[医生健康的发病机制与健康促进方面]
[Pathogenetic and salutogenetic aspects of physicians' health].
作者信息
Zwack Julika, Bodenstein Uta, Mundle Götz, Schweitzer Jochen
机构信息
Sektion Medizinische Organisationspsychologie, Institut für Medizinische Psychologie, Universitätsklinikum Heidelberg, Bergheimer Straße 20, Heidelberg.
出版信息
Psychiatr Prax. 2012 May;39(4):181-8. doi: 10.1055/s-0031-1298975. Epub 2012 Apr 2.
OBJECTIVE
To analyse pathogenetic and salutogenetic processes of physicians suffering from depression, burnout and drug addiction.
METHODS
Qualitative follow-up interviews with 32 former physician patients from the Oberbergkliniken hospital group.
RESULTS
Long working hours, bureaucratic restrictions and double burdens of combining family life and professional demands are major pathogenetic strains. They interact with biographic performance scripts. Major salutogenetic factors are the expansion of self care with regard to physical, spiritual and social needs and the reconstruction of resources outside the job.
CONCLUSIONS
Prevention programmes for health care professionals should focus on the reflection of biographic performance scripts, on maintaining multifaceted sources of gratification and the buildup of extra-professional resources.
目的
分析患有抑郁症、职业倦怠和药物成瘾的医生的致病和健康促进过程。
方法
对奥伯贝格kliniken医院集团的32名曾就医的医生患者进行定性随访访谈。
结果
长时间工作、官僚主义限制以及家庭生活与职业需求相结合的双重负担是主要的致病压力源。它们与个人经历表现脚本相互作用。主要的健康促进因素是在身体、精神和社会需求方面自我护理的扩展以及工作之外资源的重建。
结论
针对医护人员的预防计划应侧重于对个人经历表现脚本的反思、维持多方面的满足来源以及建立职业外资源。
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