Chia A C L, Irwin M G, Lee P W H, Lee T H W, Man S E
Department of Anaesthesia, Kwong Wah Hospital, Hong Kong.
Anaesth Intensive Care. 2008 Nov;36(6):855-62. doi: 10.1177/0310057X0803600617.
A postal survey was sent to anaesthetic trainees in Hong Kong and Victoria, Australia to compare work-related stress levels. Demographic data were collected. Anaesthetist-specific stressors, Maslach Burnout Inventory and Global Job Satisfaction scores were used for psychological testing. The response rates from Hong Kong and Melbourne were 64 of 133 (48.1%) and 108 of 196 (55.1%), respectively. Victorian respondents were older with greater family commitments, but more advanced in fulfilling training requirements. Hong Kong respondents, being faced with both the challenge of dual College requirements, exhibited consistently higher indices of stress (P < 0.001) and less job satisfaction (P < 0.001). Common occupational stressors related to dealing with critically ill patients and medicolegal concerns. Higher stress scores observed in Hong Kong trainees related to service provision and a perceived lack of resources. Despite the complex nature of stress, its antecedents and manifestations, an inverse relationship between emotional exhaustion and job satisfaction was evident in correlation analysis (P < 0.001). This survey suggests that stress was present in some trainees in both areas. Hong Kong trainees may benefit from local development to address mental wellbeing as being important to fulfil this highly competitive training program.
一项邮寄问卷调查被发送给香港和澳大利亚维多利亚州的麻醉科实习医生，以比较与工作相关的压力水平。收集了人口统计学数据。使用针对麻醉医生的压力源、马氏职业倦怠量表和总体工作满意度得分进行心理测试。香港和墨尔本的回复率分别为133人中的64人（48.1%）和196人中的108人（55.1%）。维多利亚州的受访者年龄更大，家庭负担更重，但在完成培训要求方面更靠前。香港的受访者面临着两所学院要求带来的双重挑战，表现出持续更高的压力指数（P<0.001）和更低的工作满意度（P<0.001）。常见的职业压力源与处理重症患者和医疗法律问题有关。在香港实习医生中观察到的更高压力得分与服务提供以及资源感知不足有关。尽管压力的性质、其成因和表现复杂，但在相关性分析中，情绪耗竭与工作满意度之间的负相关关系很明显（P<0.001）。这项调查表明，两个地区的一些实习医生都存在压力。香港的实习医生可能会从本地开展的旨在解决心理健康问题的项目中受益，因为心理健康对于完成这个竞争激烈的培训项目很重要。
