Schattner Peter, Mazalin Dennis, Pier Ciaran, Wainer Jo, Ling Mee Yoke
Department of General Practice, Faculty of Medicine, Nursing and Health Sciences, Monash University, Building 1, 270 Ferntree Gully Rd, Notting Hill Vic 3168, Australia.
Asia Pac Fam Med. 2010 Feb 9;9(1):2. doi: 10.1186/1447-056X-9-2.
To investigate the major stressors affecting GP registrars, how those at risk can be best identified and the most useful methods of managing or reducing their stress.
DESIGN, SETTING AND PARTICIPANTS: Cross-sectional postal questionnaire of all GP registrars in one large regional training provider's catchment area.
The Depression, Anxiety and Stress Scale (DASS), a specifically developed Registrar Stressor Scale consisting of five subscales of potential stressors, plus closed questions on how to identify and manage stress in GP registrars.
Survey response rate of 51% (102/199). Rural difficulties followed by achieving a work/life balance were the principal stressors. Ten percent of registrars were mildly or moderately depressed or anxious (DASS) and 7% mild to moderately anxious (DASS). Registrars preferred informal means of identifying those under stress (a buddy system and talks with their supervisors); similarly, they preferred to manage stress by discussions with family and friends, debriefing with peers and colleagues, or undertaking sport and leisure activities.
This study supports research which confirms that poor psychological well-being is an important issue for a significant minority of GP trainees. Regional training providers should ensure that they facilitate formal and informal strategies to identify those at risk and assist them to cope with their stress.
调查影响全科医生培训生的主要压力源，如何最好地识别有风险的培训生，以及管理或减轻他们压力的最有效方法。
设计、背景与参与者：对一个大型区域培训提供者服务范围内的所有全科医生培训生进行横断面邮政问卷调查。
抑郁、焦虑和压力量表（DASS），一个专门编制的培训生压力源量表，由五个潜在压力源子量表组成，外加关于如何识别和管理全科医生培训生压力的封闭式问题。
调查回复率为51%（102/199）。农村地区的困难以及工作与生活平衡问题是主要压力源。10%的培训生有轻度或中度抑郁或焦虑（DASS量表），7%有轻度至中度焦虑（DASS量表）。培训生更喜欢通过非正式方式识别处于压力下的人（伙伴制度以及与他们的上级交谈）；同样，他们更喜欢通过与家人和朋友讨论、与同行和同事汇报情况或参加体育和休闲活动来管理压力。
本研究支持相关研究，该研究证实，心理健康不佳对相当一部分全科医生培训生来说是一个重要问题。区域培训提供者应确保他们推动正式和非正式策略来识别有风险的人，并帮助他们应对压力。
