.
- Cac trieu chu'ng iam sang thu'dng gap cua dau do nguyen nhan than kinh d benh nhan VCSDK Nghien eifu tren 32 benh nhan viem cot song dinh khdp chung toi thu dddc ket qua sau:
Bang 3.3. Cac bleu Men cua dau do nguyen nhan than kinh tiieo bang diem LANSS Cam giac dau
Kim cham Thay dol mau sac da
Tanq nhay cam Dien giat
Rat Dau tang khi cham Dau do ep Ide nhe
So benh nhan (Ty le % ) 10 (31,3%)
2 (6,25%) 12 (37,5%) 14 (35,7%) 6 (18,8%) 7 (21,9%) 12 (37,5%)
Nhin xet: Cac trieu chiTng dau do nguyen nhan than kinh gap vdi ty le cao d benh nhan VCSDK la: Dien giat (35,7%), dau tang khi cham nhe (37,5%), kim cham (31,3%)
120 100%
100 m 80 60M 50% 53,6% 50% 60% • „ „ SA.S% , ^ ^ ^ - ^ ^
60 J 0 % ^ 0 % ^ 6 4% ' «,75i 40%u_ _ 4 0 % • ^"^OW ^ 5 %
° (l (l II II ll ll I II ll ll
Tang Nhoi Te Di^n Kim Dau khi Buot Dau Oau nhay gigt cham ep nh? tang khi tang khi Q ^ Q Q S cam ch?m thay doi
thiyi tiet
• Oau than kinh • Khong dau than kmh
Bieu do 3.1. So sinh cae bleu Men cua dau do nguyen nhin than kinh d hai nhdm co dau va khong dau do nguyin nhan than kinh tiieo bang diem NPQ
TAP CHl Y HOC VlgT HAM TAP 459 - THANG 10 - SO 2 - 2017
Nhan xet Cac trieu chutig dau do nguyen nhan than kinh thu'dng gap d benh nhan VCSDK theo thang diem NPQ la: cam giac rat 60%, tang nhay cam 60%, nhoi 63,6%, te 53,3%, da khi ep nhe 100%, dau tang khi cham 54,5%. Co sd khac biet giu^ cac bieu hien ciia dau do nguyen nhan than Idnh 6 hai nhdm cd dau than kinh va Idiong dau than kinh. Sd-khae biet cd y nghTa thong ke vdi p < 0,05.
3.3. Moi lien quan giu'a dau do nguyen nhan than l(inh vdi mot so dac diem iam sang Bing 3.4. Lien quan giii'a dau do nguyen nhin than kinh vdi mot so dac diem lam sing.
Cac diem Co dau than Itinh NPQ
Khong dau than itinh
LANSS NPQ
Tuoi trunq binh
(nam) ( x ± SD)
34,57 ± 13,07 30,88 ±
11,01
<0,05Thdi gian mac benh
trung binh (nam)
12,0 ± 14,24 15,63 ± 13,72
Diem VAS trung binh3,83 ± 2,07
3,89 ± 1,83 1,69 ± 0,8 1,57 ± 0,73
Nhan xet: \Ah6rr\ benh nhan ed dau do nguyen nhan than kinh cd tuoi trung binh, thdi gian mac benh trung binh, VAS trung binh, BASDAI trung binh cao hdn so vdi nhdm khong dau than kinh. Sd kliac biet co y nghTa thong ke vdi p < 0,05.IV. BAN LUAN
1 . Ti le dau do nguyen nhan than kinh d benh nhan viem cot song dinh k h d p .
Viem cot song dinh khdp la mot benh khdp viem man tinh thddng gap nhat trong nhdm benh ly cot song huyet thanh am tinh. Ty le benh nhan tren the gidi vao khoang 0,1-1% dan so. Benh chiem ty le 15,4% trong so cac benh nhan dieu tri npi tru tai khoa Cd Xddng Khdp benh vien Bach Mai. Nghien cii'u tren 32 benh nlian viem cot song dinh khdp, dieu tri npi tru tai khoa cd xu'dng khdp benh vien Bach Mai, tuoi trung binh ciia nhdm benh nhan nghien ciTu la 31 tuoi. Da so benh nhan nhap vien trong tinh trang cae khdp dau d miTc do trung binh va benh dang d giai doan hoat dong (Bang 3.1). Khao sat tinh trang dau do nguyen than kinh tren 32 benh nhan viem cot song di'nh khdp bang thang diem LANSS cd d6 nhay 82-91%, dp dac hieu 80- 94%; NPQ cd dp nhay 66%, dp dac hieu 74%.
