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医生职业耗竭综合征——人格维度和应对策略的作用。

Burnout syndrome among physicians - the role of personality dimensions and coping strategies.

机构信息

Institute of Mental Health, Palmoticeva 37, 11000 Belgrade, Serbia.

出版信息

Psychiatr Danub. 2011 Dec;23(4):389-95.

PMID:22075741
Abstract

BACKGROUND

Burnout syndrome (BS) and stress-related disorders are frequent among medical specialists, but it has been suggested that some health workers are more prone to the BS than others. This study assessed the intensity of the BS among 3 groups of physicians: psychiatrists, general practitioners and surgeons and examined correlation both between the intensity of BS and physicians` personality dimensions as well as between the level of BS and stress coping strategies.

SUBJECTS AND METHODS

The sample consisted of 160 physicians (70 general practitioners, 50 psychiatrists, 40 surgeons). The assessment was carried out by the Maslach Burnout Inventory, The Temperament and Character Inventory and Manual for the Ways of Coping Questionnaire.

RESULTS

Dimension of emotional exhaustion was the most prominent in general practitioners (F=5.546, df1=2, df2=156, p<0.01), while dimension of depersonalization was highest in surgeons (F=15.314, df1=2, df2=156, p<0.01), as well as lack of personal accomplishment (F=16.079, df1=2, df2=156, p<0.01). We found that the Harm Avoidance has lead to development of BS while Self-directedness and Cooperativeness were prominent in physicians with low level of BS. The escape-avoidance was in correlation with high depersonalization and lack of personal accomplishment while self-control was prominent in physicians with lower BS.

CONCLUSION

The BS affects personal well-being and professional performance. It is important to identify individuals with a tendency towards its development, in order to undertake preventive measures such as stress management and improvement of the stress coping strategies.

摘要

背景

burnout 综合征(BS)和与压力相关的障碍在医学专家中很常见,但有人认为,一些卫生工作者比其他人更容易出现 BS。本研究评估了 3 组医生的 BS 强度:精神科医生、全科医生和外科医生,并检查了 BS 强度与医生人格维度之间的相关性,以及 BS 水平与压力应对策略之间的相关性。

受试者和方法

样本由 160 名医生组成(70 名全科医生、50 名精神科医生、40 名外科医生)。评估采用 Maslach 倦怠量表、气质与性格量表和应对方式问卷手册进行。

结果

情绪衰竭维度在全科医生中最为突出(F=5.546,df1=2,df2=156,p<0.01),而在外科医生中,去人格化维度最高(F=15.314,df1=2,df2=156,p<0.01),缺乏个人成就感(F=16.079,df1=2,df2=156,p<0.01)。我们发现,回避倾向导致 BS 的发展,而自我导向和合作性则在 BS 水平较低的医生中更为突出。逃避回避与高度去人格化和缺乏个人成就感相关,而自我控制则在 BS 水平较低的医生中更为突出。

结论

BS 影响个人的幸福感和职业表现。识别有发展倾向的个体非常重要,以便采取预防措施,如压力管理和改善压力应对策略。

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