Dahlin M, Joneborg N, Runeson B
Department of Clinical Neuroscience, Section Psychiatry St. Göran, Karolinska Institutet, S-112 81 Stockholm, Sweden.
Med Teach. 2007 Feb;29(1):43-8. doi: 10.1080/01421590601175309.
To examine levels of burnout among medical students and test the hypothesis that high performance-based self-esteem is associated with burnout. Further to study associations between burnout and self-rated health.
Cross-sectional survey, of medical students at 1st, 3rd and 6th year of medical school, N = 342, 59.1% women.
Burnout was monitored by the Oldenburg Burnout Inventory (OLBI), comprising Exhaustion and Disengagement dimensions. Performance-based self-esteem (PBSE) was assessed by the PBSE-scale (PBSS) and self-rated health by SRH-5.
The response rate was 90.4%. Females were more exhausted than males and sixth year students were most disengaged. High performance-based self-esteem was present in 41.7% of the respondents and poor health in 10.7%. Performance-based self-esteem had significant and moderate correlations with both burnout dimensions. Logistic regression showed a positive association between poor health and Exhaustion.
Exhaustion among medical students was significantly associated with poor health, and deserves attention from teachers. Performance-based self-esteem was higher than in other populations and associated with both burnout dimensions, but not with poor health. Further research on study environment and burnout is needed, and the reasons for female students' higher exhaustion levels should be further investigated.
研究医学生的职业倦怠水平，并检验基于表现的高自尊与职业倦怠相关这一假设。进一步探究职业倦怠与自评健康之间的关联。
对医学院校一年级、三年级和六年级的医学生进行横断面调查，样本量N = 342，女性占59.1%。
采用奥尔登堡职业倦怠量表（OLBI）监测职业倦怠，该量表包括疲惫和脱离维度。通过基于表现的自尊量表（PBSS）评估基于表现的自尊（PBSE），通过SRH - 5评估自评健康。
应答率为90.4%。女性比男性更疲惫，六年级学生的职业倦怠脱离程度最高。41.7%的受访者具有基于表现的高自尊，10.7%的受访者健康状况不佳。基于表现的自尊与职业倦怠的两个维度均存在显著的中度相关性。逻辑回归显示健康状况不佳与疲惫之间存在正相关。
医学生的疲惫与健康状况不佳显著相关，值得教师关注。基于表现的自尊高于其他人群，且与职业倦怠的两个维度相关，但与健康状况不佳无关。需要进一步研究学习环境与职业倦怠，并且应进一步调查女生疲惫水平较高的原因。