Cho thay rang t^ le dau do nguyen nhan than kinh theo cae thang diem chiem kha cao, danh gia bang thang diem LANSS la 21,9%; bang thang diem NPQ la 25%. TiT day ta ed the thay rang benh nhan viem cot song dinh khdp cd trieu chu'ng i3au do nguyen nhan than kinh chiem ti le khong he nhd. Vi the ta can quan tam, chan doan va dieu t n dung tneu chuYig^dau do nguyen nhan than kinh cho benh nhan de cai thien chu'c nang hoat dong ciing nhd chat lu'dng cuoc song ciia benh nhan.
Cac trieu chiTng bleu hien dau do nguyen nhan than kinh thddng xuat hien nhieu hdn d nhdm cd dau do nguyen nhan than kinh nhd:
kim cham (LANSS: 50%, NPQ: 60%), rat
(LANSS: 50%, NPQ: 60%), tang nhay cam (LANSS: 85,7%, NPQ: 6 0 % ) . . day la cam giac dau khong giong vdi dau do thu cam than kinh nhd dau buot, dau nhoi trong benh ly khdp thong thddng. Vi the khi kham lam sang can phai chii y de phat hien eac trieu chiTng dau do nguyen nhan than kinh de dieu tn thich hdp.
2. Mdi lien quan giu'a dau do nguyen nhan than kinh vdi mot so yeu to lam sang.
Trong nghien ciTu cho thay nam gidi chiem 78,12% trong cac benh nhan bi dau do nguyen nhan than kinh. Oieu nay cung de hieu vi viem cot song dinh khdp hay gap d nam hdn niJ'.
Nghien ciTu cho thay; tuoi trung binh, thdi gian mac benh trung binh, diem VAS trung binh va diem BASDAI trung binh ciia nhdm benh nhan ed dau than kinh cao hdn so vdi nhom benh nhan khong cd dau than kinh, siT khac biet cd y nghTa thong ke vdi p < 0,05, bang 3.4.
Cd the hieu rang khi thdi gian mac benh lau thi benh dien bien vdi cac trieu chu'ng cang nang ne hdn, miTc do hoat dong eiia benh manh hdn do do benh nhan thddng cd trieu chiTng dau than kinh kem theo. Vi the trong thdc hanh lam sang, ta can kham ky de tim trieu chdng dau than kinh d benh nhan VCSDK t d dd dda ra phu'dng phap dieu trj thich hdp cho benh nhan.
V. K ^ LUi?iN
Khao sat tinh trang dau do nguyen nhan than kinh d benh nhan viem cot song dinh khdp bang 2 thang diem LANSS va NPQ cho thay ty le dau do nguyen nhan theo moi thang diem lan Iddt la 21,9% va 25%.
Tinh trang dau do nguyen nhan than kinh eo the gap 6 ca 2 gidi, d mpi dp tuoi khac nhau.
VIETNAM MEDICAL JOURNAL N°2 - OCTOBER -2017 Tuy nhien, nhdm co dau do nguyen nhan than
kinh cd thdi gian mac benh trung binh, diem VAS trung binh va BASDAI trung binh Idn hdn nhdm khdng ed dau do nguyen nhan than kinh.
TAI LIEU THAM KHAO
1. Binder A Baron R, "How neuropathic is sdatca? The mixed pain concept." Orihc^de2004, pp. 33:568-75.
2. Bennett M, 'The LANSS Pain Scale: The Leeds assessment of neunDpathic symptoms and sign.", pain 2001;92:, pp. 147-157.
. Bennett M, "The LANSS Pain Scale: the Leeds assessment of neuropathic symtoms and sinqs'
Pain 2001, pp. 92:147-57. ' . Baron R Freynhange R, 'The evaluation of
neuropathic components in low back pain'; Cm Pain Headache Rep 200g, pp. 13:185-90.
. Kaygisiz F, Yaman A, et a l , , "Neuropathic PAIN in Patients with Ankylosing Spondylitis" 20H ACR/ARHP Annual Meeting, pp. 246.
. Krause 5J, Bakonja MM, Oin J Pain 2003- 19(5):, pp. 306-14.
