Govardhan Lakshmi Magavi, Pinelli Vincent, Schnatz Peter F
Saint Francis Hospital and Medical Center, Hartford, USA.
Conn Med. 2012 Aug;76(7):389-95.
This study among ObGyn residents was designed to determine the relationship of burnout to job satisfaction, depression, and self-care activities.
The link to a 64-item, anonymous, self-administered online survey was distributed to obstetrics and gynecology residents at six obstetric and gynecologic residency programs in the greater Hartford Connecticut region. We used the Maslach Burnout Inventory-Human Services Survey to assess job burnout, the Center for Epidemiological Studies-Depression Scale to identify depression, and we incorporated questions regarding job satisfaction and self care activities.
Of the surveyed residents, 13% satisfied all three subscale scores for high burnout and > 50% have high levels of depersonalization and emotional exhaustion. Residents with high levels of emotional exhaustion were less satisfied with their careers (P = 0.001), regretted choosing ObGyn (P < 0.001), and had higher rates of depression (P < 0.001). A high level of depersonalization was inversely correlated to job satisfaction and personal accomplishment, and strongly correlated to depression. A high level of personal accomplishment was strongly correlated with job satisfaction and satisfaction with the specialty but was inversely correlated with a sense of depersonalization. There was no correlation between burnout and self-care activities.
Burnout is strongly correlated with depression and inversely correlated with job satisfaction. Burnout and depression were highly prevalent among ObGyn residents. Decreasing stressors and assuring motivated, committed, and supportive educators may prove to be helpful in the enhancement of resident job satisfaction.
本研究针对妇产科住院医师,旨在确定职业倦怠与工作满意度、抑郁及自我护理活动之间的关系。
向康涅狄格州大哈特福德地区六个妇产科住院医师培训项目的妇产科住院医师分发了一份64项的匿名在线自填式调查问卷链接。我们使用马氏职业倦怠量表-人类服务调查来评估职业倦怠,使用流行病学研究中心抑郁量表来识别抑郁情况,并纳入了有关工作满意度和自我护理活动的问题。
在接受调查的住院医师中,13%的人所有三个子量表得分均表明存在高度职业倦怠,超过50%的人存在高度去个性化和情感耗竭。情感耗竭程度高的住院医师对其职业的满意度较低(P = 0.001),后悔选择妇产科专业(P < 0.001),且抑郁发生率较高(P < 0.001)。高度去个性化与工作满意度和个人成就感呈负相关,与抑郁呈强相关。高度个人成就感与工作满意度和对专业的满意度呈强相关,但与去个性化感呈负相关。职业倦怠与自我护理活动之间没有相关性。
职业倦怠与抑郁密切相关,与工作满意度呈负相关。职业倦怠和抑郁在妇产科住院医师中非常普遍。减少压力源并确保有积极性、敬业且给予支持的教育工作者可能有助于提高住院医师的工作满意度。