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实习生的职业倦怠状况及相关因素。

Burnout status of interns and associated factors.

作者信息

Sevencan Funda, Cayir Ebru, Uner Sarp

机构信息

Hacettepe University Faculty of Medicine Department of Public Health.

出版信息

Cah Sociol Demogr Med. 2010 Oct-Dec;50(4):501-15.

Abstract

It is well known that due to long working hours and stressful working conditions, doctors experience burnout more often than other professional groups. Their career burnout begins in the early years, continues to increase and becomes most evident in the internship of medical school. On this wise, the purpose of this study was to investigate the burnout status of intern doctors and the associated factors. Participants in this cross-sectional study were sixth-year medical students (n = 302). Data were collected under observation using a questionnaire including some sociodemographic characteristics and the Maslach Burnout Inventory, SF-36, General Health Questionnaire and COPE Inventory. The mean age of the participants was 24.5 +/- 1.1 years and 53.4% of them were male. Mean scores of emotional exhaustion, depersonalization and personal accomplishment were 25.5 +/- 7.5, 11.3 +/- 3.9 and 24.7 +/- 3.4, respectively and the three sub-dimension scores of the burnout scale showed no association with gender. Students' emotional exhaustion scores significantly differed according to the socioeconomic status (p < 0.05). Participants who had lower scores on the mental and physical dimensions of SF-36 and higher scores on GHQ-12 showed significantly more emotional exhaustion and depersonalization.Positive coping methods showed negative correlation with the subscales of burnout and individuals using problem-focused coping felt more successful (personal accomplishment) confirming the relationship between mental health and burnout. The medical education curricula (both theoretical and practical studies) should be reviewed and appropriate adjustments should be made according to the needs of intern doctors.

摘要

众所周知,由于工作时间长和工作条件压力大,医生比其他职业群体更容易出现职业倦怠。他们的职业倦怠在早年就开始了,持续增加,并在医学院实习期间最为明显。基于此,本研究的目的是调查实习医生的职业倦怠状况及其相关因素。这项横断面研究的参与者是六年级医学生(n = 302)。通过问卷调查收集数据,问卷包括一些社会人口学特征以及马氏职业倦怠量表、SF-36健康调查量表、一般健康问卷和应对方式问卷。参与者的平均年龄为24.5±1.1岁,其中53.4%为男性。情感耗竭、去个性化和个人成就感的平均得分分别为25.5±7.5、11.3±3.9和24.7±3.4,职业倦怠量表的三个子维度得分与性别无关。学生的情感耗竭得分根据社会经济地位有显著差异(p < 0.05)。在SF-36的心理和生理维度得分较低且在GHQ-12得分较高的参与者表现出明显更多的情感耗竭和去个性化。积极的应对方式与职业倦怠的子量表呈负相关,采用以问题为中心应对方式的个体感觉更成功(个人成就感),这证实了心理健康与职业倦怠之间的关系。医学教育课程(包括理论和实践研究)应进行审查,并根据实习医生的需求进行适当调整。

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