NHAN THirC CUA SINH VIEN NGANH Y DA KHOA VE MOI TRiraNG GlAO DUG TAI TRlTaNG DAI HOC Y Dirge THAI NGUYEN BANG BANG HOI DREEM
Tran Bao Ngoc', Le Thi Lini', Nguyin Manh Tuan', Nguyen Thi Hoa' va c6ng si^
TOM TAT
Muc tieu: Md ta nhan thiTc va xac dinh sd phii hop cua bang hoi DREEM doi vdi moi tru'dng giao due ciia sinh vien {SV} nganh y da khoa, Tru'dng Dai hoc Y DdOc-Oai hoc Thai Nguyen. Phu'dng phap: Mo ta cat ngang bang bang hoi DREEM trong 221 SV y da khoa trong thang 6/2j)17. Ket qua: 221 smh vien (93 nam, 86 dan toe thieu so) du'dc khao sat. Diem so trung binh tiftig finh vyc nhan thdc ve hpc tap,_^iang vien, hoc thuat, mdi tru'dng, xa hoi va tong diem theo bo DREEM goc lan lu'dt la 31,0; 30,2; 19,9; 30,8; 18,1 va 129,9. Sau khi phan tich do Hn cay va nhan to kham pha EFA tir 50 cau cdn 34 cau phii hop de khao sat sinh vien y da khoa. Ket luan: Moi tru'dng giao due ciia nha tru'dng c6 nhieu uli diem hdn nhu'dc diem;
bang hdi DREEM phii hdp de danh gia nhan thiTc ve mdi tru'dng giao due nganh y sau khi su'a doi.
Tu'khoa: Bang hdi DREEr>1, nhan tiidc, moi tru'dng giao due, sinh vien du'dc, Tru'dng Dai hoc Y Du'dc.
SUMMARY
THE GENERAL MEDIONE STUDEmS' PERCEPTION OF EDUCATIONAL ENVIRONMENT
ATTHAI NGUYEN UNIVERSITY OF MEDIQNE AND PHARMACY BY DREEM QUESnONNARE Objective; Describe perception and determine tine suitability of the questionnaire DREEM with educational environment for general medieine (GM) students. Thai Nguyen University of Medicine and Pharmacy. Methods: The cross-sectional descriptive study was earned out in 221 GM students in 6/2017. Use appropriate algorithms in SPSS 20.0 to ' Tn/dng Dai hoc Y Dddc-Dai hoc Thai Nguyen Chiu trach nhiem chinli: Tran Bao Ngpc^
Email: [email protected] Ngay nhan bai: 6.8.2017 Ngay phan bien khoa hoc: 2.10.2017 Ngay duyet bai: 9.10.2017
describe the results and determine the suitability and reliability of this questionnaire. Results: 221 students (93 male, 86 minority ethnic). The mean scores of eadi fields for perception of sbidy, lecturer, academic, environment, society and total score following the original DREEM were 31,0; 30,2; 19,9; 30,8; 18,1 va 129,9; respectively. Some of the factors that had influence on perception were male studaits, second- year and entry exam/admission. After analyzing the reliability and factors of EFA from 50 questions down 34 questions were suitable for survey GM students.
Conclusions: Educational environment of tlie university had more advantages flBn disadvantages; The DREEM questionnaire was appropriate to evaluate the perception of educational environment in medidne after being modified.
Keywords: DREEM questionnaire, perception, educational environment, pharmaceutical students, University of Medicine and Pharmacy.
I. DAT V ^ N DE
Theo Harden (2001) moi tru'dng giao due ciia mot tru'dng hoc bao gom moi quan he giii'a__SV va giang vien (GV), cac phu'dng phap/ky nang giang day va hoc tap, nhu cau tam ly xa hoi va cam xuc ciia SV cung nhd cd sd vat chat va trang thiet bj. Thu'c te cho thay moi tru'dng hpc tap anh hu'dng quan trpng tdi thanh tich hoc tap eiia SV va tao ra nang Ide cho hp.
nac dii eac cong cu khac nhau da chtftig minh tfnh gia trj manh me va dp tin cay do lu'cing cao, song dddc sir dung rong rai va dddc ehap nhan trong moi tru'dng giao due y te la cong cy danh gia moi tru'dng giao due Dundee ciia De Roff xay dutig tif nam 1997. Bo cong eg nay do lu'dng nhan thu'c ciia sinh vien ve moi trdcing giao due trong nam linh vdc: Hpc tap; Giang day; Nhan thirc ve hoc thuat; Moi tru'dng va Ti/
